facebook tracking Kidney and ureter procedures for non-neoplasm without complications cost in Georgia: 2 hospitals compared (DRG 661)

Kidney and ureter procedures for non-neoplasm without complications in Georgia

What 2 hospitals in Georgia charged and were paid for a Medicare hospital stay for kidney and ureter procedures for non-neoplasm without complications (DRG 661), from 2024 Medicare claims.

DRG 661 Inpatient 2024 Medicare data
Average charge $49,370 Hospital list price billed
Average payment $9,583 Medicare + patient + other payers
Medicare paid $7,358 Average per stay
Volume 24 Medicare hospital stays

Hospitals in Georgia billed an average of $49,370 for kidney and ureter procedures for non-neoplasm without complications, about 5.2 times the average total payment of $9,583. That payment is about the same as the U.S. average of $9,672.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $9,583Billed $49,370

About 19¢ was paid for every $1 hospitals in Georgia billed for this stay.

Georgia hospitals: kidney and ureter procedures for non-neoplasm without complications

Every Georgia hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Candler HospitalSavannah 12 $39,894 $9,062 $6,594
Northeast Georgia Medical Center, INCGainesville 12 $58,846 $10,103 $8,121
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Kidney and ureter procedures for non-neoplasm without complications in other states

Questions

How much does kidney and ureter procedures for non-neoplasm without complications cost in Georgia?

In 2024 Medicare data, a hospital stay for kidney and ureter procedures for non-neoplasm without complications (DRG 661) at 2 hospitals in Georgia was billed at $49,370 on average, while the average total payment was $9,583, of which Medicare paid $7,358. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Georgia, average charges were 5.2 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.