facebook tracking Kidney and ureter procedures for non-neoplasm without complications cost in Pennsylvania: 11 hospitals compared (DRG 661)

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

What 11 hospitals in Pennsylvania 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 $45,271 Hospital list price billed
Average payment $9,713 Medicare + patient + other payers
Medicare paid $6,821 Average per stay
State rank #15 of 25 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $45,271 for kidney and ureter procedures for non-neoplasm without complications, about 4.7 times the average total payment of $9,713. 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 $9,713Billed $45,271

About 21¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Pennsylvania:

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

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

Hospital Stays Avg charge Avg payment Medicare paid
Lehigh Valley HospitalAllentown 41 $50,678 $10,061 $6,850
St Luke's Hospital BethlehemBethlehem 31 $76,025 $11,125 $7,483
St Mary Medical CenterLanghorne 28 $35,337 $8,405 $6,768
UPMC Pinnacle HospitalsHarrisburg 26 $40,579 $9,914 $6,262
Abington Memorial HospitalAbington 18 $29,863 $9,374 $6,175
Grand View HospitalSellersville 16 $31,417 $8,660 $4,666
Robert Packer HospitalSayre 14 $25,988 $9,530 $7,494
Chester County HospitalWest Chester 14 $37,017 $7,762 $6,246
Thomas Jefferson University HospitalPhiladelphia 13 $73,322 $12,877 $8,787
Reading Hospital and Med CtrWest Reading 11 $38,043 $9,129 $7,550
Jefferson Health- NortheastPhiladelphia 11 $29,307 $8,945 $7,322
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Lowest and highest payments in Pennsylvania

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Chester County HospitalWest Chester, PA$7,762
St Mary Medical CenterLanghorne, PA$8,405
Grand View HospitalSellersville, PA$8,660
Jefferson Health- NortheastPhiladelphia, PA$8,945
Reading Hospital and Med CtrWest Reading, PA$9,129

Highest

Thomas Jefferson University HospitalPhiladelphia, PA$12,877
St Luke's Hospital BethlehemBethlehem, PA$11,125
Lehigh Valley HospitalAllentown, PA$10,061
UPMC Pinnacle HospitalsHarrisburg, PA$9,914
Robert Packer HospitalSayre, PA$9,530

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 Pennsylvania?

In 2024 Medicare data, a hospital stay for kidney and ureter procedures for non-neoplasm without complications (DRG 661) at 11 hospitals in Pennsylvania was billed at $45,271 on average, while the average total payment was $9,713, of which Medicare paid $6,821. 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 Pennsylvania, average charges were 4.7 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.