facebook tracking Kidney and ureter procedures for non-neoplasm without complications cost in Tennessee: 7 hospitals compared (DRG 661)

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

What 7 hospitals in Tennessee 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 $39,456 Hospital list price billed
Average payment $8,701 Medicare + patient + other payers
Medicare paid $6,016 Average per stay
State rank #3 of 25 1 = lowest average payment

Hospitals in Tennessee billed an average of $39,456 for kidney and ureter procedures for non-neoplasm without complications, about 4.5 times the average total payment of $8,701. That payment is 10% below 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 $8,701Billed $39,456

About 22¢ was paid for every $1 hospitals in Tennessee billed for this stay.

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

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

Hospital Stays Avg charge Avg payment Medicare paid
Franklin Woods Community HospitalJohnson City 30 $31,170 $7,949 $5,255
Memorial Healthcare System, INCChattanooga 20 $37,796 $6,940 $5,018
Wellmont Bristol Regional Medical CenterBristol 13 $33,483 $8,606 $5,625
Vanderbilt University HospitalNashville 13 $71,610 $13,583 $7,921
Physicians Regional Medical CenterKnoxville 12 $38,223 $7,439 $6,079
Maury Regional HospitalColumbia 11 $42,161 $7,602 $6,109
Erlanger Medical CenterChattanooga 11 $32,766 $10,774 $7,959
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Lowest and highest payments in Tennessee

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.

Highest

Vanderbilt University HospitalNashville, TN$13,583
Erlanger Medical CenterChattanooga, TN$10,774
Wellmont Bristol Regional Medical CenterBristol, TN$8,606
Franklin Woods Community HospitalJohnson City, TN$7,949
Maury Regional HospitalColumbia, TN$7,602

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 Tennessee?

In 2024 Medicare data, a hospital stay for kidney and ureter procedures for non-neoplasm without complications (DRG 661) at 7 hospitals in Tennessee was billed at $39,456 on average, while the average total payment was $8,701, of which Medicare paid $6,016. 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 Tennessee, average charges were 4.5 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.