facebook tracking Kidney and urinary tract signs and symptoms without major complications cost: hospital prices by state (DRG 696)

Kidney and urinary tract signs and symptoms without major complications

What 30 hospitals in the U.S. charged and were paid for a Medicare hospital stay for kidney and urinary tract signs and symptoms without major complications (DRG 696), from 2024 Medicare claims.

DRG 696 Inpatient 2024 Medicare data
Average charge $30,579 Hospital list price billed
Average payment $6,675 Medicare + patient + other payers
Medicare paid $4,985 Average per stay
Volume 431 Medicare hospital stays

Hospitals in the U.S. billed an average of $30,579 for kidney and urinary tract signs and symptoms without major complications, about 4.6 times the average total payment of $6,675.

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 $6,675Billed $30,579

About 22¢ was paid for every $1 hospitals in the U.S. billed for this stay.

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Lowest and highest payments

Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Sarasota Memorial HospitalSarasota, FL$5,539
St Francis Hospital, RoslynRoslyn, NY$6,026
Anne Arundel Medical CenterAnnapolis, MD$7,297
Adventhealth OrlandoOrlando, FL$7,734

Highest

Adventhealth OrlandoOrlando, FL$7,734
Anne Arundel Medical CenterAnnapolis, MD$7,297
St Francis Hospital, RoslynRoslyn, NY$6,026
Sarasota Memorial HospitalSarasota, FL$5,539

Kidney and urinary tract signs and symptoms without major complications cost by state

Volume-weighted averages for each state's hospitals. Select a state to see every hospital.

State Hospitals Avg charge Avg payment Range
Connecticut 1 $27,298 $8,191 –
Delaware 1 $23,913 $6,842 –
Florida 6 $31,305 $6,163 $4,754 – $7,734
Indiana 1 $24,275 $6,109 –
Louisiana 1 $16,957 $5,545 –
Maryland 2 $8,526 $7,743 $7,297 – $8,637
Massachusetts 1 $10,310 $5,926 –
Michigan 1 $20,430 $6,009 –
Nebraska 1 $11,156 $5,577 –
New Jersey 1 $62,241 $5,675 –
New York 5 $50,443 $8,128 $6,026 – $9,784
North Carolina 1 $26,186 $7,196 –
Ohio 1 $16,462 $6,330 –
Pennsylvania 4 $25,442 $6,238 $5,738 – $6,913
Texas 1 $41,735 $6,094 –
West Virginia 2 $29,013 $5,885 $4,699 – $7,288

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Sarasota Memorial HospitalSarasota, FL35$23,709$5,539
St Francis Hospital, RoslynRoslyn, NY23$38,982$6,026
Anne Arundel Medical CenterAnnapolis, MD22$7,918$7,297
Adventhealth OrlandoOrlando, FL20$38,452$7,734
Abington Memorial HospitalAbington, PA18$21,152$6,006
Long Island Jewish Medical CenterNew Hyde Park, NY17$49,626$9,775
Christiana Care Health Services, INC.Newark, DE15$23,913$6,842
Naples Community HospitalNaples, FL14$35,818$5,875
Virtua West Jersey HospitalVoorhees, NJ14$62,241$5,675
Good Samaritan Hospital Medical CenterWest Islip, NY14$49,452$7,404
Methodist HospitalSan Antonio, TX14$41,735$6,094
Orlando Regional HealthcareOrlando, FL13$50,802$6,836
Lee Memorial HospitalFort Myers, FL13$21,925$6,259
Our Lady of Lourdes Regional Medical Center, INCLafayette, LA13$16,957$5,545
Reading Hospital and Med CtrWest Reading, PA13$36,320$6,436

Questions

How much does kidney and urinary tract signs and symptoms without major complications cost in the U.S.?

In 2024 Medicare data, a hospital stay for kidney and urinary tract signs and symptoms without major complications (DRG 696) at 30 hospitals in the U.S. was billed at $30,579 on average, while the average total payment was $6,675, of which Medicare paid $4,985. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for kidney and urinary tract signs and symptoms without major complications?

Among states with at least three hospitals reporting, the average total payment was highest in New York ($8,128), Pennsylvania ($6,238), Florida ($6,163) and lowest in Florida ($6,163), Pennsylvania ($6,238), New York ($8,128).

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 the U.S., average charges were 4.6 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.