facebook tracking Kidney and urinary tract signs and symptoms without major complications cost in Massachusetts: 1 hospitals compared (DRG 696)

Kidney and urinary tract signs and symptoms without major complications in Massachusetts

What 1 hospital in Massachusetts 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 $10,310 Hospital list price billed
Average payment $5,926 Medicare + patient + other payers
Medicare paid $4,591 Average per stay
Volume 11 Medicare hospital stays

Hospitals in Massachusetts billed an average of $10,310 for kidney and urinary tract signs and symptoms without major complications, about 1.7 times the average total payment of $5,926. That payment is 11% below the U.S. average 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 $5,926Billed $10,310

About 57¢ was paid for every $1 hospitals in Massachusetts billed for this stay.

Massachusetts hospitals: kidney and urinary tract signs and symptoms without major complications

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

Hospital Stays Avg charge Avg payment Medicare paid
Morton Hospital & Medical CenterTaunton 11 $10,310 $5,926 $4,591
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Kidney and urinary tract signs and symptoms without major complications in other states

Questions

How much does kidney and urinary tract signs and symptoms without major complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for kidney and urinary tract signs and symptoms without major complications (DRG 696) at 1 hospital in Massachusetts was billed at $10,310 on average, while the average total payment was $5,926, of which Medicare paid $4,591. 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 Massachusetts, average charges were 1.7 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.