facebook tracking Major bladder procedures with complications cost: hospital prices by state (DRG 654)

Major bladder procedures with complications

What 64 hospitals in the U.S. charged and were paid for a Medicare hospital stay for major bladder procedures with complications (DRG 654), from 2024 Medicare claims.

DRG 654 Inpatient 2024 Medicare data
Average charge $164,763 Hospital list price billed
Average payment $33,454 Medicare + patient + other payers
Medicare paid $24,909 Average per stay
Volume 1,511 Medicare hospital stays

Hospitals in the U.S. billed an average of $164,763 for major bladder procedures with complications, about 4.9 times the average total payment of $33,454.

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.

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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.

Highest

UCSF Medical CenterSan Francisco, CA$47,681
Stanford HospitalPalo Alto, CA$46,962
The Johns Hopkins HospitalBaltimore, MD$40,800
New York-Presbyterian HospitalNew York, NY$40,641
Mount Sinai HospitalNew York, NY$39,691
Rush University Medical CenterChicago, IL$39,188
USC University HospitalLos Angeles, CA$38,837
Mayo Clinic - Saint Marys HospitalRochester, MN$38,363
Mayo Clinic HospitalPhoenix, AZ$36,489
MUSC Medical CenterCharleston, SC$36,437

Major bladder procedures with 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
Arizona 1 $143,488 $36,489 –
California 6 $292,219 $43,483 $35,635 – $52,606
Colorado 1 $160,278 $27,752 –
Connecticut 1 $151,971 $29,763 –
Florida 6 $175,601 $29,282 $17,945 – $35,436
Georgia 1 $130,232 $35,698 –
Illinois 4 $189,367 $40,269 $28,745 – $64,724
Indiana 1 $156,038 $28,403 –
Iowa 1 $133,170 $29,003 –
Kansas 1 $144,630 $24,660 –
Maryland 1 $46,138 $40,800 –
Massachusetts 3 $141,255 $34,567 $28,738 – $35,788
Michigan 2 $130,869 $31,832 $31,763 – $32,058
Minnesota 2 $120,838 $37,162 $31,315 – $38,363
Missouri 1 $140,637 $34,153 –
Nebraska 1 $102,590 $26,533 –
New Hampshire 1 $153,892 $35,410 –
New Jersey 2 $156,426 $32,962 $32,893 – $33,082
New York 3 $181,827 $40,273 $39,691 – $40,641
North Carolina 4 $141,641 $33,004 $30,999 – $36,004
Ohio 2 $132,964 $30,524 $26,304 – $32,131
Oklahoma 1 $240,369 $33,063 –
Oregon 1 $126,408 $35,262 –
Pennsylvania 4 $206,613 $31,228 $25,261 – $34,990
South Carolina 2 $141,785 $30,730 $26,121 – $36,437
South Dakota 1 $111,264 $20,455 –
Tennessee 2 $134,009 $26,815 $24,263 – $29,502
Texas 2 $141,088 $23,438 $22,966 – $23,565
Utah 1 $73,837 $27,604 –
Virginia 2 $143,628 $32,948 $29,257 – $37,101
Washington 1 $126,062 $28,520 –
Wisconsin 2 $152,784 $31,286 $28,805 – $32,135

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Mayo Clinic - Saint Marys HospitalRochester, MN73$117,102$38,363
USC University HospitalLos Angeles, CA64$210,580$38,837
Brigham and Women's HosptialBoston, MA61$144,451$35,600
UT Southwestern University HospitalDallas, TX48$106,735$23,565
University of Colorado Hospital Anschutz InpatientAurora, CO44$160,278$27,752
University of Kansas HospitalKansas City, KS44$144,630$24,660
Stanford HospitalPalo Alto, CA42$435,517$46,962
Cleveland Clinic - Main CampusCleveland, OH42$139,054$32,131
Univ of Michigan HospitalsAnn Arbor, MI39$133,221$31,763
University of Wi Hospitals & Clinics AuthorityMadison, WI38$138,264$32,135
Mayo Clinic HospitalPhoenix, AZ36$143,488$36,489
Clarian Health PartnersIndianapolis, IN34$156,038$28,403
University of Iowa Hospital & ClinicsIowa City, IA34$133,170$29,003
Northwestern Memorial HospitalChicago, IL32$240,283$28,745
Mayo ClinicJacksonville, FL31$148,348$32,212

Questions

How much does major bladder procedures with complications cost in the U.S.?

In 2024 Medicare data, a hospital stay for major bladder procedures with complications (DRG 654) at 64 hospitals in the U.S. was billed at $164,763 on average, while the average total payment was $33,454, of which Medicare paid $24,909. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for major bladder procedures with complications?

Among states with at least three hospitals reporting, the average total payment was highest in California ($43,483), New York ($40,273), Illinois ($40,269) and lowest in Florida ($29,282), Pennsylvania ($31,228), North Carolina ($33,004).

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 4.9 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.