facebook tracking Major bladder procedures with major complications cost: hospital prices by state (DRG 653)

Major bladder procedures with major complications

What 13 hospitals in the U.S. charged and were paid for a Medicare hospital stay for major bladder procedures with major complications (DRG 653), from 2024 Medicare claims.

DRG 653 Inpatient 2024 Medicare data
Average charge $260,217 Hospital list price billed
Average payment $59,721 Medicare + patient + other payers
Medicare paid $49,834 Average per stay
Volume 191 Medicare hospital stays

Hospitals in the U.S. billed an average of $260,217 for major bladder procedures with major complications, about 4.4 times the average total payment of $59,721.

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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Major bladder procedures with 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
California 1 $750,758 $108,065 –
Florida 1 $451,677 $50,255 –
Illinois 2 $303,603 $63,919 $62,493 – $65,605
Indiana 1 $235,071 $54,574 –
Iowa 1 $270,267 $57,208 –
Kansas 1 $225,646 $54,269 –
Maryland 1 $78,243 $68,434 –
Massachusetts 1 $288,896 $73,532 –
Minnesota 1 $158,722 $62,725 –
Texas 1 $179,892 $43,028 –
Utah 1 $121,017 $52,572 –
Wisconsin 1 $184,295 $50,437 –

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Clarian Health PartnersIndianapolis, IN23$235,071$54,574
Mayo Clinic - Saint Marys HospitalRochester, MN21$158,722$62,725
UT Southwestern University HospitalDallas, TX19$179,892$43,028
University of Wi Hospitals & Clinics AuthorityMadison, WI17$184,295$50,437
Adventhealth OrlandoOrlando, FL16$451,677$50,255
University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT14$121,017$52,572
Northwestern Memorial HospitalChicago, IL13$391,993$62,493
University of Kansas HospitalKansas City, KS13$225,646$54,269
Stanford HospitalPalo Alto, CA11$750,758$108,065
Loyola University Medical CenterMaywood, IL11$199,141$65,605
University of Iowa Hospital & ClinicsIowa City, IA11$270,267$57,208
The Johns Hopkins HospitalBaltimore, MD11$78,243$68,434
Brigham and Women's HosptialBoston, MA11$288,896$73,532

Questions

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

In 2024 Medicare data, a hospital stay for major bladder procedures with major complications (DRG 653) at 13 hospitals in the U.S. was billed at $260,217 on average, while the average total payment was $59,721, of which Medicare paid $49,834. 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 the U.S., average charges were 4.4 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.