Major male pelvic procedures with complications
What 22 hospitals in the U.S. charged and were paid for a Medicare hospital stay for major male pelvic procedures with complications (DRG 707), from 2024 Medicare claims.
Average charge
$118,618
Hospital list price billed
Average payment
$25,162
Medicare + patient + other payers
Medicare paid
$16,441
Average per stay
Volume
390
Medicare hospital stays
Hospitals in the U.S. billed an average of $118,618 for major male pelvic procedures with complications, about 4.7 times the average total payment of $25,162.
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 $25,162Billed $118,618
About 21¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them:
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
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | $19,865 |
|---|---|
| USC University HospitalLos Angeles, CA | $28,154 |
| Mount Sinai HospitalNew York, NY | $30,459 |
| Adventhealth OrlandoOrlando, FL | $36,040 |
Highest
| Adventhealth OrlandoOrlando, FL | $36,040 |
|---|---|
| Mount Sinai HospitalNew York, NY | $30,459 |
| USC University HospitalLos Angeles, CA | $28,154 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | $19,865 |
Major male pelvic 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 |
|---|---|---|---|---|
| California | 2 | $122,300 | $26,230 | $18,681 – $28,154 |
| Florida | 1 | $169,294 | $36,040 | – |
| Georgia | 1 | $125,540 | $13,674 | – |
| Illinois | 2 | $124,252 | $29,337 | $28,365 – $30,100 |
| Massachusetts | 2 | $95,808 | $23,175 | $22,812 – $23,538 |
| Minnesota | 2 | $60,629 | $23,746 | $18,806 – $27,451 |
| Nebraska | 1 | $59,984 | $14,428 | – |
| Nevada | 1 | $207,626 | $15,836 | – |
| New York | 3 | $144,883 | $34,399 | $30,458 – $45,062 |
| Ohio | 1 | $53,501 | $14,456 | – |
| Oklahoma | 1 | $75,529 | $15,517 | – |
| Pennsylvania | 1 | $139,299 | $18,402 | – |
| South Carolina | 1 | $244,914 | $14,729 | – |
| South Dakota | 1 | $79,071 | $16,137 | – |
| Texas | 1 | $67,725 | $17,768 | – |
| Utah | 1 | $30,755 | $19,865 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| USC University HospitalLos Angeles, CA | 51 | $119,430 | $28,154 |
| Adventhealth OrlandoOrlando, FL | 49 | $169,294 | $36,040 |
| Mount Sinai HospitalNew York, NY | 27 | $80,006 | $30,459 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | 22 | $30,755 | $19,865 |
| NYU Hospitals CenterNew York, NY | 19 | $163,108 | $30,458 |
| UT Southwestern University HospitalDallas, TX | 18 | $67,725 | $17,768 |
| New York-Presbyterian HospitalNew York, NY | 17 | $227,552 | $45,062 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 16 | $74,930 | $27,451 |
| UPMC Presbyterian ShadysidePittsburgh, PA | 16 | $139,299 | $18,402 |
| Northwestern Memorial HospitalChicago, IL | 14 | $147,394 | $30,100 |
| Saint John's Health CenterSanta Monica, CA | 13 | $133,559 | $18,681 |
| Southeastern Regional Medical Center, INCNewnan, GA | 13 | $125,540 | $13,674 |
| St Cloud HospitalSt Cloud, MN | 12 | $41,560 | $18,806 |
| Summerlin Hospital Medical CenterLas Vegas, NV | 12 | $207,626 | $15,836 |
| Christ HospitalCincinnati, OH | 12 | $53,501 | $14,456 |
Questions
How much does major male pelvic procedures with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for major male pelvic procedures with complications (DRG 707) at 22 hospitals in the U.S. was billed at $118,618 on average, while the average total payment was $25,162, of which Medicare paid $16,441. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for major male pelvic procedures with complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($34,399) and lowest in New York ($34,399).
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 4.7 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.