Other kidney and urinary tract diagnoses with major complications
What 1,795 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other kidney and urinary tract diagnoses with major complications (DRG 698), from 2024 Medicare claims.
Average charge
$74,649
Hospital list price billed
Average payment
$15,452
Medicare + patient + other payers
Medicare paid
$13,077
Average per stay
Volume
74,188
Medicare hospital stays
Hospitals in the U.S. billed an average of $74,649 for other kidney and urinary tract diagnoses with major complications, about 4.8 times the average total payment of $15,452.
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 $15,452Billed $74,649
About 21¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 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
| Central Vermont Medical CenterGraniteville-East Barre, VT | $7,435 |
|---|---|
| Rutland Regional Medical CenterRutland, VT | $7,717 |
| Williamson Medical CenterFranklin, TN | $9,253 |
| Marietta Memorial HospitalMarietta, OH | $9,383 |
| Slidell Memorial HospitalSlidell, LA | $9,414 |
| Adventhealth Palm Coast ParkwayPalm Coast, FL | $9,511 |
| Englewood Community HospitalEnglewood, FL | $9,550 |
| St Josephs Com Hsptl West BendWest Bend, WI | $9,711 |
| Piedmont Columbus Regional NorthsideColumbus, GA | $9,737 |
| Southwest General Health CenterMiddleburg Heights, OH | $9,746 |
Highest
| Parkland Health and Hospital SystemDallas, TX | $58,060 |
|---|---|
| Jps Health NetworkFort Worth, TX | $45,583 |
| Stanford HospitalPalo Alto, CA | $38,873 |
| UCLA Medical CenterLos Angeles, CA | $37,858 |
| Jacobi Medical CenterBronx, NY | $33,836 |
| University of MD Charles Regional Medical CenterLa Plata, MD | $33,767 |
| UCSF Medical CenterSan Francisco, CA | $33,373 |
| University Hospital of Brooklyn ( Downstate )Brooklyn, NY | $32,998 |
| San Francisco General HospitalSan Francisco, CA | $32,332 |
| Santa Clara Valley Medical CenterSan Jose, CA | $32,032 |
Other kidney and urinary tract diagnoses 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 |
|---|---|---|---|---|
| Alabama | 27 | $64,585 | $12,941 | $10,054 – $18,787 |
| Alaska | 3 | $100,216 | $19,221 | $16,814 – $26,179 |
| Arizona | 33 | $69,109 | $14,724 | $11,321 – $21,975 |
| Arkansas | 20 | $45,190 | $12,012 | $10,341 – $16,161 |
| California | 179 | $119,719 | $19,353 | $12,817 – $66,864 |
| Colorado | 29 | $110,211 | $14,065 | $10,893 – $23,119 |
| Connecticut | 21 | $56,191 | $17,905 | $14,254 – $23,788 |
| Delaware | 6 | $49,710 | $15,100 | $12,520 – $18,085 |
| Florida | 135 | $89,363 | $13,382 | $9,511 – $27,157 |
| Georgia | 56 | $67,994 | $15,208 | $9,737 – $31,793 |
| Hawaii | 5 | $64,881 | $19,895 | $15,644 – $26,359 |
| Idaho | 8 | $58,087 | $14,171 | $11,235 – $17,385 |
| Illinois | 78 | $57,235 | $14,805 | $11,091 – $28,332 |
| Indiana | 42 | $52,801 | $12,830 | $11,146 – $17,511 |
| Iowa | 20 | $41,254 | $12,191 | $10,395 – $16,670 |
| Kansas | 17 | $77,863 | $13,448 | $9,454 – $17,892 |
| Kentucky | 26 | $50,649 | $12,385 | $10,394 – $20,338 |
| Louisiana | 25 | $60,131 | $12,356 | $9,041 – $27,025 |
| Maine | 6 | $47,976 | $16,017 | $11,949 – $18,650 |
| Maryland | 36 | $23,627 | $21,470 | $11,789 – $33,925 |
| Massachusetts | 46 | $39,440 | $16,787 | $11,905 – $30,177 |
| Michigan | 50 | $45,541 | $14,626 | $10,704 – $22,141 |
| Minnesota | 27 | $49,627 | $15,756 | $11,078 – $28,790 |
| Mississippi | 20 | $49,859 | $12,140 | $9,882 – $19,040 |
| Missouri | 39 | $62,743 | $13,963 | $10,402 – $22,473 |
| Montana | 8 | $33,573 | $13,243 | $12,170 – $15,819 |
| Nebraska | 13 | $46,432 | $13,479 | $10,065 – $18,142 |
| Nevada | 17 | $156,044 | $15,261 | $13,002 – $21,677 |
| New Hampshire | 12 | $46,436 | $14,482 | $11,347 – $21,619 |
| New Jersey | 51 | $109,784 | $16,086 | $12,431 – $30,303 |
| New Mexico | 8 | $55,779 | $14,876 | $11,002 – $19,450 |
| New York | 99 | $98,543 | $19,992 | $13,123 – $48,733 |
| North Carolina | 53 | $44,716 | $14,669 | $10,455 – $26,598 |
| North Dakota | 6 | $37,829 | $13,225 | $11,977 – $14,144 |
| Ohio | 73 | $50,919 | $13,348 | $9,383 – $23,380 |
| Oklahoma | 23 | $62,546 | $12,928 | $10,818 – $18,581 |
| Oregon | 20 | $46,107 | $16,366 | $12,662 – $27,000 |
| Pennsylvania | 82 | $75,871 | $14,505 | $9,874 – $25,302 |
| Rhode Island | 5 | $45,768 | $16,757 | $13,271 – $18,831 |
| South Carolina | 35 | $60,762 | $13,671 | $9,472 – $20,992 |
| South Dakota | 4 | $53,560 | $13,802 | $11,416 – $16,088 |
| Tennessee | 40 | $63,651 | $13,628 | $9,253 – $24,149 |
| Texas | 136 | $87,895 | $14,322 | $10,083 – $58,060 |
| Utah | 10 | $48,429 | $14,729 | $11,148 – $19,033 |
| Vermont | 4 | $37,843 | $8,778 | $7,435 – $10,909 |
| Virginia | 49 | $53,067 | $14,224 | $9,861 – $25,765 |
| Washington | 39 | $62,450 | $15,131 | $12,735 – $21,141 |
| West Virginia | 12 | $52,115 | $13,748 | $10,412 – $16,615 |
| Wisconsin | 36 | $47,934 | $14,322 | $9,711 – $20,432 |
| Wyoming | 2 | $46,716 | $16,951 | $15,356 – $18,546 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 614 | $107,892 | $14,317 |
| New York-Presbyterian HospitalNew York, NY | 381 | $165,036 | $26,993 |
| Methodist HospitalSan Antonio, TX | 329 | $110,749 | $12,700 |
| NYU Hospitals CenterNew York, NY | 272 | $158,510 | $25,506 |
| Baptist Medical CenterJacksonville, FL | 205 | $92,993 | $13,379 |
| Mem Hermann Southwest HospHouston, TX | 191 | $67,282 | $15,365 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 190 | $281,585 | $24,364 |
| Hollywood Community Hospital of HollywoodLos Angeles, CA | 186 | $116,614 | $18,418 |
| Jefferson Stratford HospitalCherry Hill, NJ | 185 | $107,400 | $16,264 |
| Lehigh Valley HospitalAllentown, PA | 176 | $87,558 | $14,993 |
| North Shore University HospitalManhasset, NY | 174 | $152,840 | $20,891 |
| Northwestern Memorial HospitalChicago, IL | 172 | $69,601 | $18,357 |
| UT Southwestern University HospitalDallas, TX | 170 | $55,432 | $15,527 |
| Vanderbilt University HospitalNashville, TN | 169 | $89,020 | $24,149 |
| Methodist Hospital,TheHouston, TX | 165 | $86,774 | $16,344 |
Questions
How much does other kidney and urinary tract diagnoses with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for other kidney and urinary tract diagnoses with major complications (DRG 698) at 1,795 hospitals in the U.S. was billed at $74,649 on average, while the average total payment was $15,452, of which Medicare paid $13,077. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for other kidney and urinary tract diagnoses with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($21,470), New York ($19,992), Hawaii ($19,895) and lowest in Vermont ($8,778), Arkansas ($12,012), Mississippi ($12,140).
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 4.8 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.