facebook tracking Transurethral procedures with major complications cost: hospital prices by state (DRG 668)

Transurethral procedures with major complications

What 1 hospital in the U.S. charged and were paid for a Medicare hospital stay for transurethral procedures with major complications (DRG 668), from 2024 Medicare claims.

DRG 668 Inpatient 2024 Medicare data
Average charge $197,302 Hospital list price billed
Average payment $28,178 Medicare + patient + other payers
Medicare paid $20,309 Average per stay
Volume 13 Medicare hospital stays

Hospitals in the U.S. billed an average of $197,302 for transurethral procedures with major complications, about 7.0 times the average total payment of $28,178.

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 $28,178Billed $197,302

About 14¢ 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:

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Transurethral 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
Florida 1 $197,302 $28,178 –

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Adventhealth OrlandoOrlando, FL13$197,302$28,178

Questions

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

In 2024 Medicare data, a hospital stay for transurethral procedures with major complications (DRG 668) at 1 hospital in the U.S. was billed at $197,302 on average, while the average total payment was $28,178, of which Medicare paid $20,309. 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 7.0 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.