Transurethral prostatectomy with complications
What 40 hospitals in the U.S. charged and were paid for a Medicare hospital stay for transurethral prostatectomy with complications (DRG 713), from 2024 Medicare claims.
Average charge
$80,269
Hospital list price billed
Average payment
$14,307
Medicare + patient + other payers
Medicare paid
$11,498
Average per stay
Volume
748
Medicare hospital stays
Hospitals in the U.S. billed an average of $80,269 for transurethral prostatectomy with complications, about 5.6 times the average total payment of $14,307.
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 $14,307Billed $80,269
About 18¢ 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
| Palm Beach Gardens Medical CenterPalm Beach Gardens, FL | $9,727 |
|---|---|
| St Francis-DowntownGreenville, SC | $10,093 |
| Adventhealth OrlandoOrlando, FL | $12,870 |
| Evanston HospitalEvanston, IL | $13,149 |
| Anmed HealthAnderson, SC | $13,353 |
| New York-Presbyterian HospitalNew York, NY | $18,672 |
| NYU Hospitals CenterNew York, NY | $26,395 |
Highest
| NYU Hospitals CenterNew York, NY | $26,395 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $18,672 |
| Anmed HealthAnderson, SC | $13,353 |
| Evanston HospitalEvanston, IL | $13,149 |
| Adventhealth OrlandoOrlando, FL | $12,870 |
| St Francis-DowntownGreenville, SC | $10,093 |
| Palm Beach Gardens Medical CenterPalm Beach Gardens, FL | $9,727 |
Transurethral prostatectomy 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 | $91,324 | $11,066 | – |
| California | 5 | $94,745 | $15,173 | $13,894 – $16,850 |
| Connecticut | 1 | $73,863 | $18,038 | – |
| Florida | 7 | $90,803 | $11,664 | $9,727 – $12,870 |
| Illinois | 3 | $62,606 | $14,500 | $13,149 – $17,889 |
| Indiana | 1 | $76,245 | $10,234 | – |
| Massachusetts | 2 | $24,549 | $13,212 | $12,237 – $14,107 |
| Mississippi | 1 | $45,877 | $9,294 | – |
| Missouri | 1 | $45,263 | $10,587 | – |
| Nebraska | 3 | $33,453 | $10,855 | $9,275 – $11,609 |
| Nevada | 1 | $202,707 | $12,192 | – |
| New York | 6 | $109,489 | $20,093 | $12,557 – $26,395 |
| Pennsylvania | 2 | $87,256 | $13,739 | $13,705 – $13,769 |
| South Carolina | 3 | $41,653 | $11,100 | $9,813 – $13,353 |
| Tennessee | 1 | $39,644 | $9,343 | – |
| Texas | 2 | $47,619 | $15,058 | $14,774 – $15,342 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 75 | $102,529 | $12,870 |
| New York-Presbyterian HospitalNew York, NY | 63 | $70,272 | $18,672 |
| NYU Hospitals CenterNew York, NY | 48 | $195,661 | $26,395 |
| Evanston HospitalEvanston, IL | 35 | $50,645 | $13,149 |
| St Francis-DowntownGreenville, SC | 31 | $42,358 | $10,093 |
| Anmed HealthAnderson, SC | 23 | $45,227 | $13,353 |
| Palm Beach Gardens Medical CenterPalm Beach Gardens, FL | 20 | $121,870 | $9,727 |
| Mount Sinai HospitalNew York, NY | 18 | $68,312 | $22,518 |
| St Francis Hospital, RoslynRoslyn, NY | 18 | $65,483 | $12,557 |
| Phelps Memorial Hospital AssnSleepy Hollow, NY | 18 | $139,150 | $17,730 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | 17 | $64,131 | $13,894 |
| Glendale Adventist Medical CtrGlendale, CA | 17 | $124,862 | $16,151 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | 17 | $68,839 | $10,303 |
| Nkc HealthNorth Kansas City, MO | 16 | $45,263 | $10,587 |
| The Nebraska Methodist HospitalOmaha, NE | 16 | $32,739 | $11,609 |
Questions
How much does transurethral prostatectomy with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for transurethral prostatectomy with complications (DRG 713) at 40 hospitals in the U.S. was billed at $80,269 on average, while the average total payment was $14,307, of which Medicare paid $11,498. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for transurethral prostatectomy with complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($20,093), California ($15,173), Illinois ($14,500) and lowest in Nebraska ($10,855), South Carolina ($11,100), Florida ($11,664).
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 5.6 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.