facebook tracking Urinary stones without major complications cost in Nevada: 2 hospitals compared (DRG 694)

Urinary stones without major complications in Nevada

What 2 hospitals in Nevada charged and were paid for a Medicare hospital stay for urinary stones without major complications (DRG 694), from 2024 Medicare claims.

DRG 694 Inpatient 2024 Medicare data
Average charge $95,349 Hospital list price billed
Average payment $8,492 Medicare + patient + other payers
Medicare paid $5,639 Average per stay
Volume 26 Medicare hospital stays

Hospitals in Nevada billed an average of $95,349 for urinary stones without major complications, about 11.2 times the average total payment of $8,492. That payment is 5% above the U.S. average of $8,073.

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 $8,492Billed $95,349

About 9¢ was paid for every $1 hospitals in Nevada billed for this stay.

Nevada hospitals: urinary stones without major complications

Every Nevada hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Summerlin Hospital Medical CenterLas Vegas 14 $88,172 $7,704 $5,066
Mountainview HospitalLas Vegas 12 $103,722 $9,413 $6,306
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Urinary stones without major complications in other states

Questions

How much does urinary stones without major complications cost in Nevada?

In 2024 Medicare data, a hospital stay for urinary stones without major complications (DRG 694) at 2 hospitals in Nevada was billed at $95,349 on average, while the average total payment was $8,492, of which Medicare paid $5,639. 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 Nevada, average charges were 11.2 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.