Inpatient stays / DRG 654
MS-DRG 654 · 64 hospitals · 3,178 stays
DRG 654: Major Bladder Procedures with CC
Medicare patients had 3,178 stays in DRG 654 in 2024. Hospitals charged an average of $154,790 per stay and were paid $29,790 — a ratio of 5.2 to 1 — of which Medicare's own share averaged $22,954. Average charges ran from $46,138 at the least expensive hospital to $435,517 at the most; half of hospitals charged between $123,933 and $195,170.
- 1Average charge $154,790
- 2Average paid $29,790
- 3Reporting hospitals 64
- 4Medicare stays 3,178
By state
Average charges for DRG 654 were highest in California ($274,234) and lowest in Maryland ($45,190). Payments vary far less than charges, because Medicare sets them: they range across states from $20,237 to $41,443.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 271 | $274,234 | $41,443 | 6.6× |
| Florida | 207 | $199,314 | $25,797 | 7.7× |
| Colorado | 65 | $184,165 | $25,774 | 7.1× |
| New Jersey | 93 | $183,783 | $29,027 | 6.3× |
| Pennsylvania | 166 | $175,780 | $27,953 | 6.3× |
| Illinois | 148 | $167,872 | $34,076 | 4.9× |
| Texas | 197 | $164,380 | $26,633 | 6.2× |
| West Virginia | 25 | $163,260 | $30,744 | 5.3× |
| Alabama | 35 | $161,675 | $29,013 | 5.6× |
| Washington | 69 | $159,041 | $26,506 | 6× |
| New York | 153 | $158,995 | $35,705 | 4.5× |
| Arizona | 73 | $157,804 | $30,437 | 5.2× |
| South Carolina | 73 | $153,781 | $27,953 | 5.5× |
| Georgia | 60 | $150,401 | $28,450 | 5.3× |
| District of Columbia | 22 | $149,220 | $30,756 | 4.9× |
| Oklahoma | 36 | $148,068 | $24,177 | 6.1× |
| Indiana | 58 | $144,510 | $25,363 | 5.7× |
| Kansas | 63 | $143,352 | $23,031 | 6.2× |
| Oregon | 40 | $136,480 | $30,046 | 4.5× |
| New Hampshire | 18 | $136,185 | $30,150 | 4.5× |
| Virginia | 70 | $134,093 | $30,305 | 4.4× |
| Louisiana | 26 | $132,558 | $23,991 | 5.5× |
| Wisconsin | 73 | $132,176 | $30,132 | 4.4× |
| Ohio | 135 | $128,888 | $25,814 | 5× |
| North Carolina | 106 | $128,241 | $30,851 | 4.2× |
| Massachusetts | 128 | $125,417 | $33,247 | 3.8× |
| Arkansas | 31 | $122,498 | $20,237 | 6.1× |
| Connecticut | 36 | $120,492 | $31,138 | 3.9× |
| South Dakota | 18 | $120,056 | $22,426 | 5.4× |
| Iowa | 51 | $119,918 | $25,853 | 4.6× |
| Michigan | 86 | $118,657 | $29,135 | 4.1× |
| Missouri | 71 | $115,577 | $25,867 | 4.5× |
| Minnesota | 110 | $114,083 | $34,107 | 3.3× |
| Maine | 11 | $112,787 | $30,108 | 3.7× |
| Tennessee | 72 | $109,597 | $23,552 | 4.7× |
| Nebraska | 33 | $107,439 | $23,912 | 4.5× |
| Mississippi | 24 | $98,914 | $20,621 | 4.8× |
| Kentucky | 38 | $97,776 | $23,220 | 4.2× |
| Hawaii | 12 | $94,082 | $33,448 | 2.8× |
| Montana | 18 | $82,509 | $21,243 | 3.9× |
| Delaware | 12 | $77,853 | $23,971 | 3.2× |
| Utah | 29 | $71,056 | $25,545 | 2.8× |
| Maryland | 67 | $45,190 | $40,461 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Stanford Health Care Stanford, CA · 42 stays | $435,517 | $46,962 |
| University of California Davis Medical Center Sacramento, CA · 13 stays | $391,786 | $45,206 |
| UC San Diego Health Hillcrest - Hillcrest Med Ctr San Diego, CA · 13 stays | $313,638 | $52,606 |
| NYU Langone Hospitals New York, NY · 12 stays | $293,668 | $40,580 |
| Baptist Hospital of Miami Miami, FL · 12 stays | $288,878 | $35,436 |
| CHRISTUS Santa Rosa Medical Center San Antonio, TX · 13 stays | $267,931 | $22,966 |
| The University of Chicago Medical Center Chicago, IL · 16 stays | $261,887 | $64,724 |
| Adventhealth Orlando Orlando, FL · 16 stays | $242,865 | $35,032 |
| OU Health University of Oklahoma Medical Center Oklahoma City, OK · 14 stays | $240,369 | $33,063 |
| Northwestern Memorial Hospital Chicago, IL · 32 stays | $240,283 | $28,745 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Johns Hopkins Hospital, the Baltimore, MD · 28 stays | $46,138 | $40,800 |
| UNC Hospitals Chapel Hill, NC · 17 stays | $64,672 | $30,999 |
| Lahey Hospital & Medical Center, Burlington Burlington, MA · 15 stays | $65,549 | $28,738 |
| University of Utah Hospital and Clinics Salt Lake City, UT · 18 stays | $73,837 | $27,604 |
| Erlanger Health System Chattanooga, TN · 20 stays | $96,683 | $24,263 |
| Rush University Medical Center Chicago, IL · 20 stays | $101,154 | $39,188 |
| Duke University Hospital Durham, NC · 17 stays | $101,188 | $33,470 |
| The Nebraska Medical Center Omaha, NE · 14 stays | $102,590 | $26,533 |
| Mount Sinai Medical Center of Florida, Inc Miami Beach, FL · 16 stays | $103,773 | $23,729 |
| UT Southwestern University Hospital Dallas, TX · 48 stays | $106,735 | $23,565 |
These are averages over each hospital's Medicare stays in this DRG, which mix simple and complicated cases. A high average charge is the hospital's pricing, not a sign of better or worse care, and not what a patient pays: Medicare patients owe the inpatient deductible, and people with other coverage pay their plan's negotiated rate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Hospitals with fewer than 11 stays are suppressed by CMS. Checked 2026-10-24. Methodology.