Inpatient stays / DRG 656
MS-DRG 656 · 23 hospitals · 2,125 stays
DRG 656: Kidney and Ureter Procedures for Neoplasm with MCC
Medicare patients had 2,125 stays in DRG 656 in 2024. Hospitals charged an average of $170,906 per stay and were paid $33,795 — a ratio of 5.1 to 1 — of which Medicare's own share averaged $27,785. Average charges ran from $46,271 at the least expensive hospital to $632,499 at the most; half of hospitals charged between $129,030 and $243,289.
- 1Average charge $170,906
- 2Average paid $33,795
- 3Reporting hospitals 23
- 4Medicare stays 2,125
By state
Average charges for DRG 656 were highest in California ($298,743) and lowest in Maryland ($44,396). Payments vary far less than charges, because Medicare sets them: they range across states from $22,497 to $49,954.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 185 | $298,743 | $44,900 | 6.7× |
| District of Columbia | 12 | $286,524 | $49,954 | 5.7× |
| Florida | 150 | $232,883 | $32,024 | 7.3× |
| New York | 137 | $228,644 | $45,572 | 5× |
| New Jersey | 74 | $212,179 | $31,476 | 6.7× |
| Pennsylvania | 103 | $206,325 | $32,322 | 6.4× |
| Oklahoma | 28 | $199,887 | $28,454 | 7× |
| Colorado | 24 | $198,792 | $28,083 | 7.1× |
| Nevada | 20 | $184,635 | $27,818 | 6.6× |
| Texas | 134 | $167,974 | $30,711 | 5.5× |
| Ohio | 78 | $164,551 | $32,354 | 5.1× |
| Louisiana | 37 | $164,062 | $28,878 | 5.7× |
| Washington | 38 | $162,178 | $31,692 | 5.1× |
| Arizona | 57 | $159,290 | $34,600 | 4.6× |
| South Carolina | 47 | $157,856 | $31,426 | 5× |
| Wisconsin | 36 | $156,920 | $38,972 | 4× |
| Indiana | 45 | $156,034 | $28,329 | 5.5× |
| Kansas | 37 | $153,021 | $27,535 | 5.6× |
| Virginia | 66 | $150,663 | $31,113 | 4.8× |
| Alabama | 25 | $141,648 | $22,497 | 6.3× |
| Connecticut | 18 | $141,113 | $40,743 | 3.5× |
| Tennessee | 45 | $137,168 | $29,384 | 4.7× |
| Minnesota | 34 | $136,410 | $42,617 | 3.2× |
| South Dakota | 15 | $132,888 | $27,798 | 4.8× |
| Nebraska | 18 | $129,158 | $28,384 | 4.6× |
| Georgia | 58 | $128,762 | $30,261 | 4.3× |
| Massachusetts | 64 | $126,177 | $40,959 | 3.1× |
| North Carolina | 82 | $120,345 | $32,282 | 3.7× |
| Missouri | 52 | $118,871 | $27,890 | 4.3× |
| Kentucky | 33 | $116,842 | $24,743 | 4.7× |
| Illinois | 101 | $115,745 | $33,756 | 3.4× |
| Iowa | 30 | $110,640 | $26,355 | 4.2× |
| Michigan | 49 | $100,753 | $29,643 | 3.4× |
| Arkansas | 25 | $95,990 | $25,236 | 3.8× |
| Oregon | 15 | $83,919 | $34,589 | 2.4× |
| Mississippi | 26 | $73,036 | $23,496 | 3.1× |
| Maryland | 35 | $44,396 | $39,900 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Cedars-Sinai Medical Center Los Angeles, CA · 15 stays | $632,499 | $63,881 |
| New York-Presbyterian Hospital New York, NY · 18 stays | $374,680 | $57,616 |
| Tampa General Hospital Tampa, FL · 11 stays | $332,473 | $31,353 |
| Stony Brook University Hospital Stony Brook, NY · 16 stays | $310,683 | $52,047 |
| Massachusetts General Hospital Boston, MA · 11 stays | $276,076 | $56,370 |
| NYU Langone Hospitals New York, NY · 15 stays | $243,289 | $42,297 |
| Lehigh Valley Hospital Allentown, PA · 11 stays | $228,941 | $29,541 |
| Adventhealth Orlando Orlando, FL · 23 stays | $228,636 | $35,174 |
| University of Kansas Hospital Kansas City, KS · 12 stays | $228,277 | $35,043 |
| Keck Hospital of Usc Los Angeles, CA · 18 stays | $215,373 | $46,244 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Lahey Hospital & Medical Center, Burlington Burlington, MA · 11 stays | $46,271 | $35,354 |
| Piedmont Hospital, Inc Atlanta, GA · 11 stays | $108,222 | $27,727 |
| Cleveland Clinic Cleveland, OH · 14 stays | $112,923 | $35,086 |
| Duke University Hospital Durham, NC · 12 stays | $116,648 | $41,329 |
| University of Iowa Health Care Medical Center Iowa City, IA · 13 stays | $128,977 | $30,760 |
| UT Southwestern University Hospital Dallas, TX · 19 stays | $129,030 | $41,041 |
| Mayo Clinic Jacksonville, FL · 18 stays | $141,766 | $49,861 |
| Prisma Health Greenville Memorial Hospital Greenville, SC · 12 stays | $142,239 | $37,248 |
| Barnes Jewish Hospital Saint Louis, MO · 12 stays | $143,555 | $35,437 |
| Carolinas Medical Center/Behav Health Charlotte, NC · 20 stays | $147,660 | $34,976 |
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.