Inpatient stays / DRG 657
MS-DRG 657 · 123 hospitals · 5,963 stays
DRG 657: Kidney and Ureter Procedures for Neoplasm with CC
Medicare patients had 5,963 stays in DRG 657 in 2024. Hospitals charged an average of $100,021 per stay and were paid $18,444 — a ratio of 5.4 to 1 — of which Medicare's own share averaged $14,271. Average charges ran from $25,701 at the least expensive hospital to $278,992 at the most; half of hospitals charged between $62,954 and $129,350.
- 1Average charge $100,021
- 2Average paid $18,444
- 3Reporting hospitals 123
- 4Medicare stays 5,963
By state
Average charges for DRG 657 were highest in Nevada ($170,741) and lowest in Maryland ($28,978). Payments vary far less than charges, because Medicare sets them: they range across states from $13,939 to $26,213.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 41 | $170,741 | $17,733 | 9.6× |
| California | 450 | $168,653 | $24,573 | 6.9× |
| Alaska | 14 | $152,346 | $19,964 | 7.6× |
| Florida | 446 | $142,787 | $17,040 | 8.4× |
| New Jersey | 143 | $118,582 | $19,111 | 6.2× |
| Colorado | 74 | $116,604 | $16,234 | 7.2× |
| Washington | 114 | $115,507 | $19,296 | 6× |
| Texas | 345 | $113,926 | $16,486 | 6.9× |
| Pennsylvania | 317 | $113,889 | $17,531 | 6.5× |
| Arizona | 147 | $111,914 | $18,357 | 6.1× |
| Alabama | 68 | $111,378 | $15,137 | 7.4× |
| District of Columbia | 38 | $110,961 | $20,410 | 5.4× |
| Oklahoma | 103 | $109,899 | $15,998 | 6.9× |
| New York | 319 | $107,521 | $23,926 | 4.5× |
| South Carolina | 117 | $100,707 | $17,076 | 5.9× |
| Virginia | 153 | $98,780 | $17,347 | 5.7× |
| Georgia | 140 | $95,075 | $17,485 | 5.4× |
| Illinois | 262 | $94,726 | $19,355 | 4.9× |
| Indiana | 149 | $91,878 | $16,437 | 5.6× |
| Kansas | 103 | $90,966 | $14,655 | 6.2× |
| West Virginia | 31 | $90,245 | $14,880 | 6.1× |
| Louisiana | 75 | $89,210 | $14,723 | 6.1× |
| Ohio | 231 | $86,963 | $16,234 | 5.4× |
| New Hampshire | 35 | $85,674 | $18,131 | 4.7× |
| Tennessee | 141 | $84,770 | $15,853 | 5.3× |
| North Carolina | 181 | $76,103 | $17,897 | 4.3× |
| Kentucky | 84 | $75,864 | $14,793 | 5.1× |
| Oregon | 88 | $75,180 | $20,669 | 3.6× |
| Missouri | 147 | $74,702 | $15,902 | 4.7× |
| Iowa | 82 | $74,495 | $15,186 | 4.9× |
| Wisconsin | 127 | $73,479 | $16,629 | 4.4× |
| Wyoming | 11 | $72,144 | $20,292 | 3.6× |
| Arkansas | 74 | $72,099 | $14,191 | 5.1× |
| Idaho | 17 | $70,790 | $14,232 | 5× |
| Minnesota | 141 | $70,528 | $20,365 | 3.5× |
| South Dakota | 41 | $70,103 | $16,525 | 4.2× |
| New Mexico | 29 | $68,094 | $15,569 | 4.4× |
| Michigan | 192 | $67,657 | $18,672 | 3.6× |
| Maine | 24 | $65,292 | $20,703 | 3.2× |
| Delaware | 14 | $65,193 | $15,874 | 4.1× |
| Connecticut | 44 | $64,222 | $23,859 | 2.7× |
| Massachusetts | 228 | $63,688 | $20,806 | 3.1× |
| Montana | 25 | $62,865 | $14,098 | 4.5× |
| North Dakota | 33 | $61,450 | $14,137 | 4.3× |
| Vermont | 13 | $61,352 | $19,954 | 3.1× |
| Nebraska | 65 | $59,894 | $14,794 | 4× |
| Hawaii | 14 | $57,392 | $21,541 | 2.7× |
| Mississippi | 57 | $54,245 | $13,939 | 3.9× |
| Utah | 45 | $52,847 | $18,440 | 2.9× |
| Rhode Island | 26 | $51,860 | $19,774 | 2.6× |
| Maryland | 105 | $28,978 | $26,213 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Stanford Health Care Stanford, CA · 39 stays | $278,992 | $29,131 |
| Providence Santa Rosa Memorial Hospital Santa Rosa, CA · 13 stays | $244,368 | $21,083 |
| Tampa General Hospital Tampa, FL · 15 stays | $217,109 | $17,579 |
| Orlando Health Orlando Regional Medical Center Orlando, FL · 15 stays | $206,252 | $19,294 |
| Temple University Hospital Philadelphia, PA · 13 stays | $197,965 | $21,722 |
| University of California Davis Medical Center Sacramento, CA · 15 stays | $196,837 | $26,083 |
| NYU Langone Hospitals New York, NY · 30 stays | $188,272 | $25,012 |
| UC San Diego Health Hillcrest - Hillcrest Med Ctr San Diego, CA · 19 stays | $173,206 | $27,637 |
| UPMC Presbyterian Shadyside Pittsburgh, PA · 21 stays | $172,190 | $18,128 |
| Bethesda Hospital East Boynton Beach, FL · 20 stays | $168,896 | $16,166 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Kansas Medical Center LLC Andover, KS · 17 stays | $25,701 | $11,420 |
| Johns Hopkins Hospital, the Baltimore, MD · 25 stays | $29,538 | $26,025 |
| South Shore Hospital South Weymouth, MA · 16 stays | $33,216 | $15,041 |
| Lahey Hospital & Medical Center, Burlington Burlington, MA · 24 stays | $35,666 | $19,462 |
| University of Utah Hospital and Clinics Salt Lake City, UT · 22 stays | $39,851 | $20,126 |
| University of Tn Medical Center (The) Knoxville, TN · 13 stays | $40,319 | $15,522 |
| Beth Israel Deaconess Medical Center Boston, MA · 15 stays | $40,537 | $22,875 |
| UNC Hospitals Chapel Hill, NC · 16 stays | $40,942 | $19,880 |
| Munson Medical Center Traverse City, MI · 13 stays | $42,427 | $19,726 |
| Albany Medical Center Hospital Albany, NY · 11 stays | $45,010 | $24,577 |
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.