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Kidney or urinary infection (hospital stay): what insurers pay

A hospital stay for a kidney or urinary tract infection. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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MS-DRG 690: Kidney and Urinary Tract Infections Without McC

1612 hospitals in 83 markets. National Medicare rate $5,891.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)22$6,838$8,466$9,537$4,353–$19,109
Alaska (statewide)4———$7,321–$26,538
Arizona (statewide)29$9,812$13,821$16,155$3,949–$20,831
Arkansas (statewide)12$6,856$7,540$8,279$4,823–$9,504
Atlanta GA9$14,484$15,287$15,896$14,484–$23,629
Austin TX13$5,402$8,930$10,000$5,136–$11,324
Boston MA15$7,036$7,637$18,737$5,520–$31,650
California (statewide)54$9,669$11,790$14,438$5,088–$44,641
Charlotte NC8$12,220$13,234$15,825$9,081–$15,825
Chicago IL11$10,480$12,396$14,086$7,623–$19,149
Cleveland OH11$10,095$11,125$11,282$9,970–$14,355
Colorado (statewide)16$10,634$15,468$18,718$4,960–$25,451
Columbus OH3———$16,454–$21,692
Connecticut (statewide)6$15,634$16,416$22,764$14,766–$25,400
Dallas-Fort Worth TX15$8,924$9,667$11,548$7,664–$18,053
Delaware (statewide)2———$10,024–$14,462
Denver CO15$9,447$10,564$16,079$7,366–$21,179
Detroit MI17$10,553$11,089$13,762$8,340–$15,028
Florida (statewide)90$9,235$11,152$16,223$5,991–$24,315
Georgia (statewide)43$11,661$15,798$20,309$7,507–$24,527
Hawaii (statewide)11$14,790$14,980$18,981$13,066–$24,436
Houston TX19$9,104$11,750$13,290$7,616–$25,277
Idaho (statewide)16$12,279$14,237$17,416$7,432–$19,674
Illinois (statewide)46$8,192$8,910$12,005$5,448–$29,082
Indiana (statewide)57$9,648$12,783$14,732$4,403–$20,548
Indianapolis IN6$14,754$14,909$17,513$13,700–$18,351
Iowa (statewide)30$8,241$9,337$13,022$4,407–$22,321
Kansas (statewide)33$7,124$7,702$9,906$3,808–$26,538
Kentucky (statewide)41$7,116$9,914$10,902$4,881–$18,512
Las Vegas NV1———$13,147–$13,147
Los Angeles CA18$13,492$14,510$15,209$10,826–$18,683
Louisiana (statewide)25$6,385$7,446$8,377$4,928–$11,036
Maine (statewide)14$14,945$21,952$24,091$6,010–$24,476
Maryland (statewide)1———$6,843–$6,843
Massachusetts (statewide)8$5,620$8,364$9,684$4,909–$13,980
Miami-Fort Lauderdale FL3———$8,633–$10,224
Michigan (statewide)38$9,132$10,602$11,541$5,411–$16,838
Minneapolis-St. Paul MN15$11,726$13,696$13,784$8,825–$14,395
Minnesota (statewide)25$10,220$10,330$13,784$4,444–$20,115
Mississippi (statewide)21$8,095$8,152$8,845$4,163–$13,411
Missouri (statewide)36$7,094$8,237$10,243$4,604–$16,137
Montana (statewide)9$9,133$13,850$19,946$3,831–$30,309
Nashville TN8$8,031$9,131$11,876$7,070–$15,410
Nebraska (statewide)15$13,452$14,322$16,911$9,396–$19,333
Nevada (statewide)5$11,072$12,373$16,077$9,037–$16,630
New Hampshire (statewide)8$9,317$10,840$13,477$7,123–$19,039
New Jersey (statewide)21$13,508$16,033$18,451$7,742–$23,670
New Mexico (statewide)11$6,334$8,653$12,822$3,772–$24,168
New York (statewide)48$9,306$10,873$14,870$5,873–$33,011
New York City8$14,852$15,386$17,969$7,153–$24,924
North Carolina (statewide)35$7,036$7,957$14,530$4,963–$25,829
North Dakota (statewide)7$9,648$10,200$10,611$8,291–$14,491
Ohio (statewide)57$10,422$12,103$15,130$3,430–$21,692
Oklahoma (statewide)28$5,104$7,216$8,892$3,537–$14,905
Oregon (statewide)13$13,094$15,601$17,039$7,222–$21,504
Pennsylvania (statewide)60$8,888$12,214$14,918$5,342–$23,040
Philadelphia PA11$13,941$14,850$17,009$13,411–$23,670
Phoenix AZ11$13,474$13,474$14,598$12,748–$15,682
Pittsburgh PA7$9,164$9,708$10,774$7,874–$12,568
Portland OR9$17,810$19,105$20,010$16,142–$21,073
Research Triangle NC9$7,984$10,553$10,675$7,019–$12,484
Rhode Island (statewide)7$10,570$12,819$16,278$8,522–$17,528
Richmond VA7$9,356$15,669$17,895$8,328–$19,477
Rio Grande Valley TX6$9,615$10,487$11,420$9,433–$14,007
Salt Lake City UT9$11,854$11,854$11,854$11,736–$11,854
San Antonio TX3———$7,558–$28,302
San Diego CA7$10,240$11,583$13,256$9,876–$14,260
San Francisco Bay Area CA2———$10,211–$15,078
Seattle-Tacoma WA16$16,144$17,644$18,417$15,774–$22,775
South Carolina (statewide)31$13,891$15,108$20,423$4,588–$24,532
South Dakota (statewide)4———$8,904–$13,167
St. Louis MO7$11,075$11,550$11,550$4,137–$14,969
Tampa FL11$15,814$16,223$16,711$12,514–$17,954
Tennessee (statewide)33$6,800$7,927$9,946$3,864–$15,410
Texas (statewide)90$7,808$9,850$13,554$4,125–$23,272
Utah (statewide)6$12,030$14,308$16,544$5,938–$16,707
Vermont (statewide)3———$10,034–$22,180
Virginia (statewide)34$10,231$15,249$16,808$7,701–$25,163
Washington (statewide)14$13,220$15,256$16,815$6,704–$33,783
Washington DC11$12,364$15,736$16,220$7,417–$17,045
West Virginia (statewide)15$4,025$5,345$12,743$3,401–$19,498
Wisconsin (statewide)55$11,622$14,848$16,430$7,404–$19,471
Wyoming (statewide)2———$12,851–$17,929

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Wetzel County HospitalWest Virginia (statewide)$3,4010.6×22026-07-10
Mercy Health - Willard HospitalOhio (statewide)$3,4300.6×22026-04-01
Cordell Memorial HospitalOklahoma (statewide)$3,5370.6×42026-06-24
Weatherford Regional Hospital, Inc Of WeatherfordOklahoma (statewide)$3,5370.6×52026-06-24
Carnegie Tri-County Municipal HospitalOklahoma (statewide)$3,5370.6×42026-09-01
Los Alamos Medical CenterNew Mexico (statewide)$3,7720.7×32026-07-10
Sabetha Community HospitalKansas (statewide)$3,8080.7×22026-08-04
Mccone County Health CenterMontana (statewide)$3,8310.7×12026-01-01
Livingston Regional HospitalTennessee (statewide)$3,8640.7×12026-04-01
Weirton Medical Center, IncWest Virginia (statewide)$3,8860.7×22026-07-10
Reynolds Memorial Hospital, IncWest Virginia (statewide)$3,9000.7×32026-07-09
Northern Cochise Community Hospital, Inc.Arizona (statewide)$3,9490.6×12026-07-29
Providence Medical CenterKansas (statewide)$26,5384.9×42026-04-01
Providence St Joseph Medical CenterMontana (statewide)$26,8794.6×12026-04-01
Massachusetts General HospitalBoston MA$27,9694.0×42026-03-27
University Health SystemSan Antonio TX$28,3024.9×102025-10-14
Taylorville Memorial HospitalIllinois (statewide)$29,0824.7×12026-09-17
Brigham and Women's HospitalBoston MA$29,1894.2×32026-03-27
Stillwater Billings ClinicMontana (statewide)$30,3095.1×22025-12-19
Lowell General HospitalBoston MA$31,6504.5×112026-04-01
Stony Brook University HospitalNew York (statewide)$33,0114.5×12026-06-10
Providence Centralia HospitalWashington (statewide)$33,7835.2×22026-04-01
Lac/Harbor-Ucla Med CenterCalifornia (statewide)$43,0895.7×12026-03-12
Lac/Olive View-Ucla Medical CenterCalifornia (statewide)$44,6415.9×12026-03-12

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

MS-DRG 689: Kidney and Urinary Tract Infections With McC

1598 hospitals in 82 markets. National Medicare rate $8,443.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)23$9,884$11,773$14,316$5,310–$27,864
Alaska (statewide)4———$10,422–$38,699
Arizona (statewide)28$14,039$19,487$22,538$9,294–$25,933
Arkansas (statewide)12$9,880$10,807$11,868$6,914–$13,622
Atlanta GA10$21,121$22,066$22,376$21,121–$34,457
Austin TX13$7,555$12,760$13,959$7,270–$16,375
Boston MA14$9,989$10,768$12,165$8,228–$19,380
California (statewide)54$13,673$16,534$20,746$7,420–$54,118
Charlotte NC8$17,818$19,298$22,683$13,016–$22,683
Chicago IL10$14,528$16,830$19,280$11,116–$21,582
Cleveland OH11$14,368$15,946$16,172$12,480–$20,576
Colorado (statewide)16$15,242$22,363$26,830$7,109–$36,481
Columbus OH3———$15,603–$31,093
Connecticut (statewide)6$22,408$23,907$24,750$16,238–$25,400
Dallas-Fort Worth TX15$12,120$13,363$15,920$10,530–$23,784
Delaware (statewide)2———$16,560–$27,580
Denver CO15$12,924$15,142$23,047$9,945–$30,581
Detroit MI17$15,894$15,894$20,654$11,506–$23,738
Florida (statewide)90$12,274$14,358$23,090$8,736–$34,852
Georgia (statewide)44$16,651$22,308$27,057$9,931–$34,457
Hawaii (statewide)11$17,539$18,927$22,372$15,303–$26,338
Houston TX19$12,467$16,143$18,468$11,032–$31,354
Idaho (statewide)16$17,038$21,372$25,396$11,856–$30,191
Illinois (statewide)44$11,015$12,780$17,394$7,810–$24,832
Indiana (statewide)56$14,448$16,722$19,794$6,311–$45,693
Indianapolis IN6$14,799$18,120$25,037$13,700–$26,303
Iowa (statewide)27$11,932$13,146$18,099$8,583–$31,122
Kansas (statewide)33$8,834$10,152$14,239$6,576–$23,099
Kentucky (statewide)40$10,314$14,320$15,627$7,118–$26,993
Las Vegas NV1———$19,170–$19,170
Los Angeles CA18$19,320$20,530$22,157$15,518–$27,245
Louisiana (statewide)25$9,180$10,857$12,215$6,158–$20,093
Maine (statewide)14$21,793$31,465$34,673$8,519–$35,083
Massachusetts (statewide)8$13,188$15,118$16,418$8,272–$20,595
Miami-Fort Lauderdale FL3———$12,261–$14,994
Michigan (statewide)39$12,318$15,197$18,117$7,946–$24,134
Minneapolis-St. Paul MN15$16,807$19,631$20,100$9,539–$20,634
Minnesota (statewide)24$14,661$14,806$19,900$6,370–$29,333
Mississippi (statewide)21$11,684$12,531$13,069$7,381–$19,223
Missouri (statewide)34$10,072$12,088$14,657$6,929–$23,530
Montana (statewide)8$14,808$20,278$24,472$5,587–$38,754
Nashville TN8$10,422$11,262$14,980$10,028–$22,470
Nebraska (statewide)15$19,614$20,628$24,068$13,702–$27,711
Nevada (statewide)5$15,346$17,100$23,044$13,177–$23,069
New Hampshire (statewide)8$13,590$15,808$19,408$11,482–$27,290
New Jersey (statewide)21$19,008$22,640$26,447$11,024–$33,546
New Mexico (statewide)11$9,718$12,004$18,698$5,500–$35,244
New York (statewide)48$13,338$15,605$21,227$8,418–$37,530
New York City8$21,277$22,054$25,756$10,430–$35,726
North Carolina (statewide)35$10,470$12,800$20,828$7,237–$32,334
North Dakota (statewide)7$13,198$14,873$15,270$12,090–$21,132
Ohio (statewide)57$15,084$17,869$22,064$7,453–$31,192
Oklahoma (statewide)28$7,516$10,145$12,209$5,733–$21,733
Oregon (statewide)13$18,981$22,490$24,406$10,352–$31,192
Pennsylvania (statewide)61$14,310$17,561$21,866$8,883–$33,268
Philadelphia PA11$20,062$21,284$24,298$19,223–$33,546
Phoenix AZ11$18,970$19,142$20,298$18,588–$21,850
Pittsburgh PA7$15,150$16,016$17,990$12,548–$20,978
Portland OR9$24,334$26,343$28,775$23,539–$29,882
Research Triangle NC9$11,612$14,466$15,565$9,299–$17,895
Rhode Island (statewide)7$15,442$18,585$23,332$11,949–$25,124
Richmond VA7$13,411$22,848$25,757$11,740–$27,917
Rio Grande Valley TX6$13,109$14,310$15,478$12,437–$18,360
Salt Lake City UT9$18,388$18,388$18,388$18,206–$18,388
San Antonio TX3———$10,453–$32,740
San Diego CA7$14,366$16,603$18,532$13,739–$19,756
San Francisco Bay Area CA2———$13,941–$21,987
Seattle-Tacoma WA16$22,932$25,727$26,300$22,636–$33,212
South Carolina (statewide)32$21,348$23,162$28,372$7,032–$35,163
South Dakota (statewide)4———$12,763–$18,872
St. Louis MO7$14,912$15,168$15,168$5,929–$19,350
Tampa FL11$22,868$23,656$23,952$17,938–$25,734
Tennessee (statewide)33$9,701$11,363$13,693$6,438–$22,470
Texas (statewide)89$10,454$13,688$19,468$5,237–$30,430
Utah (statewide)6$18,177$21,648$25,664$8,511–$25,916
Vermont (statewide)3———$14,631–$32,341
Virginia (statewide)33$15,442$21,938$23,918$11,039–$36,068
Washington (statewide)14$20,168$22,424$27,394$9,681–$49,231
Washington DC11$17,741$22,945$23,652$10,632–$24,431
West Virginia (statewide)14$6,325$11,298$21,769$5,350–$27,947
Wisconsin (statewide)53$14,838$21,651$23,866$10,612–$27,909
Wyoming (statewide)2———$18,420–$26,095

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Memorial Medical CenterTexas (statewide)$5,2370.6×12026-09-14
Flowers HospitalAlabama (statewide)$5,3100.8×12026-04-01
Wetzel County HospitalWest Virginia (statewide)$5,3500.7×22026-07-10
Los Alamos Medical CenterNew Mexico (statewide)$5,5000.7×32026-07-10
Mccone County Health CenterMontana (statewide)$5,5870.7×12026-01-01
Cordell Memorial HospitalOklahoma (statewide)$5,7330.7×42026-06-24
Weatherford Regional Hospital, Inc Of WeatherfordOklahoma (statewide)$5,7330.7×52026-06-24
Carnegie Tri-County Municipal HospitalOklahoma (statewide)$5,7330.7×42026-09-01
Mercy Hospital SouthSt. Louis MO$5,9290.7×12026-06-10
Weirton Medical Center, IncWest Virginia (statewide)$6,1130.8×22026-07-10
Reynolds Memorial Hospital, IncWest Virginia (statewide)$6,1350.8×32026-07-09
Springhill Medical CenterLouisiana (statewide)$6,1580.8×12026-04-02
Garnet Health Medical Center CatskillsNew York (statewide)$35,4763.4×82026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$35,7263.4×92026-01-01
Children'S Hospital ColoradoColorado (statewide)$35,8974.1×42026-04-17
Carilion New River Valley Medical CenterVirginia (statewide)$36,0684.5×12025-12-15
Intermountain Health St. Mary'S Regional HospitalColorado (statewide)$36,4814.2×42026-03-22
Montefiore Mount Vernon HospitalNew York (statewide)$37,5303.6×102026-04-01
Providence Alaska Medical CenterAlaska (statewide)$38,6994.2×42026-04-01
Providence St Joseph Medical CenterMontana (statewide)$38,7544.6×12026-04-01
Harrison County HospitalIndiana (statewide)$45,6935.2×22026-07-16
Providence Centralia HospitalWashington (statewide)$49,2315.3×22026-04-01
Lac/Olive View-Ucla Medical CenterCalifornia (statewide)$53,8685.0×12026-03-12
Lac/Harbor-Ucla Med CenterCalifornia (statewide)$54,1185.0×12026-03-12

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for kidney or urinary infection (hospital stay)?

Across 1612 hospitals in 83 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for inpatient stay (MS-DRG 690) is $11,507, 1.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $8,640 to $15,348. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for kidney or urinary infection (hospital stay)?

Medicare's national inpatient base rate for MS-DRG 690 is $5,891, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for kidney or urinary infection (hospital stay)?

Lowest medians: Wetzel County Hospital ($3,401), Mercy Health - Willard Hospital ($3,430), Cordell Memorial Hospital ($3,537). Highest: Lac/Olive View-Ucla Medical Center ($44,641), Lac/Harbor-Ucla Med Center ($43,089), Providence Centralia Hospital ($33,783). Coverage: every hospital whose price file we could read.