facebook tracking Level 2 Urology and Related Services cost in Hawaii: 7 hospitals compared (APC 5372)

Level 2 Urology and Related Services in Hawaii

What 7 hospitals in Hawaii charged and were paid for level 2 urology and related services (APC 5372), from 2024 Medicare claims.

APC 5372 Outpatient 2024 Medicare data
Average charge $1,567 Hospital list price billed
Average allowed $772 Medicare's payment + patient's share
Medicare paid $611 Average per service
State rank #48 of 49 1 = lowest average payment

Hospitals in Hawaii billed an average of $1,567 for level 2 urology and related services, about 2.0 times the average medicare-allowed amount of $772. That payment is 21% above the U.S. average of $638.

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 $772Billed $1,567

About 49¢ was paid for every $1 hospitals in Hawaii billed for this service.

Hawaii hospitals: level 2 urology and related services

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

Hospital Services Avg charge Avg allowed Medicare paid
Straub Clinic and HospitalHonolulu 587 $1,116 $786 $625
Pali Momi Medical CenterAiea 156 $1,861 $774 $613
The Queens Medical CenterHonolulu 115 $2,620 $696 $534
Castle Medical CenterKailua 101 $2,082 $769 $606
Hilo Medical CenterHilo 16 $4,430 $842 $663
Wilcox Memorial HospitalLihue – – – –
North Hawaii Community HospitalKamuela – – – –
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Lowest and highest allowed amounts in Hawaii

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Highest

Level 2 Urology and Related Services in other states

Questions

How much does level 2 urology and related services cost in Hawaii?

In 2024 Medicare data, level 2 urology and related services (APC 5372) at 7 hospitals in Hawaii was billed at $1,567 on average, while the average medicare-allowed amount was $772, of which Medicare paid $611. 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 service in Hawaii, average charges were 2.0 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.