facebook tracking Level 2 Urology and Related Services cost in Kentucky: 41 hospitals compared (APC 5372)

Level 2 Urology and Related Services in Kentucky

What 41 hospitals in Kentucky 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 $2,879 Hospital list price billed
Average allowed $586 Medicare's payment + patient's share
Medicare paid $461 Average per service
State rank #14 of 49 1 = lowest average payment

Hospitals in Kentucky billed an average of $2,879 for level 2 urology and related services, about 4.9 times the average medicare-allowed amount of $586. That payment is 8% below 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 $586Billed $2,879

About 20¢ was paid for every $1 hospitals in Kentucky billed for this service.

Kentucky hospitals: level 2 urology and related services

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

Hospital Services Avg charge Avg allowed Medicare paid
University of Kentucky HospLexington 638 $2,131 $588 $462
King's Daughters' Medical CenterAshland 432 $2,769 $575 $449
Taylor Regional HospitalCampbellsville 417 $1,656 $568 $447
Ephraim McDowell Regional Medical CenterDanville 226 $978 $569 $446
Pikeville Medical CenterPikeville 181 $3,654 $618 $485
T J Samson Community HospitalGlasgow 157 $2,793 $623 $494
Western Baptist HospitalPaducah 100 $3,605 $575 $444
St Claire Regional Medical CenterMorehead 84 $1,411 $630 $499
University of Louisville HospitalLouisville 49 $7,768 $586 $462
St Elizabeth Med Center-SouthEdgewood 34 $7,132 $588 $468
Hazard Arh Regional Medical CenterHazard 33 $7,553 $588 $468
Middlesboro Appalachian Regional Healthcare HospitMiddlesboro 32 $460 $573 $456
Norton Healthcare PavilionLouisville 27 $9,624 $587 $468
Frankfort Regional Medical CenterFrankfort 21 $11,554 $594 $473
Jennie Stuart Medical CenterHopkinsville 19 $20,573 $614 $473
Baptist Health Deaconess MadisonvilleMadisonville 17 $11,145 $632 $500
The Medical Center at RussellvilleRussellville 12 $7,716 $573 $440
Deaconess Henderson HospitalHenderson 11 $5,535 $602 $479
St Elizabeth Ft ThomasFort Thomas – – – –
Whitesburg Arh HospitalWhitesburg – – – –
Highlands Regional Medical CenterPrestonsburg – – – –
Saint Joseph HospitalLexington – – – –
Hardin Memorial HospitalElizabethtown – – – –
The Medical Center at Bowling GreenBowling Green – – – –
Meadowview Regional Medical CenterMaysville – – – –
Owensboro Medical Health SystemOwensboro – – – –
Jewish HospitalLouisville – – – –
Memorial HospitalManchester – – – –
St Elizabeth FlorenceFlorence – – – –
Baptist Health RichmondRichmond – – – –
Harlan Appalachian Regional Healthcare HospitalHarlan – – – –
Saint Joseph Mount SterlingMt Sterling – – – –
Harrison Memorial HospitalCynthiana – – – –
Baptist Regional Medical CtrCorbin – – – –
Central Baptist HospitalLexington – – – –
Greenview Regional HospitalBowling Green – – – –
Three Rivers Medical CenterLouisa – – – –
Baptist Hospital EastLouisville – – – –
Lake Cumberland Regional HospitalSomerset – – – –
Baptist Hospital NortheastLa Grange – – – –
Saint Joseph EastLexington – – – –
Level 2 Urology and Related Services: all states All Kentucky hospitals Kentucky hospital finances
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Lowest and highest allowed amounts in Kentucky

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

Level 2 Urology and Related Services in other states

Arkansas · $588 Georgia · $594 Kansas · $589 Missouri · $602 Nebraska · $590 North Carolina · $593 Pennsylvania · $568 South Carolina · $603

Questions

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

In 2024 Medicare data, level 2 urology and related services (APC 5372) at 41 hospitals in Kentucky was billed at $2,879 on average, while the average medicare-allowed amount was $586, of which Medicare paid $461. 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 Kentucky, average charges were 4.9 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.