facebook tracking Level 2 Urology and Related Services cost in North Dakota: 6 hospitals compared (APC 5372)

Level 2 Urology and Related Services in North Dakota

What 6 hospitals in North Dakota 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 $1,482 Hospital list price billed
Average allowed $650 Medicare's payment + patient's share
Medicare paid $511 Average per service
State rank #32 of 49 1 = lowest average payment

Hospitals in North Dakota billed an average of $1,482 for level 2 urology and related services, about 2.3 times the average medicare-allowed amount of $650. That payment is 2% 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 $650Billed $1,482

About 44¢ was paid for every $1 hospitals in North Dakota billed for this service.

North Dakota hospitals: level 2 urology and related services

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

Hospital Services Avg charge Avg allowed Medicare paid
Sanford Medical Center FargoFargo 828 $990 $640 $504
Sanford Medical Center BismarckBismarck 646 $1,301 $639 $504
Altru Health SystemGrand Forks 470 $2,056 $674 $527
Essentia Health-FargoFargo 405 $2,245 $638 $505
St Alexius Medical CenterBismarck 400 $1,546 $640 $499
Trinity HospitalsMinot 344 $1,246 $686 $542
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Lowest and highest allowed amounts in North Dakota

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 North Dakota?

In 2024 Medicare data, level 2 urology and related services (APC 5372) at 6 hospitals in North Dakota was billed at $1,482 on average, while the average medicare-allowed amount was $650, of which Medicare paid $511. 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 North Dakota, average charges were 2.3 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.