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

Level 2 Urology and Related Services in Vermont

What 6 hospitals in Vermont 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 $1,308 Hospital list price billed
Average allowed $327 Medicare's payment + patient's share
Medicare paid $184 Average per service
State rank #1 of 49 1 = lowest average payment

Hospitals in Vermont billed an average of $1,308 for level 2 urology and related services, about 4.0 times the average medicare-allowed amount of $327. That payment is 49% 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 $327Billed $1,308

About 25¢ was paid for every $1 hospitals in Vermont billed for this service.

Vermont hospitals: level 2 urology and related services

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

Hospital Services Avg charge Avg allowed Medicare paid
Fletcher Allen Hospital of VermontBurlington 1,355 $1,364 $331 $189
Rutland Regional Medical CenterRutland 363 $2,027 $328 $184
Central Vermont Medical CenterGraniteville-East Barre 227 $962 $216 $71
Southwestern Vermont Medical CenterBennington 171 $742 $447 $300
Brattleboro Memorial HospitalBrattleboro 96 $479 $371 $240
Northwestern Medical CenterSt Albans 92 $429 $263 $119
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Lowest and highest allowed amounts in Vermont

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

Central Vermont Medical CenterGraniteville-East Barre, VT$216
Northwestern Medical CenterSt Albans, VT$263
Rutland Regional Medical CenterRutland, VT$328
Fletcher Allen Hospital of VermontBurlington, VT$331
Brattleboro Memorial HospitalBrattleboro, VT$371

Level 2 Urology and Related Services in other states

Questions

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

In 2024 Medicare data, level 2 urology and related services (APC 5372) at 6 hospitals in Vermont was billed at $1,308 on average, while the average medicare-allowed amount was $327, of which Medicare paid $184. 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 Vermont, average charges were 4.0 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.