facebook tracking Level 2 Urology and Related Services cost in Virginia: 49 hospitals compared (APC 5372)

Level 2 Urology and Related Services in Virginia

What 49 hospitals in Virginia 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 $2,278 Hospital list price billed
Average allowed $504 Medicare's payment + patient's share
Medicare paid $397 Average per service
State rank #5 of 49 1 = lowest average payment

Hospitals in Virginia billed an average of $2,278 for level 2 urology and related services, about 4.5 times the average medicare-allowed amount of $504. That payment is 21% 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 $504Billed $2,278

About 22¢ was paid for every $1 hospitals in Virginia billed for this service.

Virginia hospitals: level 2 urology and related services

Every Virginia 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 Virginia Medical CenterCharlottesville 1,345 $2,004 $367 $289
Riverside Regional Medical CenterNewport News 1,132 $1,888 $586 $461
Medical College of Virginia HospitalsRichmond 400 $2,605 $520 $405
Riverside Walter Reed HospitalGloucester 286 $1,953 $588 $465
Carilion Medical CenterRoanoke 192 $1,129 $587 $465
Riverside Shore Memorial HospitalNassawadox 100 $2,332 $625 $492
Inova Fairfax HospitalFalls Church 72 $3,139 $634 $502
Culpeper Regional HospitalCulpeper 56 $2,991 $641 $502
Carilion New River Vly Med CtrChristiansburg 45 $2,769 $588 $460
Sentara Norfolk General HospitalNorfolk 43 $6,357 $594 $471
Virginia Hospital Center - ArlingtonArlington 24 $4,817 $619 $489
Mary Washington Hospital, INCFredericksburg 13 $5,886 $641 $510
Centra Health - Lynchburg Gen HospitalLynchburg 12 $8,400 $630 $487
Danville Regional Medical CenterDanville 12 $15,248 $607 $484
Cjw Medical CenterRichmond 11 $30,218 $588 $466
Riverside Doctors' Hospital of WilliamsburgWilliamsburg 11 $6,293 $588 $469
Sentara Rmh Medical CenterHarrisonburg – – – –
Winchester Medical Center INCWinchester – – – –
Augusta HealthFishersville – – – –
Inova Alexandria HospitalAlexandria – – – –
Mary Immaculate HospitalNewport News – – – –
Inova Loudoun HospitalLeesburg – – – –
Sentara Obici HospitalSuffolk – – – –
Prince William HospitalManassas – – – –
Lewisgale Medical CenterSalem – – – –
Johnston Memorial HospitalAbingdon – – – –
Sentara Virginia Beach General HospitalVirginia Beach – – – –
Bon Secours - St Marys Hospital of RichmondRichmond – – – –
Clinch Valley Medical CenterRichlands – – – –
Sentara Williamsburg Regional Medical CenterWilliamsburg – – – –
Southside Regional Medical CenterPetersburg – – – –
Bon Secours - Memorial Regional MedicalMechanicsville – – – –
Martha Jefferson HospitalCharlottesville – – – –
Inova Fair Oaks HospitalFairfax – – – –
Reston Hospital CenterReston – – – –
Montgomery Regional HospitalBlacksburg – – – –
Wythe County Community HospitalWytheville – – – –
Sentara Northern Virginia Medical CenterWoodbridge – – – –
Twin County Regional HospitalGalax – – – –
Henrico Doctors' HospitalRichmond – – – –
Sentara Bayside HospitalVirginia Beach – – – –
Chesapeake General HospitalChesapeake – – – –
Inova Mount Vernon HospitalAlexandria – – – –
Alleghany Regional HospitalJackson River – – – –
Buchanan General HospitalGrundy – – – –
Bon Secours - St Francis Medical CenterMidlothian – – – –
Stafford Hospital CenterStafford – – – –
UVA Health Haymarket Medical CenterHaymarket – – – –
Stonesprings Hospital CenterDulles – – – –
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Lowest and highest allowed amounts in Virginia

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 Virginia?

In 2024 Medicare data, level 2 urology and related services (APC 5372) at 49 hospitals in Virginia was billed at $2,278 on average, while the average medicare-allowed amount was $504, of which Medicare paid $397. 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 Virginia, average charges were 4.5 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.