What 18 hospitals in West Virginia charged and were paid for level 2 urology and related services (APC 5372), from 2024 Medicare claims.
Hospitals in West Virginia billed an average of $2,641 for level 2 urology and related services, about 4.7 times the average medicare-allowed amount of $563. That payment is 12% 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.
About 21¢ was paid for every $1 hospitals in West Virginia billed for this service.
Every West 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 |
|---|---|---|---|---|
| West Virginia University HospitalsMorgantown | 481 | $3,228 | $563 | $443 |
| Mon Health Medical CenterMorgantown | 477 | $4,147 | $548 | $433 |
| Charleston Area Medical CenterCharleston | 442 | $3,156 | $541 | $425 |
| St Mary's Medical CenterHuntington | 261 | $477 | $460 | $362 |
| Berkeley Medical CenterMartinsburg | 242 | $1,659 | $621 | $489 |
| United Hospital CenterBridgeport | 224 | $1,665 | $642 | $503 |
| Cabell-Huntington Hospital INCHuntington | 220 | $2,182 | $567 | $446 |
| Reynolds Memorial HospitalGlen Dale | 212 | $1,754 | $553 | $439 |
| Thomas Memorial HospitalSouth Charleston | 206 | $2,718 | $575 | $454 |
| Wheeling HospitalWheeling | 183 | $1,607 | $568 | $449 |
| Greenbrier Valley Medical CenterRonceverte | 164 | $3,787 | $623 | $488 |
| Camden Clark Memorial HospitalParkersburg | 155 | $1,736 | $524 | $409 |
| Princeton Community HospitalPrinceton | 91 | $2,821 | $606 | $475 |
| Raleigh General HospitalBeckley | 70 | $1,460 | $558 | $445 |
| Logan Regional Medical CenterLogan | 22 | $7,442 | $598 | $471 |
| Weirton Medical CenterWeirton | 15 | $13,708 | $572 | $455 |
| Davis Memorial HospitalElkins | – | – | – | – |
| Wetzel County HospitalNew Martinsville | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| St Mary's Medical CenterHuntington, WV | $460 |
|---|---|
| Camden Clark Memorial HospitalParkersburg, WV | $524 |
| Charleston Area Medical CenterCharleston, WV | $541 |
| Mon Health Medical CenterMorgantown, WV | $548 |
| Reynolds Memorial HospitalGlen Dale, WV | $553 |
| United Hospital CenterBridgeport, WV | $642 |
|---|---|
| Greenbrier Valley Medical CenterRonceverte, WV | $623 |
| Berkeley Medical CenterMartinsburg, WV | $621 |
| Princeton Community HospitalPrinceton, WV | $606 |
| Logan Regional Medical CenterLogan, WV | $598 |
In 2024 Medicare data, level 2 urology and related services (APC 5372) at 18 hospitals in West Virginia was billed at $2,641 on average, while the average medicare-allowed amount was $563, of which Medicare paid $443. Your own cost depends on your insurance, deductible and the hospital.
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 West Virginia, average charges were 4.7 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.