facebook tracking Level 2 Urology and Related Services cost in West Virginia: 18 hospitals compared (APC 5372)

Level 2 Urology and Related Services in West Virginia

What 18 hospitals in West 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 $2,641 Hospital list price billed
Average allowed $563 Medicare's payment + patient's share
Medicare paid $443 Average per service
State rank #12 of 49 1 = lowest average payment

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.

Paid $563Billed $2,641

About 21¢ was paid for every $1 hospitals in West Virginia billed for this service.

West Virginia hospitals: level 2 urology and related services

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 – – – –
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Lowest and highest allowed amounts in West 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

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

Highest

Level 2 Urology and Related Services in other states

Questions

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

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.

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 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.