facebook tracking Level 3 Urology and Related Services cost: hospital prices by state (APC 5373)

Level 3 Urology and Related Services

What 2,464 hospitals in the U.S. charged and were paid for level 3 urology and related services (APC 5373), from 2024 Medicare claims.

APC 5373 Outpatient 2024 Medicare data
Average charge $13,270 Hospital list price billed
Average allowed $1,912 Medicare's payment + patient's share
Medicare paid $1,516 Average per service
Volume 182,019 Medicare services

Hospitals in the U.S. billed an average of $13,270 for level 3 urology and related services, about 6.9 times the average medicare-allowed amount of $1,912.

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 $1,912Billed $13,270

About 14¢ was paid for every $1 hospitals in the U.S. billed for this service.

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Lowest and highest allowed amounts

Among hospitals with at least 20 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$754
Northwestern Medical CenterSt Albans, VT$852
Geisinger Wyoming Vly Med CtrWilkes-Barre, PA$914
Metrohealth SystemCleveland, OH$940
Rutland Regional Medical CenterRutland, VT$960
Marietta Memorial HospitalMarietta, OH$1,025
Fletcher Allen Hospital of VermontBurlington, VT$1,041
Brattleboro Memorial HospitalBrattleboro, VT$1,044
Ochsner LSU Health Shreveport-St Mary Medical CentShreveport, LA$1,070
UPMC MemorialYork, PA$1,077

Level 3 Urology and Related Services cost by state

Volume-weighted averages for each state's hospitals. Select a state to see every hospital.

State Hospitals Avg charge Avg allowed Range
Alabama 43 $16,193 $1,663 $1,454 – $1,840
Alaska 6 $11,842 $2,201 $2,102 – $2,252
Arizona 49 $14,311 $1,872 $1,246 – $2,205
Arkansas 23 $10,247 $1,702 $1,257 – $1,871
California 224 $17,594 $2,555 $1,690 – $2,931
Colorado 46 $13,994 $1,936 $1,790 – $2,077
Connecticut 25 $11,677 $2,243 $2,031 – $2,294
Delaware 7 $11,034 $1,982 $1,770 – $2,044
Florida 157 $23,308 $1,818 $923 – $1,976
Georgia 76 $17,705 $1,811 $1,613 – $1,917
Hawaii 10 $8,626 $2,306 $2,272 – $2,509
Idaho 14 $4,475 $1,811 $1,747 – $1,963
Illinois 103 $13,622 $1,907 $1,113 – $2,016
Indiana 64 $14,018 $1,818 $1,654 – $1,970
Iowa 26 $9,310 $1,797 $1,705 – $1,963
Kansas 33 $11,985 $1,762 $1,698 – $1,905
Kentucky 52 $12,694 $1,756 $1,663 – $1,884
Louisiana 59 $13,093 $1,602 $1,070 – $1,763
Maine 17 $6,811 $1,862 $1,748 – $2,000
Massachusetts 52 $7,692 $2,157 $1,864 – $2,297
Michigan 77 $10,050 $1,738 $1,231 – $1,920
Minnesota 44 $7,715 $1,959 $1,668 – $2,053
Mississippi 34 $12,733 $1,694 $1,469 – $1,827
Missouri 57 $11,785 $1,760 $1,431 – $1,996
Montana 10 $4,484 $1,905 $1,721 – $2,045
Nebraska 20 $9,478 $1,797 $1,571 – $1,977
Nevada 17 $32,489 $2,167 $2,125 – $2,187
New Hampshire 12 $9,710 $1,980 $1,935 – $2,058
New Jersey 58 $16,814 $2,155 $1,613 – $2,318
New Mexico 16 $8,444 $1,862 $1,737 – $2,052
New York 123 $13,101 $2,174 $1,237 – $2,318
North Carolina 72 $10,993 $1,785 $1,657 – $2,036
North Dakota 6 $5,633 $1,889 $1,617 – $2,015
Ohio 110 $11,217 $1,675 $940 – $1,958
Oklahoma 43 $16,445 $1,717 $1,620 – $1,879
Oregon 28 $9,639 $2,130 $1,903 – $2,649
Pennsylvania 113 $16,578 $1,827 $914 – $2,147
Rhode Island 10 $7,502 $2,050 $2,023 – $2,067
South Carolina 37 $16,410 $1,729 $1,525 – $1,926
South Dakota 12 $7,173 $1,936 $1,873 – $2,045
Tennessee 57 $14,066 $1,604 $1,130 – $1,855
Texas 199 $17,581 $1,808 $1,611 – $1,963
Utah 28 $7,582 $1,748 $1,671 – $1,954
Vermont 6 $5,246 $1,002 $754 – $1,233
Virginia 53 $12,366 $1,716 $1,227 – $2,003
Washington 42 $8,891 $2,070 $1,994 – $2,197
West Virginia 19 $10,011 $1,673 $1,427 – $1,870
Wisconsin 60 $8,606 $1,866 $1,402 – $1,989
Wyoming 9 $10,587 $2,029 $1,972 – $2,045

Hospitals that treat the most Medicare patients for this

HospitalServicesAvg chargeAvg allowed
Cleveland Clinic - Main CampusCleveland, OH2,462$8,468$1,634
UCSF Medical CenterSan Francisco, CA1,293$12,054$2,853
Mem Sloan-Kettering Cancer CtrNew York, NY1,261$15,802$2,294
Univ of Michigan HospitalsAnn Arbor, MI1,169$10,758$1,641
Mayo Clinic - Saint Marys HospitalRochester, MN1,118$10,320$2,036
Evanston HospitalEvanston, IL926$6,325$1,896
University of Kansas HospitalKansas City, KS925$9,992$1,709
Stanford HospitalPalo Alto, CA914$33,835$2,842
Lahey Clinic HospitalBurlington, MA907$5,386$2,170
USC Kenneth Norris Jr Cancer HospitalLos Angeles, CA887$10,585$2,486
Eisenhower Memorial HospitalRancho Mirage, CA883$9,082$2,498
Univ of Tx M D Anderson CtrHouston, TX858$12,515$1,875
University of California San Diego Medical CenterSan Diego, CA821$9,150$2,448
Vanderbilt University HospitalNashville, TN813$17,506$1,258
University of Virginia Medical CenterCharlottesville, VA801$7,060$1,227

Questions

How much does level 3 urology and related services cost in the U.S.?

In 2024 Medicare data, level 3 urology and related services (APC 5373) at 2,464 hospitals in the U.S. was billed at $13,270 on average, while the average medicare-allowed amount was $1,912, of which Medicare paid $1,516. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for level 3 urology and related services?

Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($2,555), Hawaii ($2,306), Connecticut ($2,243) and lowest in Vermont ($1,002), Louisiana ($1,602), Tennessee ($1,604).

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 the U.S., average charges were 6.9 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.