Level 3 Urology and Related Services in Idaho
What 14 hospitals in Idaho charged and were paid for level 3 urology and related services (APC 5373), from 2024 Medicare claims.
Average charge
$4,475
Hospital list price billed
Average allowed
$1,811
Medicare's payment + patient's share
Medicare paid
$1,440
Average per service
State rank
#22 of 49
1 = lowest average payment
Hospitals in Idaho billed an average of $4,475 for level 3 urology and related services, about 2.5 times the average medicare-allowed amount of $1,811. That payment is 5% below the U.S. average 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 $1,811Billed $4,475
About 40¢ was paid for every $1 hospitals in Idaho billed for this service.
Idaho hospitals: level 3 urology and related services
Every Idaho hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| St Lukes Regional Medical CenterBoise | 633 | $3,037 | $1,776 | $1,413 |
| Mountain View HospitalIdaho Falls | 361 | $3,551 | $1,813 | $1,437 |
| St Luke's Nampa Medical CenterNampa | 150 | $3,593 | $1,747 | $1,392 |
| Portneuf Medical CenterPocatello | 118 | $9,906 | $1,963 | $1,561 |
| St Lukes Magic Valley RMCTwin Falls | 60 | $4,305 | $1,963 | $1,564 |
| Kootenai Medical CenterCoeur D'alene | 49 | $10,545 | $1,865 | $1,479 |
| St Alphonsus Regional Medical CenterBoise | 28 | $8,317 | $1,859 | $1,453 |
| Idaho Falls Community Hospital, LLCIdaho Falls | 23 | $6,525 | $1,833 | $1,460 |
| Eastern Idaho Regional Medical CenterIdaho Falls | 15 | $24,010 | $1,833 | $1,450 |
| St Joseph Regional Medical CenterLewiston | – | – | – | – |
| Saint Alphonsus Medical Center - NampaNampa | – | – | – | – |
| Madison Memorial HospitalRexburg | – | – | – | – |
| Treasure Valley HospitalBoise | – | – | – | – |
| Northwest Specialty HospitalPost Falls | – | – | – | – |
Lowest and highest allowed amounts in Idaho
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 Luke's Nampa Medical CenterNampa, ID | $1,747 |
|---|---|
| St Lukes Regional Medical CenterBoise, ID | $1,776 |
| Mountain View HospitalIdaho Falls, ID | $1,813 |
| Idaho Falls Community Hospital, LLCIdaho Falls, ID | $1,833 |
| Eastern Idaho Regional Medical CenterIdaho Falls, ID | $1,833 |
Highest
| Portneuf Medical CenterPocatello, ID | $1,963 |
|---|---|
| St Lukes Magic Valley RMCTwin Falls, ID | $1,963 |
| Kootenai Medical CenterCoeur D'alene, ID | $1,865 |
| St Alphonsus Regional Medical CenterBoise, ID | $1,859 |
| Eastern Idaho Regional Medical CenterIdaho Falls, ID | $1,833 |
Level 3 Urology and Related Services in other states
Questions
How much does level 3 urology and related services cost in Idaho?
In 2024 Medicare data, level 3 urology and related services (APC 5373) at 14 hospitals in Idaho was billed at $4,475 on average, while the average medicare-allowed amount was $1,811, of which Medicare paid $1,440. 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 Idaho, average charges were 2.5 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.