facebook tracking Level 3 Urology and Related Services cost in Iowa: 26 hospitals compared (APC 5373)

Level 3 Urology and Related Services in Iowa

What 26 hospitals in Iowa 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 $9,310 Hospital list price billed
Average allowed $1,797 Medicare's payment + patient's share
Medicare paid $1,428 Average per service
State rank #18 of 49 1 = lowest average payment

Hospitals in Iowa billed an average of $9,310 for level 3 urology and related services, about 5.2 times the average medicare-allowed amount of $1,797. That payment is 6% 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 $1,797Billed $9,310

About 19¢ was paid for every $1 hospitals in Iowa billed for this service.

Iowa hospitals: level 3 urology and related services

Every Iowa 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 Iowa Hospital & ClinicsIowa City 689 $9,458 $1,770 $1,406
Mercy Medical Center-North IowaMason City 283 $7,264 $1,963 $1,561
Iowa Methodist Medical CenterDes Moines 227 $10,946 $1,727 $1,369
Southeast Iowa Regional Medical CenterWest Burlington 203 $3,992 $1,881 $1,497
Mary Greeley Medical CenterAmes 148 $10,527 $1,749 $1,393
Allen Memorial HospitalWaterloo 115 $8,828 $1,742 $1,388
Mercy Medical Center-Des MoinesDes Moines 88 $12,075 $1,742 $1,386
Mercy Medical Center - Cedar RapidsCedar Rapids 84 $9,850 $1,756 $1,398
Spencer Municipal HospitalSpencer 73 $10,340 $1,742 $1,387
St Lukes HospitalCedar Rapids 51 $12,252 $1,729 $1,372
Broadlawns Medical CenterDes Moines 48 $6,186 $1,748 $1,389
Genesis Medical Center-DavenportDavenport 46 $6,207 $1,734 $1,371
Mercy Medical Center-DubuqueDubuque 43 $8,691 $1,857 $1,475
Ottumwa Regional Health CenterOttumwa 43 $17,284 $1,812 $1,418
Mercyone Waterloo Medical CenterWaterloo 35 $13,707 $1,742 $1,388
Mercy Medical Center-ClintonClinton 32 $17,646 $1,866 $1,487
Jennie Edmundson HospitalCouncil Bluffs 20 $10,402 $1,835 $1,461
The Finley HospitalDubuque 19 $11,512 $1,742 $1,388
Trinity Regional Medical CenterFort Dodge 17 $8,957 $1,866 $1,487
Mercy HospitalIowa City 16 $9,664 $1,705 $1,338
Alegent Health Mercy HospitalCouncil Bluffs 13 $8,713 $1,836 $1,448
Mercyone Siouxland Medical CenterSioux City 13 $13,005 $1,836 $1,453
St Anthony Regional Hospital & Nursing HomeCarroll – – – –
Lakes Regional HealthcareSpirit Lake – – – –
St Lukes Regional Medical CenterSioux City – – – –
Grinnell Regional Medical CenterGrinnell – – – –
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Lowest and highest allowed amounts in Iowa

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

Mercy HospitalIowa City, IA$1,705
Iowa Methodist Medical CenterDes Moines, IA$1,727
St Lukes HospitalCedar Rapids, IA$1,729
Genesis Medical Center-DavenportDavenport, IA$1,734
Mercyone Waterloo Medical CenterWaterloo, IA$1,742

Highest

Level 3 Urology and Related Services in other states

Questions

How much does level 3 urology and related services cost in Iowa?

In 2024 Medicare data, level 3 urology and related services (APC 5373) at 26 hospitals in Iowa was billed at $9,310 on average, while the average medicare-allowed amount was $1,797, of which Medicare paid $1,428. 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 Iowa, average charges were 5.2 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.