facebook tracking Level 3 Urology and Related Services cost in Massachusetts: 52 hospitals compared (APC 5373)

Level 3 Urology and Related Services in Massachusetts

What 52 hospitals in Massachusetts 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 $7,692 Hospital list price billed
Average allowed $2,157 Medicare's payment + patient's share
Medicare paid $1,713 Average per service
State rank #43 of 49 1 = lowest average payment

Hospitals in Massachusetts billed an average of $7,692 for level 3 urology and related services, about 3.6 times the average medicare-allowed amount of $2,157. That payment is 13% above 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 $2,157Billed $7,692

About 28¢ was paid for every $1 hospitals in Massachusetts billed for this service.

Massachusetts hospitals: level 3 urology and related services

Every Massachusetts hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Lahey Clinic HospitalBurlington 907 $5,386 $2,170 $1,726
Beth Israel Deaconess Medical CenterBoston 519 $7,101 $2,181 $1,735
Brigham and Women's HosptialBoston 516 $8,815 $2,076 $1,648
Umass Memorial Medical Center INCWorcester 474 $8,255 $2,150 $1,705
Massachusetts General HospitalBoston 441 $13,717 $2,154 $1,711
Berkshire Medical Center INCPittsfield 329 $5,849 $2,297 $1,829
South Shore HospitalSouth Weymouth 290 $6,625 $2,151 $1,706
Saint Anne's Hospital, a Caritas Family HospitalFall River 273 $8,096 $2,149 $1,702
Southcoast Hospital Group, INCFall River 239 $7,163 $2,154 $1,712
Newton-Wellesley HospitalNewton Lower Falls 208 $6,915 $2,171 $1,725
Union HospitalLynn 191 $9,075 $2,187 $1,742
Emerson HospitalConcord 188 $5,609 $2,187 $1,742
Baystate Medical CenterSpringfield 181 $5,551 $2,188 $1,741
Faulkner HospitalBoston 181 $9,843 $2,160 $1,714
Cape Cod HospitalHyannis 159 $9,958 $2,166 $1,719
Milford Regional Medical CenterMilford 146 $3,615 $1,864 $1,478
Lowell General HospitalLowell 137 $8,095 $2,162 $1,716
Tufts Medical CenterBoston 130 $7,030 $2,154 $1,707
Holy Family Hospital, a Caritas Family HospitalMethuen 126 $5,427 $2,148 $1,698
Boston Medical Center CorporationBoston 125 $6,322 $2,161 $1,712
Mount Auburn HospitalCambridge 103 $5,420 $2,187 $1,743
Heywood HospitalGardner 100 $8,804 $2,154 $1,708
Holyoke Medical CenterHolyoke 94 $9,851 $2,172 $1,727
Beverly Hospital CorporationBeverly 91 $5,319 $2,168 $1,723
Sturdy Memorial HospitalAttleboro 79 $5,936 $2,188 $1,736
Mercy Medical CenterSpringfield 65 $9,551 $1,986 $1,582
Lawrence General HospitalLawrence 60 $9,049 $2,169 $1,728
Morton Hospital & Medical CenterTaunton 53 $6,077 $2,187 $1,743
Anna Jaques HospitalNewburyport 44 $6,720 $2,148 $1,702
Beth Israel Deaconess Hospital - NeedhamNeedham 44 $6,798 $2,187 $1,742
Winchester HospitalWinchester 41 $5,707 $2,187 $1,743
Healthalliance Hospitals, INCLeominster 39 $13,012 $2,103 $1,645
Cambridge Health AllianceCambridge 39 $4,931 $2,143 $1,695
Baystate Franklin Medical CenterGreenfield 39 $4,805 $2,143 $1,698
Milton HospitalMilton 36 $6,603 $2,187 $1,743
St Vincent HospitalWorcester 36 $26,410 $2,187 $1,743
Cooley Dickinson Hospital Inc,TheNorthampton 28 $7,377 $2,188 $1,738
Boston Medical Center-BrightonBrighton 24 $7,148 $2,142 $1,707
Harrington Memorial HospitalSouthbridge 22 $10,618 $2,187 $1,743
Metrowest Medical CenterFramingham 22 $25,747 $2,108 $1,654
Beth Israel Deaconess Hospital PlymouthPlymouth 20 $11,231 $2,188 $1,733
Good Samaritan Medical Center, a Caritas Family HoBrockton 20 $6,626 $2,100 $1,656
Falmouth HospitalFalmouth 20 $9,078 $2,188 $1,739
Nashoba Valley Medical CenterAyer 19 $9,864 $2,096 $1,651
Melrosewakefield HealthcareMelrose 18 $8,723 $2,187 $1,743
Carney HospitalDorchester 14 $4,968 $2,187 $1,743
Brockton HospitalBrockton 12 $7,306 $2,187 $1,743
Marlborough HospitalMarlborough – – – –
Noble HospitalWestfield – – – –
New England Baptist HospitalBoston – – – –
Nantucket Cottage HospitalNantucket – – – –
Children's Hospital BostonBoston – – – –
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Lowest and highest allowed amounts in Massachusetts

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Highest

Berkshire Medical Center INCPittsfield, MA$2,297
Beth Israel Deaconess Hospital PlymouthPlymouth, MA$2,188
Sturdy Memorial HospitalAttleboro, MA$2,188
Cooley Dickinson Hospital Inc,TheNorthampton, MA$2,188
Falmouth HospitalFalmouth, MA$2,188

Level 3 Urology and Related Services in other states

Questions

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

In 2024 Medicare data, level 3 urology and related services (APC 5373) at 52 hospitals in Massachusetts was billed at $7,692 on average, while the average medicare-allowed amount was $2,157, of which Medicare paid $1,713. 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 Massachusetts, average charges were 3.6 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.