facebook tracking Level 3 Urology and Related Services cost in Vermont: 6 hospitals compared (APC 5373)

Level 3 Urology and Related Services in Vermont

What 6 hospitals in Vermont 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 $5,246 Hospital list price billed
Average allowed $1,002 Medicare's payment + patient's share
Medicare paid $595 Average per service
State rank #1 of 49 1 = lowest average payment

Hospitals in Vermont billed an average of $5,246 for level 3 urology and related services, about 5.2 times the average medicare-allowed amount of $1,002. That payment is 48% 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 $1,002Billed $5,246

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

Vermont hospitals: level 3 urology and related services

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

Hospital Services Avg charge Avg allowed Medicare paid
Fletcher Allen Hospital of VermontBurlington 580 $4,785 $1,041 $634
Rutland Regional Medical CenterRutland 167 $7,082 $960 $554
Central Vermont Medical CenterGraniteville-East Barre 85 $5,916 $754 $341
Brattleboro Memorial HospitalBrattleboro 44 $4,287 $1,044 $668
Southwestern Vermont Medical CenterBennington 32 $4,595 $1,233 $814
Northwestern Medical CenterSt Albans 28 $4,056 $852 $449
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Lowest and highest allowed amounts in Vermont

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

Central Vermont Medical CenterGraniteville-East Barre, VT$754
Northwestern Medical CenterSt Albans, VT$852
Rutland Regional Medical CenterRutland, VT$960
Fletcher Allen Hospital of VermontBurlington, VT$1,041
Brattleboro Memorial HospitalBrattleboro, VT$1,044

Level 3 Urology and Related Services in other states

Questions

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

In 2024 Medicare data, level 3 urology and related services (APC 5373) at 6 hospitals in Vermont was billed at $5,246 on average, while the average medicare-allowed amount was $1,002, of which Medicare paid $595. 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 Vermont, 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.