facebook tracking Level 3 Urology and Related Services cost in Virginia: 53 hospitals compared (APC 5373)

Level 3 Urology and Related Services in Virginia

What 53 hospitals in Virginia 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 $12,366 Hospital list price billed
Average allowed $1,716 Medicare's payment + patient's share
Medicare paid $1,360 Average per service
State rank #9 of 49 1 = lowest average payment

Hospitals in Virginia billed an average of $12,366 for level 3 urology and related services, about 7.2 times the average medicare-allowed amount of $1,716. That payment is 10% 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 $1,716Billed $12,366

About 14¢ was paid for every $1 hospitals in Virginia billed for this service.

Virginia hospitals: level 3 urology and related services

Every Virginia 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 Virginia Medical CenterCharlottesville 801 $7,060 $1,227 $972
Inova Fairfax HospitalFalls Church 457 $14,151 $1,870 $1,479
Winchester Medical Center INCWinchester 292 $6,601 $1,987 $1,574
Virginia Hospital Center - ArlingtonArlington 292 $8,723 $1,905 $1,516
Medical College of Virginia HospitalsRichmond 276 $10,858 $1,485 $1,170
Riverside Regional Medical CenterNewport News 260 $5,557 $1,754 $1,392
Carilion Medical CenterRoanoke 237 $7,812 $1,754 $1,391
Inova Loudoun HospitalLeesburg 200 $15,922 $1,806 $1,415
Carilion New River Vly Med CtrChristiansburg 198 $11,706 $1,717 $1,357
Mary Washington Hospital, INCFredericksburg 168 $11,178 $1,866 $1,475
Henrico Doctors' HospitalRichmond 123 $48,151 $1,745 $1,381
Sentara Norfolk General HospitalNorfolk 121 $12,837 $1,714 $1,348
Augusta HealthFishersville 121 $12,655 $1,969 $1,567
Mary Immaculate HospitalNewport News 111 $15,698 $1,729 $1,371
Sentara Williamsburg Regional Medical CenterWilliamsburg 106 $16,660 $1,754 $1,397
Inova Fair Oaks HospitalFairfax 98 $11,682 $1,910 $1,518
Sentara Careplex HospitalHampton 88 $15,705 $1,756 $1,394
Riverside Walter Reed HospitalGloucester 88 $5,355 $1,754 $1,392
Centra Health - Lynchburg Gen HospitalLynchburg 81 $15,144 $1,878 $1,490
Sentara Virginia Beach General HospitalVirginia Beach 80 $12,948 $1,772 $1,410
Reston Hospital CenterReston 67 $26,506 $1,907 $1,513
Inova Alexandria HospitalAlexandria 63 $8,055 $1,862 $1,468
Martha Jefferson HospitalCharlottesville 61 $9,692 $1,748 $1,388
Sentara Rmh Medical CenterHarrisonburg 57 $13,925 $2,003 $1,594
Southside Regional Medical CenterPetersburg 54 $27,585 $1,726 $1,370
Prince William HospitalManassas 52 $13,558 $1,900 $1,505
Riverside Shore Memorial HospitalNassawadox 51 $8,016 $1,878 $1,495
Chesapeake General HospitalChesapeake 47 $9,449 $1,772 $1,410
UVA Health Haymarket Medical CenterHaymarket 47 $14,461 $1,917 $1,525
Bon Secours - St Marys Hospital of RichmondRichmond 45 $13,014 $1,772 $1,384
Sentara Bayside HospitalVirginia Beach 42 $13,706 $1,772 $1,408
Cjw Medical CenterRichmond 39 $48,277 $1,753 $1,395
Sentara Leigh HospitalNorfolk 36 $14,372 $1,772 $1,412
Clinch Valley Medical CenterRichlands 36 $22,247 $1,676 $1,319
Stafford Hospital CenterStafford 33 $9,608 $1,910 $1,521
Culpeper Regional HospitalCulpeper 29 $6,431 $1,910 $1,522
Sentara Northern Virginia Medical CenterWoodbridge 29 $13,674 $1,910 $1,522
Lewisgale Medical CenterSalem 22 $32,902 $1,754 $1,384
The Fauquier Hospital, INCWarrenton 21 $20,747 $1,910 $1,522
Riverside Doctors' Hospital of WilliamsburgWilliamsburg 21 $10,677 $1,754 $1,397
Bon Secours - Memorial Regional MedicalMechanicsville 20 $11,549 $1,870 $1,490
Danville Regional Medical CenterDanville 17 $31,206 $1,810 $1,442
Bon Secours - St Francis Medical CenterMidlothian 17 $15,676 $1,771 $1,404
Bon Secours - Maryview Medical CenterPortsmouth – – – –
Sentara Obici HospitalSuffolk – – – –
Johnston Memorial HospitalAbingdon – – – –
Riverside Tappahannock HospitalTappahannock – – – –
Community Memorial Healthcenter, INCSouth Hill – – – –
Montgomery Regional HospitalBlacksburg – – – –
Wythe County Community HospitalWytheville – – – –
Twin County Regional HospitalGalax – – – –
Inova Mount Vernon HospitalAlexandria – – – –
Stonesprings Hospital CenterDulles – – – –
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Lowest and highest allowed amounts in Virginia

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

Highest

Sentara Rmh Medical CenterHarrisonburg, VA$2,003
Winchester Medical Center INCWinchester, VA$1,987
Augusta HealthFishersville, VA$1,969
UVA Health Haymarket Medical CenterHaymarket, VA$1,917
Inova Fair Oaks HospitalFairfax, VA$1,910

Level 3 Urology and Related Services in other states

Questions

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

In 2024 Medicare data, level 3 urology and related services (APC 5373) at 53 hospitals in Virginia was billed at $12,366 on average, while the average medicare-allowed amount was $1,716, of which Medicare paid $1,360. 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 Virginia, average charges were 7.2 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.