What 53 hospitals in Virginia charged and were paid for level 3 urology and related services (APC 5373), from 2024 Medicare claims.
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.
About 14¢ was paid for every $1 hospitals in Virginia billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| University of Virginia Medical CenterCharlottesville, VA | $1,227 |
|---|---|
| Medical College of Virginia HospitalsRichmond, VA | $1,485 |
| Clinch Valley Medical CenterRichlands, VA | $1,676 |
| Sentara Norfolk General HospitalNorfolk, VA | $1,714 |
| Carilion New River Vly Med CtrChristiansburg, VA | $1,717 |
| 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 |
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.
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.