facebook tracking Level 3 Urology and Related Services cost in West Virginia: 19 hospitals compared (APC 5373)

Level 3 Urology and Related Services in West Virginia

What 19 hospitals in West 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 $10,011 Hospital list price billed
Average allowed $1,673 Medicare's payment + patient's share
Medicare paid $1,321 Average per service
State rank #5 of 49 1 = lowest average payment

Hospitals in West Virginia billed an average of $10,011 for level 3 urology and related services, about 6.0 times the average medicare-allowed amount of $1,673. That payment is 13% 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 $1,673Billed $10,011

About 17¢ was paid for every $1 hospitals in West Virginia billed for this service.

West Virginia hospitals: level 3 urology and related services

Every West 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
Charleston Area Medical CenterCharleston 476 $10,700 $1,632 $1,285
West Virginia University HospitalsMorgantown 293 $8,988 $1,637 $1,289
St Mary's Medical CenterHuntington 219 $9,653 $1,427 $1,133
Mon Health Medical CenterMorgantown 192 $13,030 $1,682 $1,331
Camden Clark Memorial HospitalParkersburg 181 $7,082 $1,675 $1,323
Cabell-Huntington Hospital INCHuntington 166 $9,419 $1,654 $1,300
United Hospital CenterBridgeport 159 $6,867 $1,833 $1,438
Berkeley Medical CenterMartinsburg 137 $7,064 $1,870 $1,488
Wheeling HospitalWheeling 136 $6,923 $1,674 $1,326
Greenbrier Valley Medical CenterRonceverte 111 $12,616 $1,858 $1,476
Weirton Medical CenterWeirton 94 $13,918 $1,704 $1,354
Thomas Memorial HospitalSouth Charleston 93 $11,335 $1,669 $1,318
Raleigh General HospitalBeckley 79 $14,842 $1,711 $1,358
Princeton Community HospitalPrinceton 74 $16,610 $1,802 $1,428
Reynolds Memorial HospitalGlen Dale 45 $5,579 $1,517 $1,174
Logan Regional Medical CenterLogan 35 $9,221 $1,782 $1,418
Rivers HealthPoint Pleasant – – – –
Davis Memorial HospitalElkins – – – –
Welch Community HospitalWelch – – – –
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Lowest and highest allowed amounts in West 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

St Mary's Medical CenterHuntington, WV$1,427
Reynolds Memorial HospitalGlen Dale, WV$1,517
Charleston Area Medical CenterCharleston, WV$1,632
West Virginia University HospitalsMorgantown, WV$1,637
Cabell-Huntington Hospital INCHuntington, WV$1,654

Highest

Berkeley Medical CenterMartinsburg, WV$1,870
Greenbrier Valley Medical CenterRonceverte, WV$1,858
United Hospital CenterBridgeport, WV$1,833
Princeton Community HospitalPrinceton, WV$1,802
Logan Regional Medical CenterLogan, WV$1,782

Level 3 Urology and Related Services in other states

Questions

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

In 2024 Medicare data, level 3 urology and related services (APC 5373) at 19 hospitals in West Virginia was billed at $10,011 on average, while the average medicare-allowed amount was $1,673, of which Medicare paid $1,321. 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 West Virginia, average charges were 6.0 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.