What 60 hospitals in Wisconsin charged and were paid for level 3 urology and related services (APC 5373), from 2024 Medicare claims.
Hospitals in Wisconsin billed an average of $8,606 for level 3 urology and related services, about 4.6 times the average medicare-allowed amount of $1,866. That payment is 2% 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 22¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Every Wisconsin 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 Wi Hospitals & Clinics AuthorityMadison | 775 | $8,237 | $1,846 | $1,460 |
| Froedtert Mem Lutheran HsptlMilwaukee | 468 | $9,649 | $1,851 | $1,458 |
| Gundersen Luth Med CtrLa Crosse | 365 | $6,252 | $1,919 | $1,526 |
| Luther Hospital Mayo Health SystemEau Claire | 334 | $3,076 | $1,878 | $1,490 |
| Aurora West Allis Medical CenterWest Allis | 242 | $11,520 | $1,849 | $1,470 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | 218 | $2,751 | $1,912 | $1,522 |
| Aurora St Lukes Medical CenterMilwaukee | 206 | $14,794 | $1,894 | $1,503 |
| Marshfield Medical CenterMarshfield | 165 | $3,740 | $1,940 | $1,545 |
| Waukesha Memorial HospitalWaukesha | 131 | $11,287 | $1,856 | $1,478 |
| St Agnes HsptlFond du Lac | 130 | $5,719 | $1,989 | $1,582 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 101 | $15,430 | $1,905 | $1,515 |
| Ascension SE Wisconsin HospitalMilwaukee | 90 | $10,423 | $1,839 | $1,456 |
| St Mary's HospitalMadison | 84 | $8,230 | $1,867 | $1,486 |
| Meriter HsptlMadison | 84 | $14,762 | $1,901 | $1,513 |
| Beloit Mem HsptlBeloit | 84 | $9,397 | $1,981 | $1,576 |
| Mercy Hlth Sys CorpJanesville | 82 | $4,347 | $1,840 | $1,461 |
| Thedacare Regional Med Ctr - NeenahNeenah | 79 | $7,092 | $1,804 | $1,433 |
| Wheaton Franciscan Healthcare- All SaintsRacine | 79 | $7,136 | $1,917 | $1,523 |
| Monroe ClinicMonroe | 77 | $6,726 | $1,901 | $1,513 |
| Aurora Baycare Med CtrGreen Bay | 72 | $12,129 | $1,834 | $1,454 |
| Bellin Memorial HsptlGreen Bay | 67 | $9,725 | $1,823 | $1,441 |
| Aspirus Wausau HospitalWausau | 66 | $8,228 | $1,713 | $1,340 |
| Aurora Med Ctr KenoshaKenosha | 66 | $18,213 | $1,916 | $1,526 |
| St Vincent HsptlGreen Bay | 61 | $9,930 | $1,533 | $1,220 |
| Appleton Med CtrAppleton | 57 | $6,320 | $1,810 | $1,433 |
| Oconomowoc Mem HsptlOconomowoc | 50 | $10,266 | $1,856 | $1,477 |
| Marshfield Medical Center - Eau ClaireEau Claire | 46 | $4,680 | $1,831 | $1,454 |
| Aurora Medical CenterGrafton | 44 | $13,577 | $1,856 | $1,478 |
| St Clare's Hospital of Weston INCWeston | 41 | $4,050 | $1,823 | $1,452 |
| Community Mem HsptlMenomonee Falls | 35 | $7,996 | $1,856 | $1,477 |
| Aurora Med Ctr OshkoshOshkosh | 34 | $10,175 | $1,791 | $1,418 |
| Froedtert SouthKenosha | 29 | $14,166 | $1,863 | $1,465 |
| UW Hlth Partners - Watertown Regional Medical CtrWatertown | 29 | $9,770 | $1,856 | $1,478 |
| SSM Health St Mary's Hospital - JanesvilleJanesville | 28 | $6,458 | $1,861 | $1,471 |
| Ministry St Michaels Hospital of Stevens PointStevens Point | 27 | $11,550 | $1,823 | $1,452 |
| Aurora Lakeland Med CtrElkhorn | 26 | $20,349 | $1,916 | $1,526 |
| Aurora Medical CenterSummit | 25 | $10,742 | $1,798 | $1,420 |
| Sauk Prairie Mem HsptlPrairie du Sac | 24 | $7,161 | $1,857 | $1,476 |
| Aurora Memorial Hsptl BurlingtonBurlington | 19 | $16,048 | $1,916 | $1,517 |
| St Elizabeth HsptlAppleton | 18 | $9,129 | $1,834 | $1,456 |
| Fort HealthcareFort Atkinson | 16 | $10,705 | $1,856 | $1,478 |
| Mile Bluff Medical Center, INCMauston | 15 | $6,546 | $1,952 | $1,555 |
| Oakleaf Surgical HospitalEau Claire | 15 | $10,202 | $1,831 | $1,459 |
| St Nicholas HospitalSheboygan | 14 | $18,682 | $1,854 | $1,477 |
| Marshfield Medical Center - MinocquaMinocqua | 13 | $6,249 | $1,402 | $1,110 |
| St Marys Hsptl Med CtrGreen Bay | 12 | $17,822 | $1,832 | $1,459 |
| St Josephs Com Hsptl West BendWest Bend | 11 | $23,393 | $1,856 | $1,478 |
| Marshfield Medical Center - Rice LakeRice Lake | – | – | – | – |
| Sacred Heart HospitalEau Claire | – | – | – | – |
| Aspirus Rhinelander HospitalRhinelander | – | – | – | – |
| Aspirus Riverview Hospital & ClinicsWisconsin Rapids | – | – | – | – |
| Aurora Med Ctr Manitowoc CtyTwo Rivers | – | – | – | – |
| Aurora Sheboygan Mem Med CtrSheboygan | – | – | – | – |
| Aurora Med Center-Washington CountyHartford | – | – | – | – |
| Divine Savior HlthcarePortage | – | – | – | – |
| St Clare Hsptl Hlth SvcsBaraboo | – | – | – | – |
| Beaver Dam Com HsptlBeaver Dam | – | – | – | – |
| Wheaton Franciscan Healthcare- St FrancisMilwaukee | – | – | – | – |
| Bay Area Med CtrMarinette | – | – | – | – |
| Children's Hosp of WisconsinMilwaukee | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Marshfield Medical Center - MinocquaMinocqua, WI | $1,402 |
|---|---|
| St Vincent HsptlGreen Bay, WI | $1,533 |
| Aspirus Wausau HospitalWausau, WI | $1,713 |
| Aurora Med Ctr OshkoshOshkosh, WI | $1,791 |
| Aurora Medical CenterSummit, WI | $1,798 |
| St Agnes HsptlFond du Lac, WI | $1,989 |
|---|---|
| Beloit Mem HsptlBeloit, WI | $1,981 |
| Mile Bluff Medical Center, INCMauston, WI | $1,952 |
| Marshfield Medical CenterMarshfield, WI | $1,940 |
| Gundersen Luth Med CtrLa Crosse, WI | $1,919 |
In 2024 Medicare data, level 3 urology and related services (APC 5373) at 60 hospitals in Wisconsin was billed at $8,606 on average, while the average medicare-allowed amount was $1,866, of which Medicare paid $1,481. 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 Wisconsin, average charges were 4.6 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.