facebook tracking Level 4 Urology and Related Services cost: hospital prices by state (APC 5374)

Level 4 Urology and Related Services

What 2,411 hospitals in the U.S. charged and were paid for level 4 urology and related services (APC 5374), from 2024 Medicare claims.

APC 5374 Outpatient 2024 Medicare data
Average charge $23,596 Hospital list price billed
Average allowed $3,312 Medicare's payment + patient's share
Medicare paid $2,629 Average per service
Volume 154,884 Medicare services

Hospitals in the U.S. billed an average of $23,596 for level 4 urology and related services, about 7.1 times the average medicare-allowed amount of $3,312.

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 $3,312Billed $23,596

About 14¢ was paid for every $1 hospitals in the U.S. billed for this service.

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Lowest and highest allowed amounts

Among hospitals with at least 20 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$1,310
St Joseph's Hospital - SavannahSavannah, GA$1,386
Metrohealth SystemCleveland, OH$1,395
Fletcher Allen Hospital of VermontBurlington, VT$1,637
Marietta Memorial HospitalMarietta, OH$1,699
Rutland Regional Medical CenterRutland, VT$1,852
Adventhealth Port CharlottePort Charlotte, FL$1,869
Ochsner LSU Health Shreveport-St Mary Medical CentShreveport, LA$1,886
UPMC MemorialYork, PA$1,909
Geisinger Wyoming Vly Med CtrWilkes-Barre, PA$1,979

Highest

Northbay Medical CenterFairfield, CA$5,016
Peninsula Medical CenterBurlingame, CA$4,983
California Pacific Medical Ctr-Davies Campus HospSan Francisco, CA$4,935
Washington HospitalFremont, CA$4,909
Community Hospital of the Monterey PeninsulaMonterey, CA$4,909
El Camino HospitalMountain View, CA$4,909
Sequoia HospitalRedwood City, CA$4,909
Stanford Health Care Tri-ValleyPleasanton, CA$4,909
UCSF Medical CenterSan Francisco, CA$4,894
Queen of the Valley Medical CenterNapa, CA$4,882

Level 4 Urology and Related Services cost by state

Volume-weighted averages for each state's hospitals. Select a state to see every hospital.

State Hospitals Avg charge Avg allowed Range
Alabama 38 $31,243 $2,887 $2,649 – $3,192
Alaska 6 $22,341 $3,679 $3,516 – $3,788
Arizona 48 $29,210 $3,394 $3,264 – $3,774
Arkansas 21 $16,004 $2,980 $2,566 – $3,202
California 225 $36,251 $4,418 $2,750 – $5,016
Colorado 46 $24,823 $3,350 $3,128 – $3,554
Connecticut 24 $15,861 $3,873 $3,728 – $3,923
Delaware 6 $13,970 $3,472 $3,454 – $3,498
Florida 155 $36,510 $3,131 $1,869 – $3,382
Georgia 74 $27,145 $3,092 $1,386 – $3,404
Hawaii 12 $16,252 $3,962 $2,793 – $4,294
Idaho 15 $13,737 $3,191 $3,104 – $3,374
Illinois 99 $23,755 $3,289 $3,080 – $3,451
Indiana 62 $23,444 $3,143 $3,006 – $3,372
Iowa 27 $17,546 $3,051 $2,918 – $3,334
Kansas 28 $21,254 $3,049 $2,850 – $3,384
Kentucky 47 $20,504 $3,004 $2,790 – $3,225
Louisiana 54 $20,680 $2,846 $1,886 – $3,018
Maine 17 $14,045 $3,165 $2,854 – $3,423
Massachusetts 51 $13,107 $3,723 $3,495 – $3,909
Michigan 78 $16,832 $3,076 $2,752 – $3,334
Minnesota 40 $15,292 $3,407 $2,953 – $3,572
Mississippi 30 $23,661 $2,914 $2,736 – $3,126
Missouri 55 $18,689 $3,019 $2,853 – $3,323
Montana 10 $13,029 $3,284 $3,004 – $3,501
Nebraska 20 $19,777 $3,143 $3,004 – $3,346
Nevada 17 $47,679 $3,700 $3,557 – $4,233
New Hampshire 12 $19,531 $3,400 $3,309 – $3,561
New Jersey 60 $21,177 $3,730 $3,461 – $3,967
New Mexico 16 $25,767 $3,185 $2,977 – $3,463
New York 120 $20,428 $3,839 $3,131 – $3,967
North Carolina 73 $19,056 $3,097 $2,795 – $3,499
North Dakota 6 $12,831 $3,319 $3,268 – $3,448
Ohio 110 $18,836 $2,944 $1,395 – $3,351
Oklahoma 43 $27,045 $2,982 $2,782 – $3,217
Oregon 28 $18,974 $3,766 $3,416 – $4,533
Pennsylvania 112 $25,600 $3,211 $1,909 – $3,674
Rhode Island 8 $10,473 $3,518 $3,396 – $3,538
South Carolina 39 $30,170 $2,978 $2,767 – $3,301
South Dakota 12 $13,922 $3,327 $3,203 – $3,501
Tennessee 58 $20,895 $2,840 $2,056 – $3,198
Texas 193 $30,844 $3,097 $2,505 – $3,360
Utah 27 $15,031 $3,138 $2,990 – $3,345
Vermont 6 $14,204 $1,714 $1,310 – $2,568
Virginia 53 $21,889 $3,117 $2,675 – $3,398
Washington 42 $22,199 $3,587 $3,197 – $3,847
West Virginia 18 $17,378 $2,948 $2,746 – $3,297
Wisconsin 56 $18,315 $3,202 $2,985 – $3,391
Wyoming 9 $20,168 $3,474 $3,433 – $3,501

Hospitals that treat the most Medicare patients for this

HospitalServicesAvg chargeAvg allowed
Mem Sloan-Kettering Cancer CtrNew York, NY1,314$20,667$3,945
Mayo Clinic - Saint Marys HospitalRochester, MN733$17,349$3,572
NYU Hospitals CenterNew York, NY675$39,906$3,920
New York-Presbyterian HospitalNew York, NY633$20,724$3,961
Mayo Clinic HospitalPhoenix, AZ552$18,462$3,365
Univ of Tx M D Anderson CtrHouston, TX521$15,562$3,216
Norton Healthcare PavilionLouisville, KY514$17,655$2,961
Cleveland Clinic - Main CampusCleveland, OH502$14,600$2,942
McLeod Loris HospitalLoris, SC490$25,135$2,958
Evanston HospitalEvanston, IL466$18,754$3,249
Massachusetts General HospitalBoston, MA465$20,085$3,712
Mayo ClinicJacksonville, FL454$19,483$3,103
Integris Baptist Medical CenterOklahoma City, OK448$38,032$2,935
Stanford HospitalPalo Alto, CA436$70,521$4,865
Physicians' Medical Center LLCNew Albany, IN431$12,636$3,082

Questions

How much does level 4 urology and related services cost in the U.S.?

In 2024 Medicare data, level 4 urology and related services (APC 5374) at 2,411 hospitals in the U.S. was billed at $23,596 on average, while the average medicare-allowed amount was $3,312, of which Medicare paid $2,629. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for level 4 urology and related services?

Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($4,418), Hawaii ($3,962), Connecticut ($3,873) and lowest in Vermont ($1,714), Tennessee ($2,840), Louisiana ($2,846).

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 the U.S., average charges were 7.1 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.