facebook tracking Level 4 Urology and Related Services cost in Georgia: 74 hospitals compared (APC 5374)

Level 4 Urology and Related Services in Georgia

What 74 hospitals in Georgia 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 $27,145 Hospital list price billed
Average allowed $3,092 Medicare's payment + patient's share
Medicare paid $2,453 Average per service
State rank #16 of 49 1 = lowest average payment

Hospitals in Georgia billed an average of $27,145 for level 4 urology and related services, about 8.8 times the average medicare-allowed amount of $3,092. That payment is 7% below the U.S. average 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 $3,092Billed $27,145

About 11¢ was paid for every $1 hospitals in Georgia billed for this service.

Georgia hospitals: level 4 urology and related services

Every Georgia hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Northeast Georgia Medical Center, INCGainesville 250 $40,842 $3,139 $2,492
Candler HospitalSavannah 183 $23,398 $2,947 $2,347
Wellstar Kennestone HospitalMarietta 162 $31,015 $3,168 $2,515
Northside HospitalAtlanta 158 $28,586 $3,219 $2,559
Wayne Memorial HospitalJesup 153 $22,017 $3,123 $2,481
Northside Hospital CherokeeCanton 150 $28,577 $3,202 $2,542
Emory University HospitalAtlanta 146 $18,586 $3,235 $2,577
Piedmont HospitalAtlanta 139 $31,311 $3,198 $2,538
Athens Regional Medical CenterAthens 126 $33,826 $2,999 $2,376
Piedmont Columbus Regional NorthsideColumbus 123 $27,262 $2,854 $2,254
Piedmont Augusta HospitalAugusta 121 $22,248 $2,911 $2,309
Southeast Georgia Reg Med CtrBrunswick 120 $8,900 $3,171 $2,519
Medical College of Ga Hospitals and ClinicsAugusta 115 $20,208 $2,937 $2,338
Piedmont Fayette HospitalFayetteville 114 $31,242 $3,148 $2,484
Tift Regional Medical CenterTifton 109 $18,504 $2,900 $2,279
Northside Hospital ForsythCumming 106 $27,221 $3,187 $2,526
St Mary's HospitalAthens 94 $28,512 $3,017 $2,371
Gwinnett Medical CenterLawrenceville 92 $32,064 $3,151 $2,491
Phoebe Putney Memorial HospitalAlbany 89 $19,254 $3,164 $2,497
John D Archbold Memorial HospitalThomasville 86 $13,396 $2,989 $2,376
Atrium Health Navicent the Medical CenterMacon 78 $19,409 $3,085 $2,451
Floyd Medical CenterRome 77 $37,047 $3,178 $2,532
Tanner Medical Center - CarrolltonCarrollton 75 $12,680 $3,201 $2,543
Sgmc HealthValdosta 74 $25,466 $2,883 $2,284
Redmond Regional Medical CenterRome 73 $50,107 $3,178 $2,528
Hamilton Medical CenterDalton 65 $23,263 $3,139 $2,493
Emory University Hospital MidtownAtlanta 65 $17,879 $3,196 $2,535
Wellstar Paulding HospitalDallas 56 $26,541 $3,039 $2,393
Houston Medical CenterWarner Robins 53 $14,585 $2,932 $2,327
Saint Joseph's Hosp of AtlantaAtlanta 51 $15,519 $3,084 $2,443
Piedmont Newnan Hospital, INCNewnan 48 $34,457 $3,182 $2,524
Gordon HospitalCalhoun 44 $33,881 $3,178 $2,532
Union General HospitalBlairsville 44 $17,906 $3,156 $2,511
Coliseum Medical CenterMacon 44 $40,308 $2,885 $2,276
St Francis Hospital, INCColumbus 42 $16,937 $2,891 $2,292
Southeastern Regional Medical Center, INCNewnan 42 $19,014 $3,235 $2,578
Piedmont Mountainside Hospital INCJasper 41 $34,981 $3,235 $2,578
Meadows Regional Medical Center INCVidalia 40 $33,610 $3,156 $2,514
Wellstar Cobb HospitalAustell 40 $28,059 $3,090 $2,457
Colquitt Reg Medical CenterMoultrie 38 $12,597 $3,156 $2,508
West Georgia Medical CenterLagrange 35 $33,327 $3,178 $2,532
Wellstar Douglas HospitalDouglasville 33 $35,730 $3,235 $2,578
East Georgia Regional Medical CenterStatesboro 32 $41,121 $3,156 $2,514
Southern Regional Medical CenterRiverdale 32 $39,183 $3,201 $2,542
Rockdale Medical CenterConyers 31 $34,024 $3,235 $2,574
Coffee Regional Medical CenterDouglas 30 $17,048 $3,156 $2,514
Cartersville Medical CenterCartersville 29 $46,229 $3,235 $2,575
Emory Decatur HospitalDecatur 29 $14,907 $3,235 $2,577
Upson Regional Medical CenterThomaston 28 $31,808 $3,404 $2,708
Emory Johns Creek HospitalJohns Creek 25 $14,661 $3,132 $2,467
Fairview Park HospitalDublin 24 $63,922 $2,975 $2,350
Doctors HospitalAugusta 24 $86,907 $2,937 $2,318
St Joseph's Hospital - SavannahSavannah 21 $13,787 $1,386 $1,096
North Fulton Regional HospitalRoswell 21 $33,106 $3,235 $2,578
Wellstar Windy Hill HospitalMarietta 20 $25,263 $3,106 $2,449
Piedmont Columbus Regional MidtownColumbus 19 $33,306 $2,823 $2,224
Crisp Regional HospitalCordele 19 $14,340 $3,024 $2,382
Navicent Health BaldwinMilledgeville 18 $11,247 $2,661 $2,068
Barrow Regional Medical CenterWinder 15 $29,272 $3,235 $2,577
Henry Medical Center, INCStockbridge 15 $37,625 $3,063 $2,406
Satilla Regional Medical CenterWaycross 12 $30,772 $3,278 $2,611
Grady Memorial HospitalAtlanta 11 $58,392 $3,235 $2,578
Tanner Medical Center Villa RicaVilla Rica – – – –
Newton Medical CenterCovington – – – –
Spalding Regional Medical CenterGriffin – – – –
Memorial Health Univ Med Cen, INCSavannah – – – –
Washington County Regional Medical CenterSandersville – – – –
Emory Eastside Medical CenterSnellville – – – –
Donalsonville HospitalDonalsonville – – – –
Piedmont Macon North HospitalMacon – – – –
Dekalb Medical Center at HillandaleLithonia – – – –
Northeast Georgia Medical Center LumpkinDahlonega – – – –
Northside Hospital DuluthDuluth – – – –
Athur M Blank HospitalAtlanta – – – –
Advertisement

Lowest and highest allowed amounts in Georgia

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 Joseph's Hospital - SavannahSavannah, GA$1,386
Navicent Health BaldwinMilledgeville, GA$2,661
Piedmont Columbus Regional MidtownColumbus, GA$2,823
Piedmont Columbus Regional NorthsideColumbus, GA$2,854
Sgmc HealthValdosta, GA$2,883

Highest

Upson Regional Medical CenterThomaston, GA$3,404
Satilla Regional Medical CenterWaycross, GA$3,278
Rockdale Medical CenterConyers, GA$3,235
Cartersville Medical CenterCartersville, GA$3,235
Emory University HospitalAtlanta, GA$3,235

Level 4 Urology and Related Services in other states

Questions

How much does level 4 urology and related services cost in Georgia?

In 2024 Medicare data, level 4 urology and related services (APC 5374) at 74 hospitals in Georgia was billed at $27,145 on average, while the average medicare-allowed amount was $3,092, of which Medicare paid $2,453. 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 Georgia, average charges were 8.8 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.