Level 4 Urology and Related Services in Idaho
What 15 hospitals in Idaho charged and were paid for level 4 urology and related services (APC 5374), from 2024 Medicare claims.
Average charge
$13,737
Hospital list price billed
Average allowed
$3,191
Medicare's payment + patient's share
Medicare paid
$2,538
Average per service
State rank
#26 of 49
1 = lowest average payment
Hospitals in Idaho billed an average of $13,737 for level 4 urology and related services, about 4.3 times the average medicare-allowed amount of $3,191. That payment is 4% 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 $3,191Billed $13,737
About 23¢ was paid for every $1 hospitals in Idaho billed for this service.
Idaho hospitals: level 4 urology and related services
Every Idaho hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| St Lukes Regional Medical CenterBoise | 201 | $12,301 | $3,109 | $2,474 |
| Kootenai Medical CenterCoeur D'alene | 171 | $13,192 | $3,259 | $2,592 |
| Mountain View HospitalIdaho Falls | 150 | $10,508 | $3,104 | $2,465 |
| St Luke's Nampa Medical CenterNampa | 120 | $12,304 | $3,116 | $2,479 |
| St Lukes Magic Valley RMCTwin Falls | 75 | $15,417 | $3,360 | $2,676 |
| Portneuf Medical CenterPocatello | 65 | $28,305 | $3,360 | $2,674 |
| St Alphonsus Regional Medical CenterBoise | 31 | $15,888 | $3,374 | $2,682 |
| Treasure Valley HospitalBoise | 30 | $13,799 | $3,137 | $2,500 |
| Idaho Falls Community Hospital, LLCIdaho Falls | 23 | $11,268 | $3,137 | $2,500 |
| Northwest Specialty HospitalPost Falls | 16 | $10,812 | $3,194 | $2,545 |
| St Joseph Regional Medical CenterLewiston | – | – | – | – |
| Saint Alphonsus Medical Center - NampaNampa | – | – | – | – |
| West Valley Medical CenterCaldwell | – | – | – | – |
| Eastern Idaho Regional Medical CenterIdaho Falls | – | – | – | – |
| Madison Memorial HospitalRexburg | – | – | – | – |
Lowest and highest allowed amounts in Idaho
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
| Mountain View HospitalIdaho Falls, ID | $3,104 |
|---|---|
| St Lukes Regional Medical CenterBoise, ID | $3,109 |
| St Luke's Nampa Medical CenterNampa, ID | $3,116 |
| Treasure Valley HospitalBoise, ID | $3,137 |
| Idaho Falls Community Hospital, LLCIdaho Falls, ID | $3,137 |
Highest
| St Alphonsus Regional Medical CenterBoise, ID | $3,374 |
|---|---|
| Portneuf Medical CenterPocatello, ID | $3,360 |
| St Lukes Magic Valley RMCTwin Falls, ID | $3,360 |
| Kootenai Medical CenterCoeur D'alene, ID | $3,259 |
| Northwest Specialty HospitalPost Falls, ID | $3,194 |
Level 4 Urology and Related Services in other states
Questions
How much does level 4 urology and related services cost in Idaho?
In 2024 Medicare data, level 4 urology and related services (APC 5374) at 15 hospitals in Idaho was billed at $13,737 on average, while the average medicare-allowed amount was $3,191, of which Medicare paid $2,538. 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 Idaho, average charges were 4.3 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.