facebook tracking Level 4 Urology and Related Services cost in Iowa: 27 hospitals compared (APC 5374)

Level 4 Urology and Related Services in Iowa

What 27 hospitals in Iowa 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 $17,546 Hospital list price billed
Average allowed $3,051 Medicare's payment + patient's share
Medicare paid $2,426 Average per service
State rank #14 of 49 1 = lowest average payment

Hospitals in Iowa billed an average of $17,546 for level 4 urology and related services, about 5.8 times the average medicare-allowed amount of $3,051. That payment is 8% 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 $3,051Billed $17,546

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

Iowa hospitals: level 4 urology and related services

Every Iowa 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 Iowa Hospital & ClinicsIowa City 300 $21,023 $3,070 $2,440
Iowa Methodist Medical CenterDes Moines 221 $20,729 $2,983 $2,374
Spencer Municipal HospitalSpencer 189 $13,726 $2,982 $2,375
Mercy Medical Center-Des MoinesDes Moines 176 $25,052 $2,956 $2,349
Mercy Medical Center - Cedar RapidsCedar Rapids 135 $10,857 $3,006 $2,394
Mercy Medical Center-DubuqueDubuque 128 $16,140 $3,179 $2,531
Mary Greeley Medical CenterAmes 123 $12,653 $2,994 $2,384
Mercy Medical Center-North IowaMason City 105 $24,508 $3,334 $2,646
Southeast Iowa Regional Medical CenterWest Burlington 91 $9,832 $3,191 $2,537
Allen Memorial HospitalWaterloo 74 $16,283 $2,918 $2,312
St Lukes HospitalCedar Rapids 73 $16,254 $3,006 $2,395
Broadlawns Medical CenterDes Moines 70 $12,910 $2,992 $2,384
Mercyone Siouxland Medical CenterSioux City 51 $14,554 $3,141 $2,503
The Finley HospitalDubuque 44 $17,077 $2,982 $2,375
Genesis Medical Center-DavenportDavenport 40 $10,365 $3,006 $2,395
Mercy HospitalIowa City 39 $23,971 $3,111 $2,472
Jennie Edmundson HospitalCouncil Bluffs 39 $13,524 $3,142 $2,490
Trinity Regional Medical CenterFort Dodge 29 $13,175 $3,194 $2,545
Mercy Medical Center-ClintonClinton 25 $28,575 $3,194 $2,545
Ottumwa Regional Health CenterOttumwa 20 $23,308 $2,963 $2,309
St Lukes Regional Medical CenterSioux City 15 $14,937 $2,991 $2,383
Grinnell Regional Medical CenterGrinnell 15 $15,116 $2,992 $2,379
St Anthony Regional Hospital & Nursing HomeCarroll – – – –
Alegent Health Mercy HospitalCouncil Bluffs – – – –
Mercyone Waterloo Medical CenterWaterloo – – – –
Trinity Medical CenterDavenport – – – –
Lakes Regional HealthcareSpirit Lake – – – –
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Lowest and highest allowed amounts in Iowa

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

Allen Memorial HospitalWaterloo, IA$2,918
Mercy Medical Center-Des MoinesDes Moines, IA$2,956
Ottumwa Regional Health CenterOttumwa, IA$2,963
Spencer Municipal HospitalSpencer, IA$2,982
The Finley HospitalDubuque, IA$2,982

Highest

Level 4 Urology and Related Services in other states

Questions

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

In 2024 Medicare data, level 4 urology and related services (APC 5374) at 27 hospitals in Iowa was billed at $17,546 on average, while the average medicare-allowed amount was $3,051, of which Medicare paid $2,426. 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 Iowa, average charges were 5.8 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.