What 47 hospitals in Kentucky charged and were paid for level 4 urology and related services (APC 5374), from 2024 Medicare claims.
Hospitals in Kentucky billed an average of $20,504 for level 4 urology and related services, about 6.8 times the average medicare-allowed amount of $3,004. That payment is 9% 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.
About 15¢ was paid for every $1 hospitals in Kentucky billed for this service.
Every Kentucky hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Norton Healthcare PavilionLouisville | 514 | $17,655 | $2,961 | $2,351 |
| Baptist Hospital EastLouisville | 212 | $27,853 | $2,965 | $2,353 |
| Jewish HospitalLouisville | 181 | $16,396 | $2,979 | $2,367 |
| University of Kentucky HospLexington | 151 | $19,744 | $2,971 | $2,354 |
| Owensboro Medical Health SystemOwensboro | 144 | $23,120 | $3,208 | $2,551 |
| Hardin Memorial HospitalElizabethtown | 130 | $26,885 | $3,004 | $2,385 |
| King's Daughters' Medical CenterAshland | 125 | $18,955 | $2,840 | $2,230 |
| Western Baptist HospitalPaducah | 117 | $29,653 | $3,153 | $2,505 |
| Saint Joseph EastLexington | 104 | $16,270 | $2,973 | $2,353 |
| St Elizabeth Med Center-SouthEdgewood | 95 | $13,615 | $2,974 | $2,364 |
| Taylor Regional HospitalCampbellsville | 82 | $12,289 | $2,896 | $2,300 |
| St Elizabeth FlorenceFlorence | 68 | $12,532 | $2,854 | $2,238 |
| University of Louisville HospitalLouisville | 63 | $16,232 | $3,004 | $2,390 |
| Baptist Regional Medical CtrCorbin | 61 | $20,290 | $2,848 | $2,252 |
| The Medical Center at Bowling GreenBowling Green | 56 | $20,520 | $2,969 | $2,356 |
| Pikeville Medical CenterPikeville | 56 | $12,266 | $3,166 | $2,523 |
| Greenview Regional HospitalBowling Green | 56 | $25,386 | $2,969 | $2,357 |
| Central Baptist HospitalLexington | 55 | $25,155 | $2,941 | $2,323 |
| Lourdes HospitalPaducah | 49 | $32,898 | $3,189 | $2,541 |
| T J Samson Community HospitalGlasgow | 48 | $14,639 | $3,198 | $2,548 |
| St Claire Regional Medical CenterMorehead | 47 | $16,586 | $3,213 | $2,560 |
| Baptist Health Deaconess MadisonvilleMadisonville | 45 | $23,941 | $3,225 | $2,569 |
| St Elizabeth Ft ThomasFort Thomas | 41 | $10,808 | $2,973 | $2,357 |
| Lake Cumberland Regional HospitalSomerset | 38 | $29,389 | $3,213 | $2,557 |
| Deaconess Henderson HospitalHenderson | 35 | $13,255 | $3,071 | $2,439 |
| Clark Regional Medical CenterWinchester | 31 | $28,252 | $3,019 | $2,399 |
| Hazard Arh Regional Medical CenterHazard | 27 | $27,738 | $3,000 | $2,391 |
| Spring View HospitalLebanon | 25 | $35,209 | $2,925 | $2,330 |
| Ephraim McDowell Regional Medical CenterDanville | 24 | $14,184 | $3,000 | $2,391 |
| Baptist Hospital NortheastLa Grange | 22 | $27,039 | $3,004 | $2,392 |
| Murray-Calloway County HospitalMurray | 21 | $16,387 | $2,925 | $2,330 |
| Jackson Purchase Medical CenterMayfield | 20 | $34,494 | $3,189 | $2,540 |
| Frankfort Regional Medical CenterFrankfort | 20 | $32,351 | $2,790 | $2,174 |
| Jennie Stuart Medical CenterHopkinsville | 18 | $17,741 | $3,132 | $2,496 |
| Harlan Appalachian Regional Healthcare HospitalHarlan | 15 | $23,651 | $3,132 | $2,496 |
| Baptist Health RichmondRichmond | 13 | $26,291 | $3,000 | $2,391 |
| Saint Joseph Mount SterlingMt Sterling | 11 | $13,582 | $2,981 | $2,375 |
| Highlands Regional Medical CenterPrestonsburg | – | – | – | – |
| Saint Joseph HospitalLexington | – | – | – | – |
| Saint Joseph LondonLondon | – | – | – | – |
| Meadowview Regional Medical CenterMaysville | – | – | – | – |
| Middlesboro Appalachian Regional Healthcare HospitMiddlesboro | – | – | – | – |
| Memorial HospitalManchester | – | – | – | – |
| Bourbon Community HospitalParis | – | – | – | – |
| Georgetown Community HospitalGeorgetown | – | – | – | – |
| Rockcastle Reg Hospital & Respiratory Care CtrMt Vernon | – | – | – | – |
| Three Rivers Medical CenterLouisa | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Frankfort Regional Medical CenterFrankfort, KY | $2,790 |
|---|---|
| King's Daughters' Medical CenterAshland, KY | $2,840 |
| Baptist Regional Medical CtrCorbin, KY | $2,848 |
| St Elizabeth FlorenceFlorence, KY | $2,854 |
| Taylor Regional HospitalCampbellsville, KY | $2,896 |
| Baptist Health Deaconess MadisonvilleMadisonville, KY | $3,225 |
|---|---|
| Lake Cumberland Regional HospitalSomerset, KY | $3,213 |
| St Claire Regional Medical CenterMorehead, KY | $3,213 |
| Owensboro Medical Health SystemOwensboro, KY | $3,208 |
| T J Samson Community HospitalGlasgow, KY | $3,198 |
In 2024 Medicare data, level 4 urology and related services (APC 5374) at 47 hospitals in Kentucky was billed at $20,504 on average, while the average medicare-allowed amount was $3,004, of which Medicare paid $2,384. 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 Kentucky, average charges were 6.8 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.