facebook tracking Level 4 Urology and Related Services cost in Kentucky: 47 hospitals compared (APC 5374)

Level 4 Urology and Related Services in Kentucky

What 47 hospitals in Kentucky 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 $20,504 Hospital list price billed
Average allowed $3,004 Medicare's payment + patient's share
Medicare paid $2,384 Average per service
State rank #11 of 49 1 = lowest average payment

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.

Paid $3,004Billed $20,504

About 15¢ was paid for every $1 hospitals in Kentucky billed for this service.

Kentucky hospitals: level 4 urology and related services

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 – – – –
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Lowest and highest allowed amounts in Kentucky

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

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

Level 4 Urology and Related Services in other states

Questions

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

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.

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 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.