Level 4 Urology and Related Services in Maine
What 17 hospitals in Maine charged and were paid for level 4 urology and related services (APC 5374), from 2024 Medicare claims.
Average charge
$14,045
Hospital list price billed
Average allowed
$3,165
Medicare's payment + patient's share
Medicare paid
$2,509
Average per service
State rank
#24 of 49
1 = lowest average payment
Hospitals in Maine billed an average of $14,045 for level 4 urology and related services, about 4.4 times the average medicare-allowed amount of $3,165. 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 $3,165Billed $14,045
About 23¢ was paid for every $1 hospitals in Maine billed for this service.
Maine hospitals: level 4 urology and related services
Every Maine hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Maine Medical CenterPortland | 204 | $13,668 | $3,186 | $2,519 |
| Eastern Maine Medical CenterBangor | 140 | $10,981 | $3,020 | $2,399 |
| Maine General Medical CenterWaterville | 98 | $14,524 | $3,423 | $2,727 |
| Mid Coast HospitalBrunswick | 84 | $12,995 | $3,091 | $2,421 |
| Mercy HospitalPortland | 66 | $14,540 | $3,196 | $2,531 |
| York HospitalYork | 63 | $15,310 | $3,275 | $2,610 |
| Central Maine Medical CenterLewiston | 56 | $14,972 | $3,176 | $2,520 |
| Penobscot Bay Medical CenterRockport | 54 | $13,005 | $3,156 | $2,505 |
| Maine Coast Memorial HospitalEllsworth | 45 | $14,568 | $3,317 | $2,643 |
| Northern Light a R Gould HospitalPresque Isle | 39 | $17,159 | $2,991 | $2,383 |
| Cary Medical CenterCaribou | 28 | $12,044 | $2,991 | $2,380 |
| Southern Maine Health CareBiddeford | 26 | $18,747 | $3,276 | $2,608 |
| St Joseph HospitalBangor | 19 | $16,639 | $2,866 | $2,256 |
| St Marys Regional Medical CenterLewiston | 14 | $26,761 | $2,854 | $2,238 |
| Franklin Memorial HospitalFarmington | – | – | – | – |
| Northern Light Inland HospitalWaterville | – | – | – | – |
| Northern Maine Medical CenterFort Kent | – | – | – | – |
Lowest and highest allowed amounts in Maine
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 Marys Regional Medical CenterLewiston, ME | $2,854 |
|---|---|
| St Joseph HospitalBangor, ME | $2,866 |
| Northern Light a R Gould HospitalPresque Isle, ME | $2,991 |
| Cary Medical CenterCaribou, ME | $2,991 |
| Eastern Maine Medical CenterBangor, ME | $3,020 |
Highest
| Maine General Medical CenterWaterville, ME | $3,423 |
|---|---|
| Maine Coast Memorial HospitalEllsworth, ME | $3,317 |
| Southern Maine Health CareBiddeford, ME | $3,276 |
| York HospitalYork, ME | $3,275 |
| Mercy HospitalPortland, ME | $3,196 |
Level 4 Urology and Related Services in other states
Questions
How much does level 4 urology and related services cost in Maine?
In 2024 Medicare data, level 4 urology and related services (APC 5374) at 17 hospitals in Maine was billed at $14,045 on average, while the average medicare-allowed amount was $3,165, of which Medicare paid $2,509. 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 Maine, average charges were 4.4 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.