Level 4 Urology and Related Services in Massachusetts
What 51 hospitals in Massachusetts charged and were paid for level 4 urology and related services (APC 5374), from 2024 Medicare claims.
Average charge
$13,107
Hospital list price billed
Average allowed
$3,723
Medicare's payment + patient's share
Medicare paid
$2,960
Average per service
State rank
#43 of 49
1 = lowest average payment
Hospitals in Massachusetts billed an average of $13,107 for level 4 urology and related services, about 3.5 times the average medicare-allowed amount of $3,723. That payment is 12% above 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 $3,723Billed $13,107
About 28¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 4 urology and related services
Every Massachusetts hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Massachusetts General HospitalBoston | 465 | $20,085 | $3,712 | $2,950 |
| Brigham and Women's HosptialBoston | 309 | $21,479 | $3,734 | $2,973 |
| Lahey Clinic HospitalBurlington | 269 | $9,677 | $3,722 | $2,960 |
| Faulkner HospitalBoston | 244 | $12,378 | $3,683 | $2,921 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 235 | $9,995 | $3,744 | $2,980 |
| Cape Cod HospitalHyannis | 230 | $11,433 | $3,744 | $2,983 |
| South Shore HospitalSouth Weymouth | 223 | $5,886 | $3,704 | $2,941 |
| Southcoast Hospital Group, INCFall River | 220 | $13,028 | $3,744 | $2,983 |
| Umass Memorial Medical Center INCWorcester | 218 | $19,661 | $3,703 | $2,940 |
| Beverly Hospital CorporationBeverly | 190 | $6,394 | $3,705 | $2,951 |
| Union HospitalLynn | 162 | $11,518 | $3,744 | $2,983 |
| Beth Israel Deaconess Hospital - NeedhamNeedham | 162 | $8,641 | $3,744 | $2,983 |
| Newton-Wellesley HospitalNewton Lower Falls | 161 | $12,907 | $3,726 | $2,961 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 157 | $12,900 | $3,725 | $2,962 |
| Berkshire Medical Center INCPittsfield | 135 | $14,301 | $3,909 | $3,109 |
| Beth Israel Deaconess Medical CenterBoston | 120 | $11,796 | $3,719 | $2,957 |
| Milford Regional Medical CenterMilford | 115 | $6,898 | $3,578 | $2,832 |
| Lawrence General HospitalLawrence | 110 | $9,527 | $3,717 | $2,956 |
| Winchester HospitalWinchester | 104 | $7,555 | $3,687 | $2,926 |
| Anna Jaques HospitalNewburyport | 99 | $10,689 | $3,684 | $2,923 |
| Baystate Medical CenterSpringfield | 95 | $8,107 | $3,744 | $2,983 |
| St Vincent HospitalWorcester | 94 | $36,984 | $3,744 | $2,983 |
| Emerson HospitalConcord | 93 | $9,497 | $3,724 | $2,967 |
| Lowell General HospitalLowell | 84 | $10,834 | $3,686 | $2,929 |
| Mercy Medical CenterSpringfield | 82 | $8,856 | $3,744 | $2,981 |
| Sturdy Memorial HospitalAttleboro | 78 | $9,270 | $3,744 | $2,976 |
| Heywood HospitalGardner | 78 | $9,834 | $3,744 | $2,981 |
| Milton HospitalMilton | 78 | $6,014 | $3,744 | $2,980 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 77 | $14,795 | $3,744 | $2,982 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 74 | $10,930 | $3,744 | $2,982 |
| Metrowest Medical CenterFramingham | 62 | $43,068 | $3,744 | $2,983 |
| Boston Medical Center CorporationBoston | 54 | $10,566 | $3,744 | $2,982 |
| Holy Family Hospital, a Caritas Family HospitalMethuen | 51 | $7,606 | $3,575 | $2,814 |
| Falmouth HospitalFalmouth | 51 | $11,692 | $3,744 | $2,983 |
| Holyoke Medical CenterHolyoke | 50 | $13,459 | $3,684 | $2,922 |
| Healthalliance Hospitals, INCLeominster | 46 | $17,824 | $3,744 | $2,981 |
| Melrosewakefield HealthcareMelrose | 46 | $10,463 | $3,744 | $2,979 |
| Mount Auburn HospitalCambridge | 41 | $6,265 | $3,653 | $2,901 |
| Morton Hospital & Medical CenterTaunton | 41 | $8,319 | $3,744 | $2,980 |
| Baystate Franklin Medical CenterGreenfield | 38 | $9,393 | $3,744 | $2,983 |
| Tufts Medical CenterBoston | 36 | $26,145 | $3,744 | $2,983 |
| Brockton HospitalBrockton | 34 | $9,359 | $3,744 | $2,977 |
| Harrington Memorial HospitalSouthbridge | 32 | $15,341 | $3,651 | $2,890 |
| Noble HospitalWestfield | 24 | $9,709 | $3,495 | $2,734 |
| Marlborough HospitalMarlborough | 22 | $14,639 | $3,744 | $2,983 |
| Boston Medical Center-BrightonBrighton | 20 | $8,857 | $3,744 | $2,978 |
| Cambridge Health AllianceCambridge | 15 | $8,344 | $3,744 | $2,983 |
| Carney HospitalDorchester | – | – | – | – |
| Nashoba Valley Medical CenterAyer | – | – | – | – |
| Lemuel Shattuck HospitalBoston | – | – | – | – |
| Children's Hospital BostonBoston | – | – | – | – |
Lowest and highest allowed amounts in Massachusetts
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
| Noble HospitalWestfield, MA | $3,495 |
|---|---|
| Holy Family Hospital, a Caritas Family HospitalMethuen, MA | $3,575 |
| Milford Regional Medical CenterMilford, MA | $3,578 |
| Harrington Memorial HospitalSouthbridge, MA | $3,651 |
| Mount Auburn HospitalCambridge, MA | $3,653 |
Highest
| Berkshire Medical Center INCPittsfield, MA | $3,909 |
|---|---|
| Sturdy Memorial HospitalAttleboro, MA | $3,744 |
| Brockton HospitalBrockton, MA | $3,744 |
| Boston Medical Center-BrightonBrighton, MA | $3,744 |
| Melrosewakefield HealthcareMelrose, MA | $3,744 |
Level 4 Urology and Related Services in other states
Questions
How much does level 4 urology and related services cost in Massachusetts?
In 2024 Medicare data, level 4 urology and related services (APC 5374) at 51 hospitals in Massachusetts was billed at $13,107 on average, while the average medicare-allowed amount was $3,723, of which Medicare paid $2,960. 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 Massachusetts, average charges were 3.5 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.