facebook tracking Level 4 Urology and Related Services cost in North Carolina: 73 hospitals compared (APC 5374)

Level 4 Urology and Related Services in North Carolina

What 73 hospitals in North Carolina 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 $19,056 Hospital list price billed
Average allowed $3,097 Medicare's payment + patient's share
Medicare paid $2,459 Average per service
State rank #18 of 49 1 = lowest average payment

Hospitals in North Carolina billed an average of $19,056 for level 4 urology and related services, about 6.2 times the average medicare-allowed amount of $3,097. That payment is 6% 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 $3,097Billed $19,056

About 16¢ was paid for every $1 hospitals in North Carolina billed for this service.

North Carolina hospitals: level 4 urology and related services

Every North Carolina hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
New Hanover Regional Medical CenterWilmington 360 $15,999 $3,216 $2,555
Carolinas Medical Center/Behav HealthCharlotte 314 $28,439 $3,087 $2,451
Duke University Medical CenterDurham 293 $17,271 $3,075 $2,445
Rex HospitalRaleigh 227 $15,710 $3,095 $2,452
Moses H Cone Memorial Hospital, theGreensboro 206 $13,405 $3,079 $2,442
UNC HospitalsChapel Hill 191 $13,198 $3,122 $2,473
ECU Health Medical CenterGreenville 164 $13,028 $3,034 $2,417
Carolina East Medical CenterNew Bern 153 $14,723 $3,215 $2,555
Firsthealth Moore Regional HospitalPinehurst 146 $20,447 $3,076 $2,444
Wakemed, Cary HospitalCary 146 $26,700 $3,077 $2,437
Medical Park HospitalWinston-Salem 145 $11,667 $3,143 $2,494
Caromont Regional Medical CenterGastonia 129 $19,997 $3,094 $2,455
Forsyth Memorial HospitalWinston-Salem 119 $12,526 $3,156 $2,508
Memorial Mission Hospital and Asheville Surgery CeAsheville 113 $25,549 $3,034 $2,414
Margaret R Pardee Mem HospitalHendersonville 109 $14,113 $3,034 $2,417
Adventhealth HendersonvilleFletcher 106 $17,760 $2,970 $2,352
Wakemed, Raleigh CampusRaleigh 106 $24,589 $3,091 $2,453
Atrium Health PinevilleCharlotte 106 $22,830 $3,109 $2,472
Brunswick Community HospitalSupply 105 $13,120 $3,034 $2,415
North Carolina Baptist HospitalWinston-Salem 100 $33,367 $3,127 $2,481
Iredell Memorial Hospital INCStatesville 92 $25,419 $3,053 $2,417
Presbyterian Hospital HuntersvilleHuntersville 92 $17,813 $3,079 $2,442
High Point Regional Hlth SystHigh Point 87 $14,892 $3,098 $2,468
Lake Norman Regional Medical CenterMooresville 77 $32,662 $3,100 $2,461
Carolinas Medical Center-UnionMonroe 76 $19,280 $3,100 $2,462
Columbus Regional Healthcare SystemWhiteville 71 $21,108 $3,000 $2,383
Carolinas Medical Center-NortheastConcord 69 $22,328 $3,133 $2,494
Catawba Valley Medical CenterHickory 65 $17,526 $3,052 $2,431
Watauga Medical CenterBoone 64 $14,962 $3,224 $2,568
Presbyterian HospitalCharlotte 64 $19,774 $3,133 $2,495
Presbyterian Hospital-MatthewsMatthews 61 $20,136 $3,025 $2,394
Lexington Memorial Hospital INCLexington 59 $25,572 $3,092 $2,445
Rowan Regional Medical CenterSalisbury 55 $19,874 $3,042 $2,403
Cleveland Regional Medical CenterShelby 54 $19,144 $3,100 $2,467
Wayne Memorial HospitalGoldsboro 53 $19,899 $3,499 $2,777
Northern Hospital of Surry CountyMt Airy 47 $8,829 $3,034 $2,417
Nash General HospitalRocky Mount 46 $17,953 $3,083 $2,456
Duke Regional HospitalDurham 46 $17,186 $3,145 $2,505
Carolinas Med Ctr-UniversityCharlotte 46 $20,344 $3,078 $2,441
Highsmith-Rainey Memorial HospFayetteville 44 $8,540 $3,034 $2,414
Duke Health Raleigh HospitalRaleigh 43 $15,460 $3,081 $2,438
Frye Regional Medical CenterHickory 40 $37,599 $2,976 $2,342
Haywood Regional Medical CenterClyde 40 $31,014 $3,034 $2,417
Scotland Memorial HospitalLaurinburg 38 $22,935 $2,970 $2,340
Grace Hospital INCMorganton 35 $22,399 $2,965 $2,348
C J Harris Community HospitalSylva 34 $28,042 $3,034 $2,417
Johnston Memorial HospitalSmithfield 33 $19,301 $3,136 $2,499
Alamance Regional Medical CenterBurlington 32 $15,451 $3,025 $2,376
Carteret General HospitalMorehead City 29 $13,343 $3,254 $2,592
Cape Fear Valley Medical CenterFayetteville 26 $10,970 $3,083 $2,456
Granville Medical CenterOxford 24 $20,651 $3,040 $2,401
Sampson Regional Medical CenterClinton 22 $11,346 $3,034 $2,417
Lenoir Memorial HospitalKinston 21 $11,151 $3,210 $2,532
Wilson Medical CenterWilson 21 $37,320 $3,083 $2,454
Hugh Chatham Memorial HospitalElkin 18 $12,356 $2,949 $2,350
Novant Health Mint Hill Medical CenterCharlotte 17 $21,116 $3,151 $2,511
Caldwell Memorial HospitalLenoir 16 $12,471 $3,034 $2,417
Wilkes Regional Medical CenterNorth Wilkesboro 16 $19,748 $3,034 $2,417
Thomasville Medical CenterThomasville 16 $13,606 $3,178 $2,532
North Carolina Eye & Ear HospDurham 15 $10,002 $3,144 $2,505
Southeastern Regional Medical CenterLumberton 15 $17,063 $3,077 $2,416
Vidant Edgecombe HospitalTarboro 15 $12,585 $3,034 $2,417
Randolph HospitalAsheboro 15 $22,062 $2,795 $2,152
ECU Health North HospitalRoanoke Rapids 14 $16,668 $3,064 $2,404
Maria Parham HospitalHenderson 13 $28,006 $3,034 $2,417
Carolinas Medical Center-LincolnLincolnton 12 $35,189 $3,133 $2,496
Rutherford Hospital INCRutherfordton 11 $32,372 $3,249 $2,584
Central Carolina HospitalSanford – – – –
Onslow Memorial HospitalJacksonville – – – –
McDowell HospitalMarion – – – –
Roanoke Chowan HospitalAhoskie – – – –
Novant Health Ballantyne Medical CenterCharlotte – – – –
Carolinas RehabilitationCharlotte – – – –
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Lowest and highest allowed amounts in North Carolina

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

Randolph HospitalAsheboro, NC$2,795
Hugh Chatham Memorial HospitalElkin, NC$2,949
Grace Hospital INCMorganton, NC$2,965
Scotland Memorial HospitalLaurinburg, NC$2,970
Adventhealth HendersonvilleFletcher, NC$2,970

Highest

Wayne Memorial HospitalGoldsboro, NC$3,499
Carteret General HospitalMorehead City, NC$3,254
Rutherford Hospital INCRutherfordton, NC$3,249
Watauga Medical CenterBoone, NC$3,224
New Hanover Regional Medical CenterWilmington, NC$3,216

Level 4 Urology and Related Services in other states

Questions

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

In 2024 Medicare data, level 4 urology and related services (APC 5374) at 73 hospitals in North Carolina was billed at $19,056 on average, while the average medicare-allowed amount was $3,097, of which Medicare paid $2,459. 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 North Carolina, average charges were 6.2 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.