facebook tracking Level 4 Urology and Related Services cost in Pennsylvania: 112 hospitals compared (APC 5374)

Level 4 Urology and Related Services in Pennsylvania

What 112 hospitals in Pennsylvania 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 $25,600 Hospital list price billed
Average allowed $3,211 Medicare's payment + patient's share
Medicare paid $2,552 Average per service
State rank #28 of 49 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $25,600 for level 4 urology and related services, about 8.0 times the average medicare-allowed amount of $3,211. That payment is 3% 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 $3,211Billed $25,600

About 13¢ was paid for every $1 hospitals in Pennsylvania billed for this service.

Pennsylvania hospitals: level 4 urology and related services

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

Hospital Services Avg charge Avg allowed Medicare paid
Lehigh Valley HospitalAllentown 375 $21,605 $3,353 $2,658
UPMC Pinnacle HospitalsHarrisburg 321 $16,625 $2,677 $2,130
Thomas Jefferson University HospitalPhiladelphia 310 $23,438 $3,303 $2,627
Hospital of the Univ of PaPhiladelphia 250 $40,116 $3,502 $2,788
Fox Chase Cancer CenterPhiladelphia 227 $41,510 $3,363 $2,675
St Mary Medical CenterLanghorne 202 $17,083 $3,452 $2,746
Geisinger Medical CenterDanville 177 $43,682 $3,086 $2,450
St Luke's Hospital BethlehemBethlehem 172 $39,655 $3,337 $2,645
Temple University HospitalPhiladelphia 167 $52,590 $3,484 $2,773
Milton S Hershey Medical CenterHershey 167 $33,316 $3,281 $2,612
Wilkes-Barre General HospitalWilkes-Barre 153 $40,976 $3,098 $2,465
Geisinger Wyoming Vly Med CtrWilkes-Barre 140 $43,621 $1,979 $1,572
Mount Nittany Medical CenterState College 130 $16,724 $3,461 $2,749
UPMC Presbyterian ShadysidePittsburgh 123 $45,634 $3,094 $2,459
Saint Vincent Health CenterErie 119 $19,592 $3,649 $2,900
Chambersburg HospitalChambersburg 116 $19,661 $3,478 $2,764
Reading Hospital and Med CtrWest Reading 113 $22,481 $3,185 $2,536
Hamot Medical CenterErie 110 $34,646 $3,674 $2,924
St Clair Memorial HospitalPittsburgh 103 $16,386 $3,090 $2,452
Jefferson Health- NortheastPhiladelphia 102 $13,949 $3,353 $2,665
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia 100 $23,665 $3,512 $2,798
Lansdale HospitalLansdale 98 $10,072 $3,270 $2,604
Doylestown HospitalDoylestown 90 $28,026 $3,345 $2,662
Wayne Memorial HospitalHonesdale 88 $13,306 $3,315 $2,633
Williamsport Hospital & Medical CenterWilliamsport 86 $35,722 $3,114 $2,481
Northwest Medical CenterOil City 83 $14,327 $3,035 $2,401
Main Line Hospital Bryn Mawr CampusBryn Mawr 83 $17,697 $3,363 $2,677
Penn State Health Lancaster Medical CenterLancaster 82 $33,108 $3,015 $2,388
Abington Memorial HospitalAbington 81 $14,604 $3,238 $2,571
Washington Hospital, theWashington 77 $15,452 $3,114 $2,481
Uniontown HospitalUniontown 75 $8,399 $3,081 $2,448
Allegheny General HospitalPittsburgh 75 $17,041 $3,114 $2,476
Jefferson Regional Medical CenterClairton 74 $15,043 $3,047 $2,411
Lancaster General HospitalLancaster 71 $20,079 $3,170 $2,510
UPMC PassavantPittsburgh 70 $27,586 $3,114 $2,479
Chester County HospitalWest Chester 69 $20,607 $3,363 $2,680
Chestnut Hill HospitalPhiladelphia 68 $52,559 $3,387 $2,694
Heritage Valley SewickleySewickley 68 $9,810 $3,044 $2,408
Robert Packer HospitalSayre 67 $18,728 $3,202 $2,549
Excela Health Westmoreland Regional HospitalGreensburg 67 $12,861 $3,114 $2,475
Riddle Memorial HospitalMedia 66 $17,004 $3,387 $2,693
Hanover HospitalHanover 66 $23,461 $3,204 $2,535
St Luke's Hospital - Anderson CampusEaston 65 $35,680 $3,152 $2,504
Carlisle Regional Medical CtrCarlisle 62 $24,286 $3,116 $2,469
UPMC HorizonGreenville 59 $25,473 $3,114 $2,477
Main Line Hospital LankenauWynnewood 57 $16,878 $3,363 $2,678
Western Pennsylvania Hosp Forbes Regional CampusMonroeville 56 $15,403 $3,029 $2,390
Penn Presbyterian Medical CenterPhiladelphia 55 $35,241 $3,470 $2,753
Geisinger-Community Medical CenterScranton 52 $41,810 $3,114 $2,481
Gettysburg HospitalGettysburg 52 $26,736 $3,330 $2,632
Good Samaritan HospitalLebanon 51 $21,617 $3,254 $2,582
Holy Redeemer Hosp and Med CtrJenkintown 51 $13,647 $3,238 $2,580
Pocono Medical CenterEast Stroudsburg 51 $20,162 $3,241 $2,547
Latrobe Area HospitalLatrobe 51 $13,179 $3,114 $2,481
Evangelical Community HospitalLewisburg 50 $27,394 $3,114 $2,481
Conemaugh Valley Memorial HospitalJohnstown 49 $17,492 $3,326 $2,650
UPMC MemorialYork 45 $19,184 $1,909 $1,517
UPMC MercyPittsburgh 43 $26,087 $3,066 $2,433
Lehigh Valley Hospital - Dickson CityDickson City 43 $19,337 $3,114 $2,481
Lewistown HospitalLewistown 42 $18,636 $2,738 $2,181
St Joseph Medical CenterReading 42 $30,075 $3,179 $2,532
Altoona Regional Health SystemAltoona 39 $23,355 $3,335 $2,657
UPMC St MargaretPittsburgh 38 $37,074 $3,114 $2,481
Pottstown Memorial Med CenterPottstown 38 $20,940 $3,270 $2,606
Butler Health SystemButler 38 $9,612 $3,114 $2,471
Albert Einstein Medical CenterPhiladelphia 37 $13,047 $3,315 $2,626
Jefferson Einstein Montgomery HospitalEast Norriton 37 $18,548 $3,270 $2,606
Dubois Regional Medical CenterDubois 35 $10,098 $3,187 $2,505
Jameson Memorial HospitalNew Castle 32 $15,612 $3,114 $2,481
York HospitalYork 32 $24,717 $3,281 $2,614
Indiana Regional Medical CenterIndiana 32 $17,188 $3,340 $2,662
Geisinger St. Luke's HospitalOrwigsburg 31 $33,922 $3,212 $2,559
Warren General HospitalWarren 29 $7,044 $3,611 $2,877
Mercy Hospital ScrantonScranton 29 $38,012 $3,114 $2,481
Somerset HospitalSomerset 28 $12,077 $3,335 $2,657
Phoenixville HospitalPhoenixville 28 $24,017 $3,363 $2,680
St Luke's Hospital - Carbon CampusLehighton 28 $47,255 $3,177 $2,531
Penn State Health Hampden Medical CenterEnola 26 $34,271 $3,124 $2,489
UPMC BedfordEverett 25 $11,043 $3,335 $2,657
ACMH HospitalKittanning 25 $11,328 $3,114 $2,478
Magee Womens Hospital of UPMC Health SystemPittsburgh 23 $24,990 $2,951 $2,351
Main Line Hospital PaoliPaoli 23 $18,567 $3,247 $2,559
Mercy Health SystemConshohocken 23 $20,581 $3,387 $2,698
UPMC EastMonroeville 23 $33,770 $3,028 $2,395
Grand View HospitalSellersville 22 $17,494 $3,363 $2,680
St Luke's Miners Memorial HospitalCoaldale 21 $26,506 $3,212 $2,559
Grove City Medical CenterGrove City 21 $11,554 $3,114 $2,481
AHN Wexford HospitalWexford 21 $14,098 $3,114 $2,481
Heritage Valley BeaverBeaver 20 $9,625 $3,114 $2,481
West Penn HospitalPittsburgh 19 $14,829 $3,114 $2,478
St Luke's Hospital - Monroe CampusStroudsburg 19 $34,287 $3,302 $2,629
Meadville Medical CenterMeadville 18 $9,253 $3,335 $2,657
Monongahela Valley HospitalMonongahela 18 $15,618 $2,838 $2,205
Bloomsburg HospitalBloomsburg 16 $19,421 $3,114 $2,481
Schuylkill Medical Center - South Jackson StreetPottsville 16 $25,819 $3,118 $2,484
Allegheny Valley HospitalNatrona Heights 16 $11,302 $3,114 $2,477
Easton HospitalEaston 16 $35,769 $3,348 $2,668
Punxsutawney Area HospitalPunxsutawney 16 $10,442 $3,335 $2,657
Sharon Regional Health SystemSharon 14 $21,788 $3,114 $2,472
Crozer Chester Medical CenterChester 12 $28,491 $3,387 $2,698
Hazleton General HospitalHazleton 12 $25,176 $3,114 $2,481
Holy Spirit HospitalCamp Hill 11 $35,973 $3,156 $2,515
UPMC McKeesportMcKeesport – – – –
St Luke's Quakertown HospitalQuakertown – – – –
Lower Bucks HospitalBristol – – – –
Mercy Suburban HospitalNorristown – – – –
Canonsburg General HospitalCanonsburg – – – –
Highlands HospitalConnellsville – – – –
Millcreek Community HospitalErie – – – –
Nazareth HospitalPhiladelphia – – – –
Ephrata Community HospitalEphrata – – – –
Roxborough Memorial HospitalPhiladelphia – – – –
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Lowest and highest allowed amounts in Pennsylvania

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

UPMC MemorialYork, PA$1,909
Geisinger Wyoming Vly Med CtrWilkes-Barre, PA$1,979
UPMC Pinnacle HospitalsHarrisburg, PA$2,677
Lewistown HospitalLewistown, PA$2,738
Monongahela Valley HospitalMonongahela, PA$2,838

Highest

Level 4 Urology and Related Services in other states

Questions

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

In 2024 Medicare data, level 4 urology and related services (APC 5374) at 112 hospitals in Pennsylvania was billed at $25,600 on average, while the average medicare-allowed amount was $3,211, of which Medicare paid $2,552. 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 Pennsylvania, average charges were 8.0 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.