Level 4 Urology and Related Services in Virginia
What 53 hospitals in Virginia charged and were paid for level 4 urology and related services (APC 5374), from 2024 Medicare claims.
Average charge
$21,889
Hospital list price billed
Average allowed
$3,117
Medicare's payment + patient's share
Medicare paid
$2,475
Average per service
State rank
#19 of 49
1 = lowest average payment
Hospitals in Virginia billed an average of $21,889 for level 4 urology and related services, about 7.0 times the average medicare-allowed amount of $3,117. 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 $3,117Billed $21,889
About 14¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: level 4 urology and related services
Every Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University of Virginia Medical CenterCharlottesville | 344 | $14,388 | $2,985 | $2,368 |
| Inova Fairfax HospitalFalls Church | 259 | $15,541 | $3,241 | $2,576 |
| Augusta HealthFishersville | 246 | $19,204 | $3,337 | $2,651 |
| Sentara Norfolk General HospitalNorfolk | 212 | $22,660 | $3,022 | $2,402 |
| Mary Washington Hospital, INCFredericksburg | 180 | $14,733 | $3,197 | $2,532 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 163 | $19,657 | $3,199 | $2,544 |
| Virginia Hospital Center - ArlingtonArlington | 152 | $14,145 | $3,244 | $2,582 |
| Carilion New River Vly Med CtrChristiansburg | 150 | $28,139 | $2,985 | $2,375 |
| Inova Fair Oaks HospitalFairfax | 148 | $15,324 | $3,251 | $2,587 |
| Winchester Medical Center INCWinchester | 132 | $11,925 | $3,333 | $2,637 |
| Henrico Doctors' HospitalRichmond | 126 | $75,220 | $3,026 | $2,409 |
| Inova Loudoun HospitalLeesburg | 123 | $18,597 | $3,227 | $2,562 |
| Martha Jefferson HospitalCharlottesville | 112 | $10,941 | $2,988 | $2,372 |
| Carilion Medical CenterRoanoke | 106 | $22,473 | $2,965 | $2,352 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 104 | $18,709 | $2,979 | $2,368 |
| Riverside Regional Medical CenterNewport News | 101 | $13,561 | $2,978 | $2,363 |
| Sentara Northern Virginia Medical CenterWoodbridge | 95 | $13,981 | $3,201 | $2,536 |
| Mary Immaculate HospitalNewport News | 92 | $25,542 | $2,959 | $2,350 |
| Sentara Rmh Medical CenterHarrisonburg | 90 | $14,903 | $3,398 | $2,699 |
| Danville Regional Medical CenterDanville | 90 | $28,871 | $3,098 | $2,468 |
| Riverside Walter Reed HospitalGloucester | 75 | $13,336 | $2,874 | $2,264 |
| Medical College of Virginia HospitalsRichmond | 73 | $30,244 | $2,875 | $2,279 |
| Sentara Bayside HospitalVirginia Beach | 72 | $19,098 | $3,000 | $2,383 |
| Inova Alexandria HospitalAlexandria | 71 | $18,994 | $3,269 | $2,605 |
| Sentara Virginia Beach General HospitalVirginia Beach | 71 | $19,276 | $2,999 | $2,383 |
| Southside Regional Medical CenterPetersburg | 67 | $38,845 | $2,997 | $2,378 |
| Riverside Doctors' Hospital of WilliamsburgWilliamsburg | 67 | $11,457 | $2,966 | $2,354 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 58 | $21,607 | $3,157 | $2,501 |
| Cjw Medical CenterRichmond | 54 | $76,334 | $2,913 | $2,303 |
| Twin County Regional HospitalGalax | 51 | $27,639 | $3,164 | $2,511 |
| Reston Hospital CenterReston | 47 | $29,781 | $3,303 | $2,631 |
| Stonesprings Hospital CenterDulles | 44 | $33,450 | $3,210 | $2,545 |
| The Fauquier Hospital, INCWarrenton | 42 | $28,547 | $3,269 | $2,605 |
| Prince William HospitalManassas | 40 | $15,784 | $3,296 | $2,626 |
| Community Memorial Healthcenter, INCSouth Hill | 34 | $16,462 | $3,249 | $2,582 |
| Bon Secours - Maryview Medical CenterPortsmouth | 31 | $27,737 | $3,001 | $2,391 |
| Chesapeake General HospitalChesapeake | 31 | $24,629 | $3,033 | $2,417 |
| Sentara Leigh HospitalNorfolk | 30 | $21,397 | $2,953 | $2,336 |
| Riverside Shore Memorial HospitalNassawadox | 29 | $14,498 | $3,214 | $2,556 |
| Johnston Memorial HospitalAbingdon | 28 | $24,357 | $2,916 | $2,306 |
| UVA Health Haymarket Medical CenterHaymarket | 28 | $21,478 | $3,296 | $2,626 |
| Lewisgale Medical CenterSalem | 25 | $67,690 | $3,001 | $2,386 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 25 | $19,112 | $3,201 | $2,548 |
| Clinch Valley Medical CenterRichlands | 22 | $45,877 | $2,675 | $2,065 |
| Bon Secours - St Francis Medical CenterMidlothian | 14 | $20,901 | $3,031 | $2,415 |
| Stafford Hospital CenterStafford | 14 | $14,170 | $3,083 | $2,419 |
| Culpeper Regional HospitalCulpeper | – | – | – | – |
| Sentara Obici HospitalSuffolk | – | – | – | – |
| Sentara Careplex HospitalHampton | – | – | – | – |
| Montgomery Regional HospitalBlacksburg | – | – | – | – |
| Wythe County Community HospitalWytheville | – | – | – | – |
| Inova Mount Vernon HospitalAlexandria | – | – | – | – |
| Buchanan General HospitalGrundy | – | – | – | – |
Lowest and highest allowed amounts in Virginia
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
| Clinch Valley Medical CenterRichlands, VA | $2,675 |
|---|---|
| Riverside Walter Reed HospitalGloucester, VA | $2,874 |
| Medical College of Virginia HospitalsRichmond, VA | $2,875 |
| Cjw Medical CenterRichmond, VA | $2,913 |
| Johnston Memorial HospitalAbingdon, VA | $2,916 |
Highest
| Sentara Rmh Medical CenterHarrisonburg, VA | $3,398 |
|---|---|
| Augusta HealthFishersville, VA | $3,337 |
| Winchester Medical Center INCWinchester, VA | $3,333 |
| Reston Hospital CenterReston, VA | $3,303 |
| Prince William HospitalManassas, VA | $3,296 |
Level 4 Urology and Related Services in other states
Questions
How much does level 4 urology and related services cost in Virginia?
In 2024 Medicare data, level 4 urology and related services (APC 5374) at 53 hospitals in Virginia was billed at $21,889 on average, while the average medicare-allowed amount was $3,117, of which Medicare paid $2,475. 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 Virginia, average charges were 7.0 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.