Level 4 Urology and Related Services in West Virginia
What 18 hospitals in West Virginia charged and were paid for level 4 urology and related services (APC 5374), from 2024 Medicare claims.
Average charge
$17,378
Hospital list price billed
Average allowed
$2,948
Medicare's payment + patient's share
Medicare paid
$2,334
Average per service
State rank
#7 of 49
1 = lowest average payment
Hospitals in West Virginia billed an average of $17,378 for level 4 urology and related services, about 5.9 times the average medicare-allowed amount of $2,948. That payment is 11% 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 $2,948Billed $17,378
About 17¢ was paid for every $1 hospitals in West Virginia billed for this service.
West Virginia hospitals: level 4 urology and related services
Every West 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 |
|---|---|---|---|---|
| West Virginia University HospitalsMorgantown | 224 | $13,129 | $2,845 | $2,252 |
| Charleston Area Medical CenterCharleston | 208 | $17,354 | $2,913 | $2,302 |
| Weirton Medical CenterWeirton | 154 | $17,719 | $2,917 | $2,322 |
| United Hospital CenterBridgeport | 152 | $12,152 | $3,297 | $2,620 |
| Mon Health Medical CenterMorgantown | 133 | $16,958 | $2,924 | $2,319 |
| Cabell-Huntington Hospital INCHuntington | 102 | $23,354 | $2,809 | $2,203 |
| St Mary's Medical CenterHuntington | 88 | $23,660 | $2,970 | $2,365 |
| Camden Clark Memorial HospitalParkersburg | 88 | $13,484 | $2,928 | $2,328 |
| Greenbrier Valley Medical CenterRonceverte | 73 | $18,702 | $3,145 | $2,499 |
| Berkeley Medical CenterMartinsburg | 68 | $12,743 | $3,015 | $2,360 |
| Wheeling HospitalWheeling | 65 | $22,924 | $2,881 | $2,287 |
| Thomas Memorial HospitalSouth Charleston | 47 | $22,070 | $2,955 | $2,355 |
| Raleigh General HospitalBeckley | 44 | $27,564 | $2,750 | $2,148 |
| Princeton Community HospitalPrinceton | 33 | $18,518 | $2,746 | $2,108 |
| Reynolds Memorial HospitalGlen Dale | 14 | $18,141 | $2,848 | $2,269 |
| Logan Regional Medical CenterLogan | 13 | $23,161 | $3,051 | $2,431 |
| Rivers HealthPoint Pleasant | – | – | – | – |
| Davis Memorial HospitalElkins | – | – | – | – |
Lowest and highest allowed amounts in West 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
| Princeton Community HospitalPrinceton, WV | $2,746 |
|---|---|
| Raleigh General HospitalBeckley, WV | $2,750 |
| Cabell-Huntington Hospital INCHuntington, WV | $2,809 |
| West Virginia University HospitalsMorgantown, WV | $2,845 |
| Reynolds Memorial HospitalGlen Dale, WV | $2,848 |
Highest
| United Hospital CenterBridgeport, WV | $3,297 |
|---|---|
| Greenbrier Valley Medical CenterRonceverte, WV | $3,145 |
| Logan Regional Medical CenterLogan, WV | $3,051 |
| Berkeley Medical CenterMartinsburg, WV | $3,015 |
| St Mary's Medical CenterHuntington, WV | $2,970 |
Level 4 Urology and Related Services in other states
Questions
How much does level 4 urology and related services cost in West Virginia?
In 2024 Medicare data, level 4 urology and related services (APC 5374) at 18 hospitals in West Virginia was billed at $17,378 on average, while the average medicare-allowed amount was $2,948, of which Medicare paid $2,334. 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 West Virginia, average charges were 5.9 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.