facebook tracking Level 4 Urology and Related Services cost in Wisconsin: 56 hospitals compared (APC 5374)

Level 4 Urology and Related Services in Wisconsin

What 56 hospitals in Wisconsin 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 $18,315 Hospital list price billed
Average allowed $3,202 Medicare's payment + patient's share
Medicare paid $2,544 Average per service
State rank #27 of 49 1 = lowest average payment

Hospitals in Wisconsin billed an average of $18,315 for level 4 urology and related services, about 5.7 times the average medicare-allowed amount of $3,202. 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 $3,202Billed $18,315

About 17¢ was paid for every $1 hospitals in Wisconsin billed for this service.

Wisconsin hospitals: level 4 urology and related services

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

Hospital Services Avg charge Avg allowed Medicare paid
Aurora St Lukes Medical CenterMilwaukee 239 $22,313 $3,236 $2,568
Luther Hospital Mayo Health SystemEau Claire 220 $11,056 $3,307 $2,635
Froedtert Mem Lutheran HsptlMilwaukee 208 $18,205 $3,233 $2,567
University of Wi Hospitals & Clinics AuthorityMadison 176 $17,579 $3,169 $2,517
St Mary's HospitalMadison 157 $15,515 $3,238 $2,573
Gundersen Luth Med CtrLa Crosse 142 $15,688 $3,211 $2,543
Waukesha Memorial HospitalWaukesha 125 $20,195 $3,156 $2,506
Meriter HsptlMadison 120 $19,261 $3,211 $2,548
Bellin Memorial HsptlGreen Bay 101 $22,684 $3,119 $2,485
Marshfield Medical CenterMarshfield 94 $7,361 $3,341 $2,662
Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee 90 $25,400 $3,251 $2,583
Aurora Baycare Med CtrGreen Bay 90 $20,450 $3,139 $2,496
Mayo Clinic Health System-Franciscan Medical CenterLa Crosse 83 $10,944 $3,284 $2,617
Aurora Med Ctr KenoshaKenosha 82 $26,166 $3,274 $2,607
Ascension SE Wisconsin HospitalMilwaukee 72 $17,910 $3,141 $2,491
St Agnes HsptlFond du Lac 69 $14,542 $3,365 $2,672
Beloit Mem HsptlBeloit 67 $31,418 $3,391 $2,701
Aurora West Allis Medical CenterWest Allis 65 $25,210 $3,051 $2,402
Aspirus Wausau HospitalWausau 61 $16,024 $3,119 $2,485
Aurora Medical CenterSummit 58 $19,079 $3,179 $2,533
Aurora Medical CenterGrafton 58 $23,771 $3,130 $2,484
SSM Health St Mary's Hospital - JanesvilleJanesville 56 $17,018 $3,232 $2,561
Oakleaf Surgical HospitalEau Claire 53 $18,570 $3,133 $2,496
St Vincent HsptlGreen Bay 46 $19,020 $3,016 $2,392
Wheaton Franciscan Healthcare- All SaintsRacine 46 $17,558 $3,238 $2,580
Appleton Med CtrAppleton 45 $14,486 $3,142 $2,503
Ministry St Michaels Hospital of Stevens PointStevens Point 44 $14,238 $3,063 $2,429
Monroe ClinicMonroe 44 $24,281 $3,254 $2,593
St Josephs Com Hsptl West BendWest Bend 42 $24,443 $3,176 $2,530
Marshfield Medical Center - MinocquaMinocqua 41 $12,942 $3,119 $2,485
Thedacare Regional Med Ctr - NeenahNeenah 37 $12,615 $2,985 $2,346
Aurora Sheboygan Mem Med CtrSheboygan 36 $19,908 $3,176 $2,530
St Elizabeth HsptlAppleton 35 $18,932 $3,070 $2,431
Aurora Med Ctr OshkoshOshkosh 35 $15,379 $3,139 $2,500
Marshfield Medical Center - Eau ClaireEau Claire 34 $11,314 $3,133 $2,496
Oconomowoc Mem HsptlOconomowoc 30 $20,368 $3,176 $2,529
Community Mem HsptlMenomonee Falls 29 $26,189 $3,090 $2,443
Sauk Prairie Mem HsptlPrairie du Sac 27 $12,326 $3,179 $2,533
St Nicholas HospitalSheboygan 26 $16,841 $3,076 $2,431
Froedtert SouthKenosha 25 $15,990 $3,279 $2,612
Aurora Lakeland Med CtrElkhorn 24 $22,478 $3,279 $2,612
Mercy Hlth Sys CorpJanesville 22 $31,511 $3,176 $2,530
St Marys Hsptl Med CtrGreen Bay 22 $22,627 $3,022 $2,384
St Clare's Hospital of Weston INCWeston 20 $10,237 $3,119 $2,485
Aurora Memorial Hsptl BurlingtonBurlington 19 $23,652 $3,141 $2,470
St Clare Hsptl Hlth SvcsBaraboo 16 $9,350 $3,179 $2,529
Marshfield Medical Center - Rice LakeRice Lake – – – –
Sacred Heart HospitalEau Claire – – – –
Aspirus Rhinelander HospitalRhinelander – – – –
Aurora Med Ctr Manitowoc CtyTwo Rivers – – – –
Aurora Med Center-Washington CountyHartford – – – –
Fort HealthcareFort Atkinson – – – –
Wheaton Franciscan Healthcare- St FrancisMilwaukee – – – –
Mile Bluff Medical Center, INCMauston – – – –
Bay Area Med CtrMarinette – – – –
UW Hlth Partners - Watertown Regional Medical CtrWatertown – – – –
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Lowest and highest allowed amounts in Wisconsin

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

Highest

Beloit Mem HsptlBeloit, WI$3,391
St Agnes HsptlFond du Lac, WI$3,365
Marshfield Medical CenterMarshfield, WI$3,341
Luther Hospital Mayo Health SystemEau Claire, WI$3,307
Mayo Clinic Health System-Franciscan Medical CenterLa Crosse, WI$3,284

Level 4 Urology and Related Services in other states

Questions

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

In 2024 Medicare data, level 4 urology and related services (APC 5374) at 56 hospitals in Wisconsin was billed at $18,315 on average, while the average medicare-allowed amount was $3,202, of which Medicare paid $2,544. 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 Wisconsin, average charges were 5.7 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.