What 56 hospitals in Wisconsin charged and were paid for level 4 urology and related services (APC 5374), from 2024 Medicare claims.
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.
About 17¢ was paid for every $1 hospitals in Wisconsin billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Thedacare Regional Med Ctr - NeenahNeenah, WI | $2,985 |
|---|---|
| St Vincent HsptlGreen Bay, WI | $3,016 |
| St Marys Hsptl Med CtrGreen Bay, WI | $3,022 |
| Aurora West Allis Medical CenterWest Allis, WI | $3,051 |
| Ministry St Michaels Hospital of Stevens PointStevens Point, WI | $3,063 |
| 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 |
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.
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.