Level 5 Urology and Related Services
What 2,317 hospitals in the U.S. charged and were paid for level 5 urology and related services (APC 5375), from 2024 Medicare claims.
Average charge
$32,752
Hospital list price billed
Average allowed
$4,934
Medicare's payment + patient's share
Medicare paid
$3,918
Average per service
Volume
151,461
Medicare services
Hospitals in the U.S. billed an average of $32,752 for level 5 urology and related services, about 6.6 times the average medicare-allowed amount of $4,934.
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 $4,934Billed $32,752
About 15¢ was paid for every $1 hospitals in the U.S. billed for this service.
Lowest and highest allowed amounts
Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Southwest General Health CenterMiddleburg Heights, OH | $1,540 |
|---|---|
| Central Vermont Medical CenterGraniteville-East Barre, VT | $1,755 |
| Brattleboro Memorial HospitalBrattleboro, VT | $2,090 |
| Baptist Memorial Hospital HuntingdonHuntingdon, TN | $2,161 |
| UPMC MemorialYork, PA | $2,331 |
| Fletcher Allen Hospital of VermontBurlington, VT | $2,421 |
| Ochsner LSU Health Shreveport-St Mary Medical CentShreveport, LA | $2,549 |
| Marietta Memorial HospitalMarietta, OH | $2,733 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre, PA | $2,903 |
| Rutland Regional Medical CenterRutland, VT | $2,980 |
Highest
| Peninsula Medical CenterBurlingame, CA | $7,396 |
|---|---|
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $7,396 |
| Northbay Medical CenterFairfield, CA | $7,335 |
| California Pacific Medical Ctr-Davies Campus HospSan Francisco, CA | $7,317 |
| Community Hospital of the Monterey PeninsulaMonterey, CA | $7,286 |
| Washington HospitalFremont, CA | $7,286 |
| Sequoia HospitalRedwood City, CA | $7,286 |
| Stanford Health Care Tri-ValleyPleasanton, CA | $7,286 |
| Salinas Valley Memorial HospitalSalinas, CA | $7,286 |
| UCSF Medical CenterSan Francisco, CA | $7,286 |
Level 5 Urology and Related Services cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 38 | $32,927 | $4,224 | $3,459 – $4,738 |
| Alaska | 6 | $31,397 | $5,541 | $5,298 – $5,720 |
| Arizona | 46 | $38,540 | $5,059 | $4,573 – $5,553 |
| Arkansas | 20 | $19,342 | $4,397 | $3,542 – $4,731 |
| California | 213 | $51,258 | $6,600 | $4,208 – $7,396 |
| Colorado | 43 | $36,585 | $4,982 | $4,747 – $5,276 |
| Connecticut | 24 | $21,336 | $5,723 | $5,429 – $5,828 |
| Delaware | 6 | $21,412 | $5,148 | $5,120 – $5,205 |
| Florida | 151 | $51,186 | $4,635 | $3,562 – $5,020 |
| Georgia | 68 | $35,371 | $4,574 | $1,749 – $5,053 |
| Hawaii | 11 | $22,540 | $5,985 | $5,758 – $6,374 |
| Idaho | 14 | $22,095 | $4,710 | $4,285 – $5,008 |
| Illinois | 96 | $33,847 | $4,885 | $4,004 – $5,121 |
| Indiana | 61 | $32,335 | $4,665 | $4,319 – $5,005 |
| Iowa | 24 | $21,928 | $4,530 | $4,351 – $4,983 |
| Kansas | 27 | $29,188 | $4,504 | $4,338 – $4,840 |
| Kentucky | 46 | $28,705 | $4,489 | $4,213 – $4,787 |
| Louisiana | 51 | $27,101 | $4,232 | $2,549 – $4,607 |
| Maine | 16 | $21,699 | $4,793 | $4,236 – $5,080 |
| Massachusetts | 49 | $19,136 | $5,532 | $5,358 – $5,836 |
| Michigan | 76 | $22,559 | $4,596 | $4,262 – $4,905 |
| Minnesota | 39 | $21,681 | $5,067 | $4,369 – $5,302 |
| Mississippi | 28 | $24,554 | $4,314 | $3,853 – $4,640 |
| Missouri | 50 | $25,396 | $4,506 | $4,306 – $5,070 |
| Montana | 10 | $18,712 | $4,844 | $4,496 – $5,196 |
| Nebraska | 20 | $25,424 | $4,663 | $4,458 – $5,023 |
| Nevada | 17 | $55,606 | $5,496 | $5,375 – $6,282 |
| New Hampshire | 12 | $28,668 | $5,033 | $4,856 – $5,286 |
| New Jersey | 57 | $29,472 | $5,525 | $4,886 – $5,888 |
| New Mexico | 15 | $36,964 | $4,701 | $4,476 – $5,198 |
| New York | 120 | $28,456 | $5,666 | $4,510 – $5,888 |
| North Carolina | 69 | $27,778 | $4,595 | $4,276 – $5,272 |
| North Dakota | 6 | $20,263 | $4,911 | $4,851 – $5,196 |
| Ohio | 104 | $26,955 | $4,332 | $1,540 – $4,974 |
| Oklahoma | 39 | $32,577 | $4,391 | $4,286 – $4,805 |
| Oregon | 27 | $25,099 | $5,559 | $5,105 – $6,514 |
| Pennsylvania | 109 | $36,338 | $4,765 | $2,331 – $5,454 |
| Rhode Island | 7 | $14,245 | $5,229 | $5,179 – $5,251 |
| South Carolina | 39 | $38,829 | $4,411 | $3,370 – $4,825 |
| South Dakota | 11 | $21,925 | $4,936 | $4,757 – $5,196 |
| Tennessee | 54 | $26,248 | $4,142 | $2,161 – $4,746 |
| Texas | 187 | $38,246 | $4,599 | $3,945 – $4,987 |
| Utah | 25 | $26,329 | $4,654 | $4,488 – $4,964 |
| Vermont | 6 | $18,115 | $2,441 | $1,755 – $2,980 |
| Virginia | 54 | $33,096 | $4,633 | $4,263 – $5,062 |
| Washington | 43 | $32,202 | $5,292 | $4,863 – $5,753 |
| West Virginia | 17 | $26,435 | $4,392 | $4,190 – $4,761 |
| Wisconsin | 52 | $25,439 | $4,756 | $4,251 – $5,053 |
| Wyoming | 9 | $23,572 | $5,142 | $5,082 – $5,196 |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester, MN | 889 | $24,034 | $5,302 |
| NYU Hospitals CenterNew York, NY | 747 | $59,145 | $5,785 |
| Mayo Clinic HospitalPhoenix, AZ | 686 | $28,334 | $4,987 |
| Mem Sloan-Kettering Cancer CtrNew York, NY | 634 | $30,601 | $5,836 |
| New York-Presbyterian HospitalNew York, NY | 615 | $23,838 | $5,845 |
| Lexington Medical CenterWest Columbia, SC | 591 | $34,419 | $4,413 |
| Mayo ClinicJacksonville, FL | 544 | $28,473 | $4,612 |
| Northwestern Memorial HospitalChicago, IL | 527 | $47,650 | $5,017 |
| UCSF Medical CenterSan Francisco, CA | 469 | $64,659 | $7,286 |
| Massachusetts General HospitalBoston, MA | 450 | $29,561 | $5,508 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 430 | $94,687 | $6,303 |
| Univ of Tx M D Anderson CtrHouston, TX | 422 | $25,183 | $4,774 |
| El Camino HospitalMountain View, CA | 421 | $66,435 | $7,245 |
| Lehigh Valley HospitalAllentown, PA | 413 | $34,071 | $5,018 |
| Vanderbilt University HospitalNashville, TN | 409 | $36,095 | $3,006 |
Questions
How much does level 5 urology and related services cost in the U.S.?
In 2024 Medicare data, level 5 urology and related services (APC 5375) at 2,317 hospitals in the U.S. was billed at $32,752 on average, while the average medicare-allowed amount was $4,934, of which Medicare paid $3,918. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 5 urology and related services?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($6,600), Hawaii ($5,985), Connecticut ($5,723) and lowest in Vermont ($2,441), Tennessee ($4,142), Alabama ($4,224).
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 the U.S., average charges were 6.6 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.