Level 5 Urology and Related Services in Connecticut
What 24 hospitals in Connecticut charged and were paid for level 5 urology and related services (APC 5375), from 2024 Medicare claims.
Average charge
$21,336
Hospital list price billed
Average allowed
$5,723
Medicare's payment + patient's share
Medicare paid
$4,544
Average per service
State rank
#47 of 49
1 = lowest average payment
Hospitals in Connecticut billed an average of $21,336 for level 5 urology and related services, about 3.7 times the average medicare-allowed amount of $5,723. That payment is 16% above the U.S. average 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 $5,723Billed $21,336
About 27¢ was paid for every $1 hospitals in Connecticut billed for this service.
Connecticut hospitals: level 5 urology and related services
Every Connecticut hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Yale-New Haven HospitalNew Haven | 268 | $17,240 | $5,771 | $4,588 |
| Hartford HospitalHartford | 174 | $17,009 | $5,693 | $4,520 |
| Bridgeport HospitalBridgeport | 160 | $20,313 | $5,742 | $4,557 |
| William W Backus HospitalNorwich | 131 | $18,453 | $5,680 | $4,511 |
| Danbury HospitalDanbury | 106 | $29,864 | $5,762 | $4,578 |
| Saint Marys HospitalWaterbury | 98 | $21,501 | $5,772 | $4,598 |
| Stamford HospitalStamford | 95 | $33,738 | $5,779 | $4,594 |
| Lawrence & Memorial HospitalNew London | 85 | $17,095 | $5,684 | $4,518 |
| Greenwich Hospital AssociationGreenwich | 81 | $21,923 | $5,771 | $4,586 |
| St Francis Hospital & Medical CenterHartford | 76 | $31,792 | $5,593 | $4,417 |
| Hospital of Central Connecticut, theNew Britain | 69 | $18,364 | $5,429 | $4,240 |
| St Vincent's Medical CenterBridgeport | 66 | $20,152 | $5,828 | $4,644 |
| Waterbury HospitalWaterbury | 49 | $30,085 | $5,772 | $4,599 |
| John Dempsey HospitalFarmington | 46 | $19,304 | $5,572 | $4,399 |
| Midstate Medical CenterMeriden | 45 | $14,799 | $5,670 | $4,495 |
| Griffin HospitalDerby | 44 | $34,936 | $5,723 | $4,538 |
| Middlesex HospitalMiddletown | 39 | $17,445 | $5,828 | $4,644 |
| Charlotte Hungerford HospitalTorrington | 37 | $12,512 | $5,772 | $4,599 |
| Bristol HospitalBristol | 33 | $19,923 | $5,772 | $4,599 |
| Norwalk HospitalNorwalk | 33 | $23,062 | $5,823 | $4,640 |
| Manchester Memorial HospitalCentral Manchester | 25 | $18,279 | $5,657 | $4,507 |
| Day Kimball HospitalPutnam | – | – | – | – |
| Sharon HospitalSharon | – | – | – | – |
| Windham Comm Mem Hosp & Hatch HospWillimantic | – | – | – | – |
Lowest and highest allowed amounts in Connecticut
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
| Hospital of Central Connecticut, theNew Britain, CT | $5,429 |
|---|---|
| John Dempsey HospitalFarmington, CT | $5,572 |
| St Francis Hospital & Medical CenterHartford, CT | $5,593 |
| Manchester Memorial HospitalCentral Manchester, CT | $5,657 |
| Midstate Medical CenterMeriden, CT | $5,670 |
Highest
| Middlesex HospitalMiddletown, CT | $5,828 |
|---|---|
| St Vincent's Medical CenterBridgeport, CT | $5,828 |
| Norwalk HospitalNorwalk, CT | $5,823 |
| Stamford HospitalStamford, CT | $5,779 |
| Saint Marys HospitalWaterbury, CT | $5,772 |
Level 5 Urology and Related Services in other states
Questions
How much does level 5 urology and related services cost in Connecticut?
In 2024 Medicare data, level 5 urology and related services (APC 5375) at 24 hospitals in Connecticut was billed at $21,336 on average, while the average medicare-allowed amount was $5,723, of which Medicare paid $4,544. 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 Connecticut, average charges were 3.7 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.