Level 5 Urology and Related Services in Georgia
What 68 hospitals in Georgia charged and were paid for level 5 urology and related services (APC 5375), from 2024 Medicare claims.
Average charge
$35,371
Hospital list price billed
Average allowed
$4,574
Medicare's payment + patient's share
Medicare paid
$3,629
Average per service
State rank
#15 of 49
1 = lowest average payment
Hospitals in Georgia billed an average of $35,371 for level 5 urology and related services, about 7.7 times the average medicare-allowed amount of $4,574. That payment is 7% below 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 $4,574Billed $35,371
About 13¢ was paid for every $1 hospitals in Georgia billed for this service.
Georgia hospitals: level 5 urology and related services
Every Georgia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Northeast Georgia Medical Center, INCGainesville | 317 | $54,571 | $4,611 | $3,652 |
| Wellstar Kennestone HospitalMarietta | 283 | $38,325 | $4,765 | $3,790 |
| Northside HospitalAtlanta | 217 | $43,771 | $4,103 | $3,260 |
| Piedmont HospitalAtlanta | 214 | $36,732 | $4,703 | $3,724 |
| Candler HospitalSavannah | 209 | $22,858 | $4,252 | $3,361 |
| Piedmont Augusta HospitalAugusta | 201 | $26,415 | $4,361 | $3,470 |
| Northside Hospital ForsythCumming | 193 | $31,660 | $4,668 | $3,695 |
| Northside Hospital CherokeeCanton | 185 | $34,000 | $4,761 | $3,783 |
| Piedmont Fayette HospitalFayetteville | 133 | $39,335 | $4,716 | $3,738 |
| Athens Regional Medical CenterAthens | 128 | $43,227 | $4,513 | $3,576 |
| John D Archbold Memorial HospitalThomasville | 119 | $18,151 | $4,377 | $3,472 |
| St Mary's HospitalAthens | 117 | $31,428 | $4,665 | $3,711 |
| Piedmont Columbus Regional NorthsideColumbus | 109 | $31,979 | $4,293 | $3,401 |
| Emory University Hospital MidtownAtlanta | 104 | $32,409 | $4,741 | $3,765 |
| Floyd Medical CenterRome | 103 | $49,233 | $4,652 | $3,693 |
| Gwinnett Medical CenterLawrenceville | 99 | $39,328 | $4,763 | $3,783 |
| Southeast Georgia Reg Med CtrBrunswick | 96 | $12,828 | $4,631 | $3,661 |
| Gordon HospitalCalhoun | 89 | $50,959 | $4,718 | $3,759 |
| St Francis Hospital, INCColumbus | 88 | $19,942 | $4,374 | $3,485 |
| Emory University HospitalAtlanta | 85 | $24,664 | $4,712 | $3,736 |
| Saint Joseph's Hosp of AtlantaAtlanta | 82 | $22,923 | $4,649 | $3,704 |
| Tanner Medical Center - CarrolltonCarrollton | 74 | $17,053 | $4,750 | $3,774 |
| Wellstar Paulding HospitalDallas | 71 | $32,917 | $4,748 | $3,772 |
| Atrium Health Navicent the Medical CenterMacon | 69 | $27,131 | $4,584 | $3,644 |
| Phoebe Putney Memorial HospitalAlbany | 66 | $29,112 | $4,871 | $3,881 |
| Tift Regional Medical CenterTifton | 60 | $21,660 | $4,375 | $3,474 |
| Medical College of Ga Hospitals and ClinicsAugusta | 57 | $24,796 | $4,195 | $3,305 |
| Redmond Regional Medical CenterRome | 57 | $53,396 | $4,520 | $3,558 |
| West Georgia Medical CenterLagrange | 56 | $37,337 | $4,718 | $3,757 |
| Wellstar Cobb HospitalAustell | 55 | $43,901 | $4,802 | $3,826 |
| Sgmc HealthValdosta | 53 | $26,446 | $4,374 | $3,485 |
| Piedmont Mountainside Hospital INCJasper | 52 | $39,691 | $4,802 | $3,826 |
| Colquitt Reg Medical CenterMoultrie | 51 | $15,888 | $4,496 | $3,551 |
| Piedmont Newnan Hospital, INCNewnan | 51 | $45,323 | $4,802 | $3,826 |
| Hamilton Medical CenterDalton | 50 | $27,088 | $4,492 | $3,533 |
| Emory Decatur HospitalDecatur | 45 | $22,182 | $4,802 | $3,822 |
| North Fulton Regional HospitalRoswell | 44 | $41,487 | $4,802 | $3,826 |
| Rockdale Medical CenterConyers | 43 | $40,566 | $4,802 | $3,823 |
| Houston Medical CenterWarner Robins | 42 | $18,440 | $4,271 | $3,373 |
| Piedmont Macon North HospitalMacon | 42 | $37,182 | $4,274 | $3,371 |
| Cartersville Medical CenterCartersville | 39 | $61,054 | $4,562 | $3,581 |
| Wellstar Douglas HospitalDouglasville | 37 | $37,679 | $4,699 | $3,723 |
| Wayne Memorial HospitalJesup | 36 | $21,622 | $4,684 | $3,732 |
| Doctors HospitalAugusta | 32 | $119,310 | $4,270 | $3,380 |
| Barrow Regional Medical CenterWinder | 31 | $53,152 | $4,679 | $3,698 |
| Southeastern Regional Medical Center, INCNewnan | 29 | $36,411 | $4,802 | $3,826 |
| Coliseum Medical CenterMacon | 27 | $42,993 | $4,442 | $3,539 |
| Emory Johns Creek HospitalJohns Creek | 26 | $20,791 | $4,655 | $3,679 |
| Henry Medical Center, INCStockbridge | 23 | $45,613 | $4,802 | $3,823 |
| East Georgia Regional Medical CenterStatesboro | 22 | $41,926 | $4,684 | $3,732 |
| Grady Memorial HospitalAtlanta | 20 | $77,067 | $4,802 | $3,826 |
| Upson Regional Medical CenterThomaston | 19 | $30,910 | $5,053 | $4,015 |
| Union General HospitalBlairsville | 17 | $18,160 | $4,684 | $3,732 |
| Coffee Regional Medical CenterDouglas | 17 | $17,026 | $4,465 | $3,512 |
| Emory Eastside Medical CenterSnellville | 17 | $49,281 | $4,661 | $3,702 |
| Wellstar Windy Hill HospitalMarietta | 12 | $29,549 | $4,483 | $3,507 |
| St Joseph's Hospital - SavannahSavannah | 11 | $17,448 | $1,749 | $1,394 |
| Fairview Park HospitalDublin | 11 | $61,461 | $4,447 | $3,544 |
| Satilla Regional Medical CenterWaycross | – | – | – | – |
| Tanner Medical Center Villa RicaVilla Rica | – | – | – | – |
| Newton Medical CenterCovington | – | – | – | – |
| Piedmont Columbus Regional MidtownColumbus | – | – | – | – |
| Crisp Regional HospitalCordele | – | – | – | – |
| Meadows Regional Medical Center INCVidalia | – | – | – | – |
| Navicent Health BaldwinMilledgeville | – | – | – | – |
| Southern Regional Medical CenterRiverdale | – | – | – | – |
| Dekalb Medical Center at HillandaleLithonia | – | – | – | – |
| Northside Hospital DuluthDuluth | – | – | – | – |
Lowest and highest allowed amounts in Georgia
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
| St Joseph's Hospital - SavannahSavannah, GA | $1,749 |
|---|---|
| Northside HospitalAtlanta, GA | $4,103 |
| Medical College of Ga Hospitals and ClinicsAugusta, GA | $4,195 |
| Candler HospitalSavannah, GA | $4,252 |
| Doctors HospitalAugusta, GA | $4,270 |
Highest
| Upson Regional Medical CenterThomaston, GA | $5,053 |
|---|---|
| Phoebe Putney Memorial HospitalAlbany, GA | $4,871 |
| Emory Decatur HospitalDecatur, GA | $4,802 |
| Henry Medical Center, INCStockbridge, GA | $4,802 |
| Rockdale Medical CenterConyers, GA | $4,802 |
Level 5 Urology and Related Services in other states
Questions
How much does level 5 urology and related services cost in Georgia?
In 2024 Medicare data, level 5 urology and related services (APC 5375) at 68 hospitals in Georgia was billed at $35,371 on average, while the average medicare-allowed amount was $4,574, of which Medicare paid $3,629. 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 Georgia, average charges were 7.7 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.