Level 5 Urology and Related Services in Idaho
What 14 hospitals in Idaho charged and were paid for level 5 urology and related services (APC 5375), from 2024 Medicare claims.
Average charge
$22,095
Hospital list price billed
Average allowed
$4,710
Medicare's payment + patient's share
Medicare paid
$3,741
Average per service
State rank
#25 of 49
1 = lowest average payment
Hospitals in Idaho billed an average of $22,095 for level 5 urology and related services, about 4.7 times the average medicare-allowed amount of $4,710. That payment is 5% 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 $4,710Billed $22,095
About 21¢ was paid for every $1 hospitals in Idaho billed for this service.
Idaho hospitals: level 5 urology and related services
Every Idaho hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| St Lukes Regional Medical CenterBoise | 235 | $18,701 | $4,611 | $3,664 |
| Mountain View HospitalIdaho Falls | 197 | $16,525 | $4,583 | $3,636 |
| Kootenai Medical CenterCoeur D'alene | 170 | $18,701 | $4,849 | $3,847 |
| St Luke's Nampa Medical CenterNampa | 139 | $18,110 | $4,630 | $3,683 |
| St Lukes Magic Valley RMCTwin Falls | 108 | $16,225 | $4,950 | $3,937 |
| Portneuf Medical CenterPocatello | 76 | $48,579 | $4,935 | $3,921 |
| Treasure Valley HospitalBoise | 66 | $21,302 | $4,656 | $3,710 |
| St Alphonsus Regional Medical CenterBoise | 30 | $26,472 | $5,008 | $3,990 |
| Northwest Specialty HospitalPost Falls | 29 | $14,638 | $4,741 | $3,777 |
| Eastern Idaho Regional Medical CenterIdaho Falls | 20 | $69,280 | $4,285 | $3,339 |
| West Valley Medical CenterCaldwell | 18 | $70,953 | $4,656 | $3,710 |
| Idaho Falls Community Hospital, LLCIdaho Falls | 17 | $19,779 | $4,438 | $3,492 |
| Saint Alphonsus Medical Center - NampaNampa | – | – | – | – |
| Madison Memorial HospitalRexburg | – | – | – | – |
Lowest and highest allowed amounts in Idaho
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
| Eastern Idaho Regional Medical CenterIdaho Falls, ID | $4,285 |
|---|---|
| Idaho Falls Community Hospital, LLCIdaho Falls, ID | $4,438 |
| Mountain View HospitalIdaho Falls, ID | $4,583 |
| St Lukes Regional Medical CenterBoise, ID | $4,611 |
| St Luke's Nampa Medical CenterNampa, ID | $4,630 |
Highest
| St Alphonsus Regional Medical CenterBoise, ID | $5,008 |
|---|---|
| St Lukes Magic Valley RMCTwin Falls, ID | $4,950 |
| Portneuf Medical CenterPocatello, ID | $4,935 |
| Kootenai Medical CenterCoeur D'alene, ID | $4,849 |
| Northwest Specialty HospitalPost Falls, ID | $4,741 |
Level 5 Urology and Related Services in other states
Questions
How much does level 5 urology and related services cost in Idaho?
In 2024 Medicare data, level 5 urology and related services (APC 5375) at 14 hospitals in Idaho was billed at $22,095 on average, while the average medicare-allowed amount was $4,710, of which Medicare paid $3,741. 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 Idaho, average charges were 4.7 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.