facebook tracking Level 5 Urology and Related Services cost in Indiana: 61 hospitals compared (APC 5375)

Level 5 Urology and Related Services in Indiana

What 61 hospitals in Indiana charged and were paid for level 5 urology and related services (APC 5375), from 2024 Medicare claims.

APC 5375 Outpatient 2024 Medicare data
Average charge $32,335 Hospital list price billed
Average allowed $4,665 Medicare's payment + patient's share
Medicare paid $3,707 Average per service
State rank #23 of 49 1 = lowest average payment

Hospitals in Indiana billed an average of $32,335 for level 5 urology and related services, about 6.9 times the average medicare-allowed amount of $4,665. 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 $4,665Billed $32,335

About 14¢ was paid for every $1 hospitals in Indiana billed for this service.

Indiana hospitals: level 5 urology and related services

Every Indiana hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Parkview HospitalFort Wayne 289 $35,602 $4,757 $3,787
Community HospitalMunster 264 $25,452 $4,764 $3,774
Physicians' Medical Center LLCNew Albany 255 $19,382 $4,583 $3,646
Clarian Health PartnersIndianapolis 226 $39,452 $4,698 $3,738
Deaconess Hospital INCEvansville 219 $17,908 $4,612 $3,675
St Vincent Hospital & Health ServicesIndianapolis 162 $43,192 $4,620 $3,675
St Mary's Medical Center of Evansville INCEvansville 145 $36,026 $4,536 $3,596
Indiana University Health North HospitalCarmel 141 $44,815 $4,642 $3,692
Indiana University Health West HospitalAvon 139 $38,801 $4,674 $3,720
Bloomington HospitalBloomington 124 $36,983 $4,674 $3,722
Indiana University Health Arnett HospitalLafayette 99 $33,795 $4,576 $3,635
Reid Hosp & Hlth Care ServicesRichmond 98 $26,720 $4,900 $3,896
Memorial Hospital of South BendSouth Bend 92 $26,604 $4,629 $3,679
St Mary Medical Center INCHobart 84 $24,773 $4,820 $3,831
Clark Memorial HospitalJeffersonville 82 $16,329 $4,567 $3,630
Franciscan St Anthony Health - Michigan CityMichigan City 75 $28,317 $4,563 $3,625
Community Hospital SouthIndianapolis 72 $40,323 $4,663 $3,704
Ball Memorial Hospital INCMuncie 69 $38,339 $4,678 $3,724
Dupont Hospital LLCFort Wayne 61 $69,399 $4,516 $3,559
Columbus Regional HospitalColumbus 60 $23,925 $4,571 $3,601
Franciscan St Anthony Health - Crown PointCrown Point 57 $28,582 $4,679 $3,697
Union Hospital INCTerre Haute 46 $28,303 $4,674 $3,724
St Catherine Hospital INCEast Chicago 41 $29,498 $4,776 $3,783
Henry County Memorial HospitalNew Castle 40 $17,610 $4,674 $3,724
Porter, Valparaiso HospitalValparaiso 39 $55,999 $4,522 $3,583
Franciscan St Margaret Health - DyerDyer 38 $44,631 $4,866 $3,877
Johnson Memorial HospitalFranklin 37 $36,867 $4,674 $3,724
Community Hospital of Anderson and Madison CountyAnderson 37 $29,859 $4,573 $3,623
Hendricks Regional HealthDanville 36 $27,407 $4,570 $3,620
Memorial Hospital and Health Care CenterJasper 34 $18,785 $4,612 $3,675
Floyd Memorial Hospital and Health ServicesNew Albany 33 $34,653 $4,438 $3,495
Terre Haute Regional HospitalTerre Haute 33 $65,801 $4,612 $3,675
IU Health Goshen HospitalGoshen 32 $26,725 $4,659 $3,686
St Joseph Hospital & Health Center INCKokomo 31 $29,190 $4,731 $3,766
Saint Joseph Reg Medical CtrSouth Bend 31 $36,556 $4,778 $3,806
Daviess Community HospitalWashington 31 $16,268 $4,612 $3,675
Elkhart General HospitalElkhart 29 $22,042 $4,778 $3,800
Good Samaritan HospitalVincennes 29 $27,265 $4,612 $3,675
Franciscan Health LafayetteLafayette 28 $57,004 $4,612 $3,675
Saint John's Health SystemAnderson 26 $24,822 $4,674 $3,724
Methodist Hospitals, INCGary 23 $32,768 $4,866 $3,871
Riverview HospitalNoblesville 23 $23,269 $4,512 $3,562
Memorial HospitalLogansport 22 $23,227 $4,940 $3,936
Major HospitalShelbyville 21 $33,615 $4,319 $3,369
Marion General HospitalMarion 20 $32,847 $5,005 $3,988
Howard Regional Health SystemKokomo 19 $32,432 $4,532 $3,571
Witham Health ServicesLebanon 19 $28,071 $4,674 $3,724
Franciscan Health IndianapolisIndianapolis 16 $35,172 $4,715 $3,756
Eskenazi HealthIndianapolis 14 $37,086 $4,674 $3,720
Franciscan Physicians Hospital LLCMunster 14 $32,911 $4,866 $3,877
Schneck Medical CenterSeymour 13 $35,959 $4,715 $3,756
Community Hospital NorthIndianapolis 13 $54,280 $4,674 $3,724
La Porte Regional Health SystLa Porte 11 $60,909 $4,612 $3,675
Lutheran Hospital of IndianaFort Wayne – – – –
Hancock Regional HospitalGreenfield – – – –
Community Hospital EastIndianapolis – – – –
Saint Joseph's Regional Medical Center - PlymouthPlymouth – – – –
St Vincent Carmel Hospital INCCarmel – – – –
Unity Medical and Surgical HospitalMishawaka – – – –
Ascension St Vincent FishersFishers – – – –
Monroe HospitalBloomington – – – –
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Lowest and highest allowed amounts in Indiana

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

Major HospitalShelbyville, IN$4,319
Floyd Memorial Hospital and Health ServicesNew Albany, IN$4,438
Riverview HospitalNoblesville, IN$4,512
Dupont Hospital LLCFort Wayne, IN$4,516
Porter, Valparaiso HospitalValparaiso, IN$4,522

Highest

Level 5 Urology and Related Services in other states

Questions

How much does level 5 urology and related services cost in Indiana?

In 2024 Medicare data, level 5 urology and related services (APC 5375) at 61 hospitals in Indiana was billed at $32,335 on average, while the average medicare-allowed amount was $4,665, of which Medicare paid $3,707. 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 Indiana, average charges were 6.9 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.