What 24 hospitals in Iowa charged and were paid for level 5 urology and related services (APC 5375), from 2024 Medicare claims.
Hospitals in Iowa billed an average of $21,928 for level 5 urology and related services, about 4.8 times the average medicare-allowed amount of $4,530. That payment is 8% 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.
About 21¢ was paid for every $1 hospitals in Iowa billed for this service.
Every Iowa hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University of Iowa Hospital & ClinicsIowa City | 250 | $27,684 | $4,595 | $3,656 |
| Iowa Methodist Medical CenterDes Moines | 225 | $29,979 | $4,428 | $3,525 |
| Mary Greeley Medical CenterAmes | 192 | $18,219 | $4,425 | $3,520 |
| Mercy Medical Center-Des MoinesDes Moines | 186 | $25,925 | $4,351 | $3,447 |
| Mercy Medical Center - Cedar RapidsCedar Rapids | 172 | $14,666 | $4,441 | $3,534 |
| Mercy Medical Center-DubuqueDubuque | 154 | $20,259 | $4,694 | $3,733 |
| St Lukes HospitalCedar Rapids | 146 | $22,522 | $4,438 | $3,529 |
| Mercy Medical Center-North IowaMason City | 124 | $30,204 | $4,983 | $3,963 |
| Spencer Municipal HospitalSpencer | 120 | $14,946 | $4,397 | $3,497 |
| Southeast Iowa Regional Medical CenterWest Burlington | 113 | $12,909 | $4,745 | $3,773 |
| Allen Memorial HospitalWaterloo | 84 | $16,297 | $4,426 | $3,527 |
| Genesis Medical Center-DavenportDavenport | 71 | $15,873 | $4,412 | $3,505 |
| Broadlawns Medical CenterDes Moines | 71 | $16,562 | $4,413 | $3,511 |
| Mercyone Siouxland Medical CenterSioux City | 51 | $17,272 | $4,590 | $3,642 |
| Mercy HospitalIowa City | 42 | $27,637 | $4,618 | $3,679 |
| Jennie Edmundson HospitalCouncil Bluffs | 38 | $18,854 | $4,663 | $3,710 |
| The Finley HospitalDubuque | 37 | $14,723 | $4,374 | $3,475 |
| Mercy Medical Center-ClintonClinton | 29 | $30,589 | $4,740 | $3,777 |
| Trinity Regional Medical CenterFort Dodge | 28 | $15,482 | $4,740 | $3,777 |
| Ottumwa Regional Health CenterOttumwa | 23 | $30,270 | $4,779 | $3,808 |
| St Lukes Regional Medical CenterSioux City | 20 | $17,462 | $4,439 | $3,537 |
| Alegent Health Mercy HospitalCouncil Bluffs | 19 | $46,181 | $4,663 | $3,702 |
| Mercyone Waterloo Medical CenterWaterloo | – | – | – | – |
| Grinnell Regional Medical CenterGrinnell | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Mercy Medical Center-Des MoinesDes Moines, IA | $4,351 |
|---|---|
| The Finley HospitalDubuque, IA | $4,374 |
| Spencer Municipal HospitalSpencer, IA | $4,397 |
| Genesis Medical Center-DavenportDavenport, IA | $4,412 |
| Broadlawns Medical CenterDes Moines, IA | $4,413 |
| Mercy Medical Center-North IowaMason City, IA | $4,983 |
|---|---|
| Ottumwa Regional Health CenterOttumwa, IA | $4,779 |
| Southeast Iowa Regional Medical CenterWest Burlington, IA | $4,745 |
| Trinity Regional Medical CenterFort Dodge, IA | $4,740 |
| Mercy Medical Center-ClintonClinton, IA | $4,740 |
In 2024 Medicare data, level 5 urology and related services (APC 5375) at 24 hospitals in Iowa was billed at $21,928 on average, while the average medicare-allowed amount was $4,530, of which Medicare paid $3,603. Your own cost depends on your insurance, deductible and the hospital.
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 Iowa, average charges were 4.8 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.