facebook tracking Level 5 Urology and Related Services cost in Iowa: 24 hospitals compared (APC 5375)

Level 5 Urology and Related Services in Iowa

What 24 hospitals in Iowa 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 $21,928 Hospital list price billed
Average allowed $4,530 Medicare's payment + patient's share
Medicare paid $3,603 Average per service
State rank #14 of 49 1 = lowest average payment

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.

Paid $4,530Billed $21,928

About 21¢ was paid for every $1 hospitals in Iowa billed for this service.

Iowa hospitals: level 5 urology and related services

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 – – – –
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Lowest and highest allowed amounts in Iowa

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

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

Highest

Level 5 Urology and Related Services in other states

Questions

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

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.

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 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.