Level 5 Urology and Related Services in Kentucky
What 46 hospitals in Kentucky charged and were paid for level 5 urology and related services (APC 5375), from 2024 Medicare claims.
Average charge
$28,705
Hospital list price billed
Average allowed
$4,489
Medicare's payment + patient's share
Medicare paid
$3,566
Average per service
State rank
#11 of 49
1 = lowest average payment
Hospitals in Kentucky billed an average of $28,705 for level 5 urology and related services, about 6.4 times the average medicare-allowed amount of $4,489. That payment is 9% 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 $4,489Billed $28,705
About 16¢ was paid for every $1 hospitals in Kentucky billed for this service.
Kentucky hospitals: level 5 urology and related services
Every Kentucky hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Norton Healthcare PavilionLouisville | 216 | $22,945 | $4,403 | $3,500 |
| Owensboro Medical Health SystemOwensboro | 172 | $33,386 | $4,743 | $3,769 |
| Hardin Memorial HospitalElizabethtown | 157 | $37,088 | $4,418 | $3,508 |
| Central Baptist HospitalLexington | 139 | $31,346 | $4,455 | $3,543 |
| King's Daughters' Medical CenterAshland | 138 | $22,911 | $4,337 | $3,441 |
| Western Baptist HospitalPaducah | 134 | $44,648 | $4,685 | $3,720 |
| St Elizabeth Med Center-SouthEdgewood | 110 | $22,788 | $4,386 | $3,482 |
| University of Kentucky HospLexington | 104 | $26,533 | $4,412 | $3,499 |
| Baptist Hospital EastLouisville | 73 | $37,553 | $4,458 | $3,552 |
| Greenview Regional HospitalBowling Green | 72 | $35,931 | $4,421 | $3,512 |
| Taylor Regional HospitalCampbellsville | 68 | $16,357 | $4,341 | $3,455 |
| Lake Cumberland Regional HospitalSomerset | 56 | $38,063 | $4,770 | $3,796 |
| Jewish HospitalLouisville | 54 | $28,114 | $4,392 | $3,483 |
| Pikeville Medical CenterPikeville | 50 | $15,799 | $4,700 | $3,744 |
| Ephraim McDowell Regional Medical CenterDanville | 48 | $17,341 | $4,453 | $3,548 |
| University of Louisville HospitalLouisville | 42 | $24,533 | $4,458 | $3,551 |
| The Medical Center at Bowling GreenBowling Green | 41 | $26,560 | $4,384 | $3,475 |
| Lourdes HospitalPaducah | 35 | $27,333 | $4,734 | $3,772 |
| St Claire Regional Medical CenterMorehead | 34 | $22,241 | $4,770 | $3,800 |
| Saint Joseph HospitalLexington | 32 | $19,481 | $4,481 | $3,570 |
| Jennie Stuart Medical CenterHopkinsville | 31 | $18,059 | $4,530 | $3,585 |
| Clark Regional Medical CenterWinchester | 31 | $32,432 | $4,481 | $3,570 |
| Baptist Regional Medical CtrCorbin | 29 | $27,651 | $4,341 | $3,459 |
| St Elizabeth FlorenceFlorence | 28 | $17,693 | $4,372 | $3,457 |
| Deaconess Henderson HospitalHenderson | 28 | $14,892 | $4,428 | $3,502 |
| St Elizabeth Ft ThomasFort Thomas | 26 | $14,241 | $4,362 | $3,445 |
| Baptist Health Deaconess MadisonvilleMadisonville | 25 | $32,925 | $4,787 | $3,814 |
| Baptist Health RichmondRichmond | 24 | $49,401 | $4,316 | $3,403 |
| T J Samson Community HospitalGlasgow | 21 | $18,402 | $4,746 | $3,782 |
| Frankfort Regional Medical CenterFrankfort | 21 | $45,697 | $4,500 | $3,585 |
| Saint Joseph EastLexington | 21 | $19,854 | $4,481 | $3,565 |
| Murray-Calloway County HospitalMurray | 19 | $25,429 | $4,341 | $3,459 |
| Three Rivers Medical CenterLouisa | 17 | $47,251 | $4,213 | $3,268 |
| Highlands Regional Medical CenterPrestonsburg | – | – | – | – |
| Saint Joseph LondonLondon | – | – | – | – |
| Jewish Hospital - ShelbyvilleShelbyville | – | – | – | – |
| Middlesboro Appalachian Regional Healthcare HospitMiddlesboro | – | – | – | – |
| Spring View HospitalLebanon | – | – | – | – |
| Hazard Arh Regional Medical CenterHazard | – | – | – | – |
| Bourbon Community HospitalParis | – | – | – | – |
| Harlan Appalachian Regional Healthcare HospitalHarlan | – | – | – | – |
| Saint Joseph Mount SterlingMt Sterling | – | – | – | – |
| Georgetown Community HospitalGeorgetown | – | – | – | – |
| Rockcastle Reg Hospital & Respiratory Care CtrMt Vernon | – | – | – | – |
| Jackson Purchase Medical CenterMayfield | – | – | – | – |
| Baptist Hospital NortheastLa Grange | – | – | – | – |
Lowest and highest allowed amounts in Kentucky
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
| Three Rivers Medical CenterLouisa, KY | $4,213 |
|---|---|
| Baptist Health RichmondRichmond, KY | $4,316 |
| King's Daughters' Medical CenterAshland, KY | $4,337 |
| Murray-Calloway County HospitalMurray, KY | $4,341 |
| Baptist Regional Medical CtrCorbin, KY | $4,341 |
Highest
| Baptist Health Deaconess MadisonvilleMadisonville, KY | $4,787 |
|---|---|
| Lake Cumberland Regional HospitalSomerset, KY | $4,770 |
| St Claire Regional Medical CenterMorehead, KY | $4,770 |
| T J Samson Community HospitalGlasgow, KY | $4,746 |
| Owensboro Medical Health SystemOwensboro, KY | $4,743 |
Level 5 Urology and Related Services in other states
Questions
How much does level 5 urology and related services cost in Kentucky?
In 2024 Medicare data, level 5 urology and related services (APC 5375) at 46 hospitals in Kentucky was billed at $28,705 on average, while the average medicare-allowed amount was $4,489, of which Medicare paid $3,566. 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 Kentucky, average charges were 6.4 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.