Level 5 Urology and Related Services in Maine
What 16 hospitals in Maine charged and were paid for level 5 urology and related services (APC 5375), from 2024 Medicare claims.
Average charge
$21,699
Hospital list price billed
Average allowed
$4,793
Medicare's payment + patient's share
Medicare paid
$3,811
Average per service
State rank
#28 of 49
1 = lowest average payment
Hospitals in Maine billed an average of $21,699 for level 5 urology and related services, about 4.5 times the average medicare-allowed amount of $4,793. That payment is 3% 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 $4,793Billed $21,699
About 22¢ was paid for every $1 hospitals in Maine billed for this service.
Maine hospitals: level 5 urology and related services
Every Maine hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Maine Medical CenterPortland | 192 | $23,714 | $4,842 | $3,853 |
| Mercy HospitalPortland | 91 | $19,956 | $4,819 | $3,829 |
| Maine General Medical CenterWaterville | 79 | $22,281 | $5,080 | $4,046 |
| Eastern Maine Medical CenterBangor | 76 | $13,292 | $4,461 | $3,541 |
| York HospitalYork | 58 | $20,852 | $4,795 | $3,807 |
| Central Maine Medical CenterLewiston | 58 | $20,060 | $4,783 | $3,810 |
| Maine Coast Memorial HospitalEllsworth | 52 | $22,488 | $4,924 | $3,921 |
| Mid Coast HospitalBrunswick | 50 | $23,274 | $4,784 | $3,796 |
| Southern Maine Health CareBiddeford | 34 | $26,043 | $4,748 | $3,760 |
| Penobscot Bay Medical CenterRockport | 27 | $21,579 | $4,755 | $3,789 |
| Franklin Memorial HospitalFarmington | 22 | $20,401 | $4,762 | $3,794 |
| St Marys Regional Medical CenterLewiston | 14 | $40,026 | $4,236 | $3,323 |
| Northern Light a R Gould HospitalPresque Isle | 11 | $23,201 | $4,440 | $3,538 |
| St Joseph HospitalBangor | – | – | – | – |
| Cary Medical CenterCaribou | – | – | – | – |
| Northern Light Inland HospitalWaterville | – | – | – | – |
Lowest and highest allowed amounts in Maine
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
| St Marys Regional Medical CenterLewiston, ME | $4,236 |
|---|---|
| Northern Light a R Gould HospitalPresque Isle, ME | $4,440 |
| Eastern Maine Medical CenterBangor, ME | $4,461 |
| Southern Maine Health CareBiddeford, ME | $4,748 |
| Penobscot Bay Medical CenterRockport, ME | $4,755 |
Highest
| Maine General Medical CenterWaterville, ME | $5,080 |
|---|---|
| Maine Coast Memorial HospitalEllsworth, ME | $4,924 |
| Maine Medical CenterPortland, ME | $4,842 |
| Mercy HospitalPortland, ME | $4,819 |
| York HospitalYork, ME | $4,795 |
Level 5 Urology and Related Services in other states
Questions
How much does level 5 urology and related services cost in Maine?
In 2024 Medicare data, level 5 urology and related services (APC 5375) at 16 hospitals in Maine was billed at $21,699 on average, while the average medicare-allowed amount was $4,793, of which Medicare paid $3,811. 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 Maine, average charges were 4.5 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.