Level 5 Urology and Related Services in Massachusetts
What 49 hospitals in Massachusetts charged and were paid for level 5 urology and related services (APC 5375), from 2024 Medicare claims.
Average charge
$19,136
Hospital list price billed
Average allowed
$5,532
Medicare's payment + patient's share
Medicare paid
$4,400
Average per service
State rank
#43 of 49
1 = lowest average payment
Hospitals in Massachusetts billed an average of $19,136 for level 5 urology and related services, about 3.5 times the average medicare-allowed amount of $5,532. That payment is 12% above 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 $5,532Billed $19,136
About 29¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 5 urology and related services
Every Massachusetts hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Massachusetts General HospitalBoston | 450 | $29,561 | $5,508 | $4,378 |
| Lahey Clinic HospitalBurlington | 281 | $13,394 | $5,502 | $4,374 |
| Cape Cod HospitalHyannis | 266 | $15,492 | $5,524 | $4,393 |
| Brigham and Women's HosptialBoston | 208 | $41,974 | $5,515 | $4,383 |
| South Shore HospitalSouth Weymouth | 198 | $8,864 | $5,535 | $4,405 |
| Southcoast Hospital Group, INCFall River | 196 | $18,360 | $5,534 | $4,404 |
| Beth Israel Deaconess Medical CenterBoston | 196 | $16,189 | $5,520 | $4,394 |
| Berkshire Medical Center INCPittsfield | 185 | $22,304 | $5,836 | $4,650 |
| Umass Memorial Medical Center INCWorcester | 173 | $26,824 | $5,541 | $4,415 |
| Newton-Wellesley HospitalNewton Lower Falls | 163 | $15,380 | $5,531 | $4,398 |
| Union HospitalLynn | 159 | $15,735 | $5,557 | $4,426 |
| Baystate Medical CenterSpringfield | 159 | $13,335 | $5,557 | $4,428 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 152 | $15,710 | $5,557 | $4,427 |
| Mercy Medical CenterSpringfield | 142 | $13,262 | $5,528 | $4,398 |
| Faulkner HospitalBoston | 132 | $17,557 | $5,524 | $4,394 |
| St Vincent HospitalWorcester | 126 | $56,760 | $5,534 | $4,403 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 124 | $16,551 | $5,548 | $4,413 |
| Winchester HospitalWinchester | 116 | $10,550 | $5,557 | $4,428 |
| Beth Israel Deaconess Hospital - NeedhamNeedham | 105 | $13,083 | $5,557 | $4,427 |
| Melrosewakefield HealthcareMelrose | 87 | $14,469 | $5,557 | $4,428 |
| Lowell General HospitalLowell | 86 | $13,682 | $5,358 | $4,228 |
| Milford Regional Medical CenterMilford | 77 | $11,194 | $5,500 | $4,364 |
| Beverly Hospital CorporationBeverly | 76 | $11,538 | $5,557 | $4,428 |
| Milton HospitalMilton | 73 | $8,112 | $5,557 | $4,428 |
| Emerson HospitalConcord | 63 | $14,397 | $5,487 | $4,357 |
| Metrowest Medical CenterFramingham | 62 | $44,431 | $5,426 | $4,297 |
| Anna Jaques HospitalNewburyport | 61 | $10,721 | $5,412 | $4,282 |
| Sturdy Memorial HospitalAttleboro | 60 | $13,965 | $5,483 | $4,351 |
| Falmouth HospitalFalmouth | 57 | $12,802 | $5,557 | $4,424 |
| Boston Medical Center CorporationBoston | 56 | $17,836 | $5,478 | $4,349 |
| Healthalliance Hospitals, INCLeominster | 49 | $21,043 | $5,468 | $4,337 |
| Holyoke Medical CenterHolyoke | 48 | $16,103 | $5,557 | $4,428 |
| Lawrence General HospitalLawrence | 47 | $10,704 | $5,557 | $4,428 |
| Holy Family Hospital, a Caritas Family HospitalMethuen | 47 | $13,530 | $5,375 | $4,239 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 41 | $11,356 | $5,557 | $4,427 |
| Mount Auburn HospitalCambridge | 40 | $11,043 | $5,488 | $4,362 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 39 | $20,375 | $5,444 | $4,310 |
| Boston Medical Center-BrightonBrighton | 35 | $14,574 | $5,557 | $4,426 |
| Heywood HospitalGardner | 28 | $12,534 | $5,458 | $4,349 |
| Noble HospitalWestfield | 26 | $13,032 | $5,557 | $4,428 |
| Baystate Franklin Medical CenterGreenfield | 24 | $14,727 | $5,557 | $4,428 |
| Morton Hospital & Medical CenterTaunton | 23 | $11,403 | $5,365 | $4,227 |
| Tufts Medical CenterBoston | 19 | $17,180 | $5,557 | $4,412 |
| Cambridge Health AllianceCambridge | 17 | $8,251 | $5,557 | $4,428 |
| Marlborough HospitalMarlborough | 15 | $24,250 | $5,557 | $4,428 |
| Harrington Memorial HospitalSouthbridge | 14 | $14,500 | $5,557 | $4,428 |
| Carney HospitalDorchester | – | – | – | – |
| Brockton HospitalBrockton | – | – | – | – |
| Nashoba Valley Medical CenterAyer | – | – | – | – |
Lowest and highest allowed amounts in Massachusetts
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
| Lowell General HospitalLowell, MA | $5,358 |
|---|---|
| Morton Hospital & Medical CenterTaunton, MA | $5,365 |
| Holy Family Hospital, a Caritas Family HospitalMethuen, MA | $5,375 |
| Anna Jaques HospitalNewburyport, MA | $5,412 |
| Metrowest Medical CenterFramingham, MA | $5,426 |
Highest
| Berkshire Medical Center INCPittsfield, MA | $5,836 |
|---|---|
| Tufts Medical CenterBoston, MA | $5,557 |
| Falmouth HospitalFalmouth, MA | $5,557 |
| Boston Medical Center-BrightonBrighton, MA | $5,557 |
| Union HospitalLynn, MA | $5,557 |
Level 5 Urology and Related Services in other states
Questions
How much does level 5 urology and related services cost in Massachusetts?
In 2024 Medicare data, level 5 urology and related services (APC 5375) at 49 hospitals in Massachusetts was billed at $19,136 on average, while the average medicare-allowed amount was $5,532, of which Medicare paid $4,400. 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 Massachusetts, average charges were 3.5 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.