facebook tracking Level 5 Urology and Related Services cost in Michigan: 76 hospitals compared (APC 5375)

Level 5 Urology and Related Services in Michigan

What 76 hospitals in Michigan 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 $22,559 Hospital list price billed
Average allowed $4,596 Medicare's payment + patient's share
Medicare paid $3,649 Average per service
State rank #17 of 49 1 = lowest average payment

Hospitals in Michigan billed an average of $22,559 for level 5 urology and related services, about 4.9 times the average medicare-allowed amount of $4,596. That payment is 7% 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 $4,596Billed $22,559

About 20¢ was paid for every $1 hospitals in Michigan billed for this service.

Michigan hospitals: level 5 urology and related services

Every Michigan hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Univ of Michigan HospitalsAnn Arbor 259 $28,701 $4,644 $3,693
William Beaumont HospitalRoyal Oak 239 $26,004 $4,598 $3,658
Munson Medical CenterTraverse City 216 $17,122 $4,761 $3,779
Providence Hospital and Medical CentersSouthfield 172 $22,485 $4,601 $3,659
Spectrum Health - Butterworth CampusGrand Rapids 163 $19,459 $4,466 $3,540
Bay Regional Medical CenterBay City 156 $14,018 $4,581 $3,644
Chelsea Community HospitalChelsea 155 $30,423 $4,798 $3,808
William Beaumont Hospital-TroyTroy 149 $24,448 $4,572 $3,637
Edward W Sparrow HospitalLansing 129 $16,789 $4,480 $3,563
Trinity Health Ann Arbor HospitalAnn Arbor 125 $30,234 $4,702 $3,729
Bronson Methodist HospitalKalamazoo 119 $10,721 $4,465 $3,543
McLaren Greater LansingLansing 114 $14,351 $4,529 $3,588
St Mary Mercy HospitalLivonia 107 $27,234 $4,446 $3,528
Henry Ford Macomb HospitalClinton Twp 106 $17,695 $4,557 $3,631
Covenant Medical Center, INCSaginaw 104 $17,489 $4,541 $3,603
Marquette General Hlth SystemMarquette 90 $33,191 $4,905 $3,898
Allegiance HealthJackson 90 $21,027 $4,592 $3,650
St Joseph Mercy OaklandPontiac 82 $31,114 $4,451 $3,506
Beaumont Hospital - DearbornDearborn 77 $28,207 $4,532 $3,592
Henry Ford Health Warren HospitalWarren 76 $25,157 $4,508 $3,588
Saint Mary's Health CareGrand Rapids 74 $25,406 $4,471 $3,546
Genesys Regional Medical Center - Health ParkGrand Blanc 74 $23,434 $4,861 $3,873
McLaren OaklandPontiac 73 $19,364 $4,508 $3,576
Lakeland Hospital, St JosephSt Joseph 71 $18,684 $4,458 $3,539
Trinity Health Muskegon HospitalMuskegon 70 $27,722 $4,824 $3,826
Northern Michigan Regional HospitalPetoskey 69 $12,732 $4,804 $3,816
Port Huron HospitalPort Huron 69 $13,042 $4,557 $3,628
Henry Ford HospitalDetroit 61 $24,001 $4,273 $3,343
Corewell Health Wayne HospitalWayne 60 $31,029 $4,552 $3,624
Huron Valley-Sinai HospitalCommerce Twp 56 $43,537 $4,564 $3,620
Saint Joseph Mercy Livingston HospitalHowell 55 $26,498 $4,589 $3,628
Henry Ford West Bloomfield HospitalWest Bloomfield Twp 55 $20,352 $4,553 $3,614
Memorial HealthcareOwosso 52 $23,465 $4,392 $3,470
Battle Creek Health SystemBattle Creek 51 $13,550 $4,474 $3,554
St John Hospital and Medical CenterDetroit 51 $29,743 $4,476 $3,537
McLaren Regional Medical CenterFlint 49 $30,444 $4,861 $3,873
Midmichigan Medical Center-MidlandMidland 49 $15,381 $4,780 $3,790
Beaumont Hospital, Grosse PointeGrosse Pointe 48 $26,370 $4,476 $3,551
Holland Community HospitalHolland 45 $19,724 $4,508 $3,592
Mercy Hospital - GraylingGrayling 42 $14,004 $4,828 $3,846
Beaumont Hospital - Farmington HillsFarmington Hls 42 $32,212 $4,620 $3,677
Ascension Providence Rochester HospitalRochester 42 $24,604 $4,612 $3,669
Henry Ford Wyandotte HospitalWyandotte 41 $18,044 $4,620 $3,679
University of Michigan Health - WestWyoming 36 $19,410 $4,262 $3,333
Mymichigan Medical Center SaginawSaginaw 33 $9,907 $4,612 $3,669
Lapeer Regional Medical CenterLapeer 30 $20,740 $4,612 $3,666
Dickinson County Memorial HospitalIron Mountain 29 $19,623 $4,612 $3,646
McLaren MacombMt Clemens 29 $20,874 $4,557 $3,626
Promedica Charles and Virginia Hickman HospitalAdrian 28 $38,935 $4,786 $3,813
Hurley Medical CenterFlint 25 $21,182 $4,560 $3,572
Promedica Monroe Regional HospitalMonroe 23 $17,061 $4,492 $3,553
Corewell Health Trenton HospitalTrenton 23 $26,140 $4,552 $3,618
Oaklawn HospitalMarshall 23 $30,118 $4,514 $3,597
Mymichigan Medical Center AlmaAlma 21 $17,688 $4,530 $3,610
Mercy Hospital - CadillacCadillac 21 $12,417 $4,828 $3,842
Hillsdale Community Health CenterHillsdale 20 $10,445 $4,508 $3,592
Alpena Regional Medical CenterAlpena 17 $12,704 $4,859 $3,871
Beaumont Hospital - TaylorTaylor 16 $26,726 $4,552 $3,627
St Joseph Mercy Port HuronPort Huron 15 $33,476 $4,557 $3,631
Corewell Health Ludington HospitalLudington 15 $16,363 $4,879 $3,887
Trinity Health Grand Haven HospitalGrand Haven 14 $19,592 $4,508 $3,592
Chippewa County War Memorial HospitalSault Sainte Marie 14 $11,734 $4,828 $3,847
Borgess Medical CenterKalamazoo 12 $26,139 $4,508 $3,569
Karmanos Cancer CenterDetroit 11 $11,700 $4,557 $3,631
Insight Hospital and Medical Center ColdwaterColdwater – – – –
Sinai-Grace HospitalDetroit – – – –
Spectrum Health United Memorial - United CampusGreenville – – – –
Central Michigan Community HospitalMt Pleasant – – – –
Corewell Health Big Rapids HospitalBig Rapids – – – –
Harper University HospitalDetroit – – – –
Portage Health HospitalHancock – – – –
Carson City HospitalCarson City – – – –
Garden City HospitalGarden City – – – –
Detroit Receiving Hospital & Univ Health CenterDetroit – – – –
Munson Healthcare Manistee HospitalManistee – – – –
Children's Hospital of MichiganDetroit – – – –
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Lowest and highest allowed amounts in Michigan

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

University of Michigan Health - WestWyoming, MI$4,262
Henry Ford HospitalDetroit, MI$4,273
Memorial HealthcareOwosso, MI$4,392
St Mary Mercy HospitalLivonia, MI$4,446
St Joseph Mercy OaklandPontiac, MI$4,451

Level 5 Urology and Related Services in other states

Questions

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

In 2024 Medicare data, level 5 urology and related services (APC 5375) at 76 hospitals in Michigan was billed at $22,559 on average, while the average medicare-allowed amount was $4,596, of which Medicare paid $3,649. 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 Michigan, average charges were 4.9 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.