Level 5 Urology and Related Services in Missouri
What 50 hospitals in Missouri charged and were paid for level 5 urology and related services (APC 5375), from 2024 Medicare claims.
Average charge
$25,396
Hospital list price billed
Average allowed
$4,506
Medicare's payment + patient's share
Medicare paid
$3,580
Average per service
State rank
#13 of 49
1 = lowest average payment
Hospitals in Missouri billed an average of $25,396 for level 5 urology and related services, about 5.6 times the average medicare-allowed amount of $4,506. 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 $4,506Billed $25,396
About 18¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 5 urology and related services
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Lester E Cox Medical CentersSpringfield | 247 | $27,442 | $4,309 | $3,423 |
| Mercy Hospital SpringfieldSpringfield | 179 | $21,743 | $4,331 | $3,447 |
| Barnes Jewish HospitalSt Louis | 175 | $39,850 | $4,459 | $3,522 |
| St Francis Medical CenterCape Girardeau | 165 | $35,057 | $4,734 | $3,772 |
| St John's Mercy Medical CenterSt Louis | 153 | $23,017 | $4,535 | $3,600 |
| Barnes-Jewish West County HospitalSt Louis | 147 | $27,385 | $4,605 | $3,669 |
| University Hospitals & ClinicsColumbia | 128 | $28,769 | $4,348 | $3,453 |
| Boone Hospital CenterColumbia | 126 | $18,767 | $4,375 | $3,480 |
| Saint Luke's East Lee's Summit HospitalLee's Summit | 126 | $34,774 | $4,462 | $3,543 |
| Nkc HealthNorth Kansas City | 125 | $24,976 | $4,464 | $3,545 |
| Barnes-Jewish St Peters HospitalSt Peters | 115 | $21,971 | $4,511 | $3,574 |
| Mercy Hospital SouthSt Louis | 104 | $16,296 | $4,570 | $3,634 |
| Mosaic Life Care at St JosephSt Joseph | 97 | $15,145 | $4,787 | $3,798 |
| Liberty HospitalLiberty | 95 | $25,746 | $4,519 | $3,599 |
| St Lukes Hospital of Kansas CityKansas City | 92 | $34,029 | $4,519 | $3,600 |
| SSM St Joseph Health CenterSt Charles | 84 | $16,853 | $4,438 | $3,518 |
| Lake Regional Health SystemOsage Beach | 84 | $12,146 | $4,660 | $3,712 |
| St Lukes HospitalChesterfield | 83 | $16,701 | $4,565 | $3,629 |
| Pemiscot Memorial HospitalHayti | 78 | $16,908 | $4,306 | $3,422 |
| Missouri Baptist Medical CenterTown and Country | 78 | $22,868 | $4,477 | $3,554 |
| Mercy Hospital JoplinJoplin | 75 | $19,310 | $4,313 | $3,429 |
| Southeast Missouri HospitalCape Girardeau | 68 | $26,798 | $4,734 | $3,772 |
| SSM St Joseph Hospital WestLake St Louis | 61 | $19,365 | $4,498 | $3,562 |
| Jefferson Memorial HospitalCrystal City | 54 | $18,772 | $4,605 | $3,669 |
| Phelps County Regional Medical CenterRolla | 48 | $28,741 | $4,850 | $3,848 |
| St Marys Health CenterJefferson City | 42 | $26,766 | $4,378 | $3,489 |
| SSM St Joseph Hosp of KirkwoodSt Louis | 41 | $18,980 | $4,523 | $3,604 |
| Hannibal Regional HospitalHannibal | 40 | $40,529 | $4,932 | $3,929 |
| Citizens Memorial HospitalBolivar | 33 | $16,069 | $4,660 | $3,713 |
| Freeman Health System - Freeman WestJoplin | 32 | $29,183 | $4,351 | $3,465 |
| St Johns Mercy HospitalWashington | 31 | $19,443 | $4,487 | $3,551 |
| St Louis University HospitalSt Louis | 29 | $28,492 | $4,399 | $3,473 |
| Moberly Regional Medical CenterMoberly | 28 | $64,623 | $4,422 | $3,469 |
| SSM Depaul Health CenterBridgeton | 26 | $18,917 | $4,384 | $3,465 |
| SSM St Mary's Health CenterSt Louis | 24 | $21,148 | $4,523 | $3,604 |
| Bothwell Regional Health CenterSedalia | 22 | $24,011 | $4,840 | $3,853 |
| St Luke's Des Peres HospitalSaint Louis | 18 | $21,047 | $4,605 | $3,669 |
| Centerpoint Medical CenterIndependence | 14 | $51,286 | $4,519 | $3,597 |
| Saint Luke's Northland HospSmithville | 13 | $40,016 | $4,519 | $3,597 |
| Cox Medical Center BransonBranson | 13 | $26,459 | $4,660 | $3,713 |
| Golden Valley Memorial HospitalClinton | 12 | $17,720 | $4,840 | $3,856 |
| Missouri Delta Medical CenterSikeston | 11 | $16,708 | $5,070 | $4,022 |
| Research Medical CenterKansas City | – | – | – | – |
| Truman Medical Center Hospital HillKansas City | – | – | – | – |
| Cameron Community HospitalCameron | – | – | – | – |
| St Joseph Medical CenterKansas City | – | – | – | – |
| Christian Hospital NortheastSt Louis | – | – | – | – |
| Lee's Summit HospitalLee's Summit | – | – | – | – |
| St Mary's Medical CenterBlue Springs | – | – | – | – |
| Research Belton HospitalBelton | – | – | – | – |
Lowest and highest allowed amounts in Missouri
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
| Pemiscot Memorial HospitalHayti, MO | $4,306 |
|---|---|
| Lester E Cox Medical CentersSpringfield, MO | $4,309 |
| Mercy Hospital JoplinJoplin, MO | $4,313 |
| Mercy Hospital SpringfieldSpringfield, MO | $4,331 |
| University Hospitals & ClinicsColumbia, MO | $4,348 |
Highest
| Missouri Delta Medical CenterSikeston, MO | $5,070 |
|---|---|
| Hannibal Regional HospitalHannibal, MO | $4,932 |
| Phelps County Regional Medical CenterRolla, MO | $4,850 |
| Bothwell Regional Health CenterSedalia, MO | $4,840 |
| Golden Valley Memorial HospitalClinton, MO | $4,840 |
Level 5 Urology and Related Services in other states
Questions
How much does level 5 urology and related services cost in Missouri?
In 2024 Medicare data, level 5 urology and related services (APC 5375) at 50 hospitals in Missouri was billed at $25,396 on average, while the average medicare-allowed amount was $4,506, of which Medicare paid $3,580. 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 Missouri, average charges were 5.6 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.