What 17 hospitals in Nevada charged and were paid for level 5 urology and related services (APC 5375), from 2024 Medicare claims.
Hospitals in Nevada billed an average of $55,606 for level 5 urology and related services, about 10.1 times the average medicare-allowed amount of $5,496. That payment is 11% 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.
About 10¢ was paid for every $1 hospitals in Nevada billed for this service.
Every Nevada hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Carson Tahoe HospitalCarson City | 139 | $22,798 | $5,524 | $4,394 |
| Southern Hills Hospital and Medical CenterLas Vegas | 98 | $65,121 | $5,490 | $4,364 |
| Summerlin Hospital Medical CenterLas Vegas | 93 | $78,948 | $5,452 | $4,325 |
| Saint Rose Dominican Hospital - San Martin CampusLas Vegas | 88 | $53,521 | $5,442 | $4,315 |
| Sunrise Hospital and Medical CenterLas Vegas | 78 | $73,148 | $5,375 | $4,246 |
| Saint Rose Dominican Hospital - Siena CampusHenderson | 71 | $56,693 | $5,377 | $4,250 |
| Renown Regional Medical CenterReno | 69 | $30,663 | $5,484 | $4,356 |
| Mountainview HospitalLas Vegas | 50 | $61,756 | $5,542 | $4,411 |
| Spring Valley Hospital Medical CenterLas Vegas | 49 | $87,994 | $5,542 | $4,415 |
| Saint Mary's Regional Medical CenterReno | 37 | $30,139 | $5,542 | $4,415 |
| Centennial Hills Hospital Medical CenterLas Vegas | 32 | $85,562 | $5,412 | $4,286 |
| Northern Nevada Medical CenterSparks | 25 | $57,543 | $6,282 | $5,005 |
| Northern Nevada Sierra Medical CenterReno | 23 | $53,737 | $5,542 | $4,415 |
| University Medical CenterLas Vegas | – | – | – | – |
| Valley Hospital Medical CenterLas Vegas | – | – | – | – |
| Renown South Meadows Medical CenterReno | – | – | – | – |
| Henderson HospitalHenderson | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Sunrise Hospital and Medical CenterLas Vegas, NV | $5,375 |
|---|---|
| Saint Rose Dominican Hospital - Siena CampusHenderson, NV | $5,377 |
| Centennial Hills Hospital Medical CenterLas Vegas, NV | $5,412 |
| Saint Rose Dominican Hospital - San Martin CampusLas Vegas, NV | $5,442 |
| Summerlin Hospital Medical CenterLas Vegas, NV | $5,452 |
| Northern Nevada Medical CenterSparks, NV | $6,282 |
|---|---|
| Mountainview HospitalLas Vegas, NV | $5,542 |
| Saint Mary's Regional Medical CenterReno, NV | $5,542 |
| Spring Valley Hospital Medical CenterLas Vegas, NV | $5,542 |
| Northern Nevada Sierra Medical CenterReno, NV | $5,542 |
In 2024 Medicare data, level 5 urology and related services (APC 5375) at 17 hospitals in Nevada was billed at $55,606 on average, while the average medicare-allowed amount was $5,496, of which Medicare paid $4,364. Your own cost depends on your insurance, deductible and the hospital.
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 Nevada, average charges were 10.1 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.