Level 5 Urology and Related Services in North Carolina
What 69 hospitals in North Carolina charged and were paid for level 5 urology and related services (APC 5375), from 2024 Medicare claims.
Average charge
$27,778
Hospital list price billed
Average allowed
$4,595
Medicare's payment + patient's share
Medicare paid
$3,651
Average per service
State rank
#16 of 49
1 = lowest average payment
Hospitals in North Carolina billed an average of $27,778 for level 5 urology and related services, about 6.0 times the average medicare-allowed amount of $4,595. 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 $4,595Billed $27,778
About 17¢ was paid for every $1 hospitals in North Carolina billed for this service.
North Carolina hospitals: level 5 urology and related services
Every North Carolina hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Carolinas Medical Center/Behav HealthCharlotte | 367 | $45,451 | $4,589 | $3,644 |
| New Hanover Regional Medical CenterWilmington | 299 | $22,225 | $4,802 | $3,823 |
| Duke University Medical CenterDurham | 282 | $23,949 | $4,575 | $3,626 |
| UNC HospitalsChapel Hill | 225 | $22,004 | $4,681 | $3,723 |
| Firsthealth Moore Regional HospitalPinehurst | 207 | $23,161 | $4,523 | $3,592 |
| Duke Regional HospitalDurham | 207 | $28,932 | $4,649 | $3,700 |
| ECU Health Medical CenterGreenville | 206 | $19,875 | $4,468 | $3,553 |
| Carolina East Medical CenterNew Bern | 200 | $22,677 | $4,746 | $3,765 |
| Margaret R Pardee Mem HospitalHendersonville | 185 | $20,235 | $4,464 | $3,549 |
| Rex HospitalRaleigh | 175 | $16,753 | $4,637 | $3,688 |
| Moses H Cone Memorial Hospital, theGreensboro | 168 | $22,853 | $4,576 | $3,631 |
| Atrium Health PinevilleCharlotte | 131 | $41,037 | $4,623 | $3,676 |
| Medical Park HospitalWinston-Salem | 131 | $16,811 | $4,661 | $3,698 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 129 | $37,968 | $4,503 | $3,585 |
| Adventhealth HendersonvilleFletcher | 127 | $26,659 | $4,476 | $3,558 |
| Brunswick Community HospitalSupply | 110 | $19,819 | $4,470 | $3,555 |
| Catawba Valley Medical CenterHickory | 105 | $25,187 | $4,539 | $3,609 |
| Caromont Regional Medical CenterGastonia | 99 | $18,732 | $4,576 | $3,630 |
| Presbyterian HospitalCharlotte | 85 | $35,609 | $4,650 | $3,702 |
| Presbyterian Hospital HuntersvilleHuntersville | 85 | $25,329 | $4,606 | $3,661 |
| Wakemed, Raleigh CampusRaleigh | 84 | $30,825 | $4,659 | $3,712 |
| Presbyterian Hospital-MatthewsMatthews | 83 | $28,347 | $4,650 | $3,704 |
| Wakemed, Cary HospitalCary | 83 | $28,495 | $4,569 | $3,619 |
| Carolinas Medical Center-UnionMonroe | 78 | $39,491 | $4,602 | $3,657 |
| Nash General HospitalRocky Mount | 78 | $22,060 | $4,482 | $3,552 |
| Iredell Memorial Hospital INCStatesville | 77 | $41,768 | $4,505 | $3,560 |
| Duke Health Raleigh HospitalRaleigh | 77 | $26,887 | $4,659 | $3,707 |
| Haywood Regional Medical CenterClyde | 77 | $35,080 | $4,503 | $3,586 |
| North Carolina Baptist HospitalWinston-Salem | 75 | $50,827 | $4,569 | $3,606 |
| Lake Norman Regional Medical CenterMooresville | 70 | $38,555 | $4,597 | $3,646 |
| Rowan Regional Medical CenterSalisbury | 68 | $25,937 | $4,541 | $3,595 |
| Carolinas Medical Center-NortheastConcord | 63 | $40,784 | $4,650 | $3,701 |
| Columbus Regional Healthcare SystemWhiteville | 59 | $25,376 | $4,503 | $3,587 |
| High Point Regional Hlth SystHigh Point | 57 | $36,373 | $4,276 | $3,342 |
| Northern Hospital of Surry CountyMt Airy | 56 | $10,670 | $4,439 | $3,522 |
| Cleveland Regional Medical CenterShelby | 55 | $33,024 | $4,534 | $3,599 |
| Alamance Regional Medical CenterBurlington | 54 | $25,689 | $4,655 | $3,695 |
| Forsyth Memorial HospitalWinston-Salem | 51 | $25,474 | $4,569 | $3,610 |
| Watauga Medical CenterBoone | 50 | $24,128 | $4,669 | $3,689 |
| Carolinas Med Ctr-UniversityCharlotte | 50 | $34,692 | $4,649 | $3,704 |
| Wilson Medical CenterWilson | 48 | $51,073 | $4,576 | $3,646 |
| Johnston Memorial HospitalSmithfield | 46 | $26,517 | $4,574 | $3,628 |
| Frye Regional Medical CenterHickory | 45 | $53,984 | $4,601 | $3,666 |
| Highsmith-Rainey Memorial HospFayetteville | 45 | $10,403 | $4,503 | $3,588 |
| Lexington Memorial Hospital INCLexington | 44 | $35,014 | $4,716 | $3,756 |
| C J Harris Community HospitalSylva | 41 | $33,471 | $4,503 | $3,588 |
| Carteret General HospitalMorehead City | 38 | $15,436 | $4,829 | $3,848 |
| Cape Fear Valley Medical CenterFayetteville | 35 | $12,503 | $4,576 | $3,646 |
| Sampson Regional Medical CenterClinton | 34 | $15,939 | $4,397 | $3,482 |
| Lenoir Memorial HospitalKinston | 28 | $14,381 | $4,953 | $3,946 |
| Wayne Memorial HospitalGoldsboro | 27 | $18,775 | $5,272 | $4,201 |
| Scotland Memorial HospitalLaurinburg | 25 | $29,388 | $4,601 | $3,666 |
| Hugh Chatham Memorial HospitalElkin | 24 | $19,249 | $4,503 | $3,580 |
| Granville Medical CenterOxford | 24 | $25,020 | $4,512 | $3,564 |
| Carolinas Medical Center-LincolnLincolnton | 24 | $47,046 | $4,649 | $3,704 |
| Caldwell Memorial HospitalLenoir | 23 | $21,443 | $4,503 | $3,588 |
| Vidant Edgecombe HospitalTarboro | 23 | $21,613 | $4,503 | $3,588 |
| Grace Hospital INCMorganton | 22 | $32,902 | $4,340 | $3,425 |
| Southeastern Regional Medical CenterLumberton | 17 | $23,823 | $4,822 | $3,842 |
| Novant Health Mint Hill Medical CenterCharlotte | 17 | $28,480 | $4,677 | $3,726 |
| Thomasville Medical CenterThomasville | 15 | $21,012 | $4,716 | $3,758 |
| Maria Parham HospitalHenderson | 13 | $35,955 | $4,503 | $3,588 |
| Rutherford Hospital INCRutherfordton | – | – | – | – |
| Central Carolina HospitalSanford | – | – | – | – |
| North Carolina Eye & Ear HospDurham | – | – | – | – |
| Wilkes Regional Medical CenterNorth Wilkesboro | – | – | – | – |
| McDowell HospitalMarion | – | – | – | – |
| Roanoke Chowan HospitalAhoskie | – | – | – | – |
| Randolph HospitalAsheboro | – | – | – | – |
Lowest and highest allowed amounts in North Carolina
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
| High Point Regional Hlth SystHigh Point, NC | $4,276 |
|---|---|
| Grace Hospital INCMorganton, NC | $4,340 |
| Sampson Regional Medical CenterClinton, NC | $4,397 |
| Northern Hospital of Surry CountyMt Airy, NC | $4,439 |
| Margaret R Pardee Mem HospitalHendersonville, NC | $4,464 |
Highest
| Wayne Memorial HospitalGoldsboro, NC | $5,272 |
|---|---|
| Lenoir Memorial HospitalKinston, NC | $4,953 |
| Carteret General HospitalMorehead City, NC | $4,829 |
| Southeastern Regional Medical CenterLumberton, NC | $4,822 |
| New Hanover Regional Medical CenterWilmington, NC | $4,802 |
Level 5 Urology and Related Services in other states
Questions
How much does level 5 urology and related services cost in North Carolina?
In 2024 Medicare data, level 5 urology and related services (APC 5375) at 69 hospitals in North Carolina was billed at $27,778 on average, while the average medicare-allowed amount was $4,595, of which Medicare paid $3,651. 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 North Carolina, average charges were 6.0 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.