facebook tracking Level 5 Urology and Related Services cost in Ohio: 104 hospitals compared (APC 5375)

Level 5 Urology and Related Services in Ohio

What 104 hospitals in Ohio 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 $26,955 Hospital list price billed
Average allowed $4,332 Medicare's payment + patient's share
Medicare paid $3,430 Average per service
State rank #6 of 49 1 = lowest average payment

Hospitals in Ohio billed an average of $26,955 for level 5 urology and related services, about 6.2 times the average medicare-allowed amount of $4,332. That payment is 12% 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 $4,332Billed $26,955

About 16¢ was paid for every $1 hospitals in Ohio billed for this service.

Ohio hospitals: level 5 urology and related services

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

Hospital Services Avg charge Avg allowed Medicare paid
Cleveland Clinic - Main CampusCleveland 336 $25,731 $4,375 $3,476
Miami Valley HospitalDayton 262 $37,532 $4,502 $3,580
Mercy St Vincent Medical CenterToledo 218 $39,963 $4,604 $3,660
Lake Health Beachwood Medical CenterBeachwood 206 $23,308 $4,366 $3,468
Toledo Hospital theToledo 199 $39,003 $4,546 $3,606
Hillcrest HospitalCleveland 192 $19,938 $4,344 $3,444
Christ HospitalCincinnati 188 $18,348 $4,442 $3,531
Marietta Memorial HospitalMarietta 187 $24,956 $2,733 $1,838
St Rita's Medical CenterLima 177 $37,421 $4,365 $3,461
University Hospitals Ahuja Medical CenterBeachwood 170 $24,974 $4,336 $3,439
Surgical Hospital at SouthwoodsYoungstown 156 $16,852 $4,380 $3,484
Cleveland Clinic - Akron GeneralAkron 152 $19,087 $4,403 $3,508
Southwest General Health CenterMiddleburg Heights 152 $6,250 $1,540 $1,226
Arthur G James Cancer HospitalColumbus 151 $28,943 $4,603 $3,657
Ohio State University HospitalsColumbus 138 $34,031 $4,623 $3,678
Fairview HospitalCleveland 120 $19,728 $4,359 $3,460
Summa Health System - Akron CampusAkron 118 $24,949 $4,286 $3,389
Adena Regional Medical CenterChillicothe 116 $36,704 $4,498 $3,576
South Pointe HospitalWarrensville Heights 108 $35,007 $4,385 $3,487
Cleveland Clinic Avon HospitalAvon 104 $18,769 $4,288 $3,390
Riverside Methodist HospitalColumbus 99 $33,556 $4,515 $3,575
Dublin Methodist HospitalDublin 93 $34,130 $4,627 $3,687
Genesis Healthcare SystemZanesville 85 $15,850 $4,770 $3,791
Memorial Hospital of Union CountyMarysville 80 $35,061 $4,581 $3,641
Ohiohealth Mansfield HospitalMansfield 79 $31,218 $4,484 $3,555
Grant Medical CenterColumbus 78 $35,134 $4,534 $3,587
University Hospital, INCCincinnati 76 $53,389 $4,428 $3,513
Mount Carmel St Ann's HospitalWesterville 75 $37,033 $4,579 $3,637
Mercy Medical CenterCanton 74 $18,764 $4,308 $3,412
Soin Medical CenterBeaver Creek 74 $37,608 $4,544 $3,595
Mount Carmel HealthColumbus 73 $38,787 $4,526 $3,586
Mercy Hospital of TiffinTiffin 72 $22,373 $4,426 $3,526
Upper Valley Medical CenterTroy 64 $21,625 $4,315 $3,411
Aultman HospitalCanton 63 $21,077 $4,403 $3,508
St John Medical CenterWestlake 63 $23,252 $4,270 $3,380
Trinity Medical Ctr East&Trinity Medical Ctr WestSteubenville 60 $16,974 $4,231 $3,332
Wooster Community HospitalWooster 59 $11,766 $4,370 $3,467
Southeastern Ohio Regional Medical CenterCambridge 58 $13,801 $4,716 $3,757
St Elizabeth Boardman Health CenterYoungstown 58 $23,494 $4,342 $3,448
Wood County HospitalBowling Green 57 $16,543 $4,354 $3,452
Blanchard Valley Health AssnFindlay 57 $20,652 $4,415 $3,518
Licking Memorial HospitalNewark 57 $22,811 $4,563 $3,622
Doctors HospitalColumbus 51 $36,294 $4,517 $3,582
University Hospitals of ClevelandCleveland 50 $26,597 $4,417 $3,519
Southern Ohio Medical CenterPortsmouth 47 $23,051 $4,556 $3,597
Mercy Hospital ClermontBatavia 46 $26,820 $4,500 $3,577
Lima Memorial Health SystemLima 44 $41,249 $4,447 $3,527
Marion General HospitalMarion 44 $34,038 $4,529 $3,607
Grady Memorial HospitalDelaware 44 $38,152 $4,543 $3,603
Bellevue HospitalBellevue 43 $25,962 $4,413 $3,515
Salem Community HospitalSalem 42 $14,179 $4,319 $3,425
Fairfield Medical CenterLancaster 41 $27,473 $4,627 $3,685
University Hospitals - Elyria Medical CenterElyria 40 $23,676 $4,329 $3,431
West Chester Medical CenterWest Chester 40 $37,023 $4,500 $3,581
UH Regional HospitalsRichmond Heights 38 $23,389 $4,417 $3,519
Marymount HospitalGarfield Heights 38 $21,537 $4,417 $3,519
Fisher Titus Memorial HospitalNorwalk 37 $18,276 $4,354 $3,469
Good Samaritan HospitalCincinnati 37 $22,042 $4,306 $3,391
Bethesda North HospitalCincinnati 37 $21,692 $4,500 $3,585
Union HospitalDover 36 $21,198 $4,403 $3,508
Metrohealth SystemCleveland 35 $24,263 $3,109 $2,206
University of Toledo Medical CenterToledo 34 $27,837 $4,524 $3,599
Wilson Memorial HospitalSidney 32 $25,414 $4,644 $3,699
Firelands Community HospitalSandusky 32 $19,854 $4,403 $3,514
Mercer County Joint Township Community HospitalColdwater 32 $15,531 $4,403 $3,508
Atrium Medical CenterMiddletown 32 $27,270 $4,491 $3,576
Medina HospitalMedina 31 $24,543 $4,417 $3,519
Jewish Hospital, LLCCincinnati 29 $38,280 $4,500 $3,585
Parma Community General HospitalParma 29 $22,583 $4,417 $3,517
Samaritan Hospital - Peoples HospitalAshland 28 $17,219 $4,403 $3,508
Summa Western Reserve HospitalCuyahoga Falls 28 $30,136 $4,403 $3,508
Ohio Valley Medical Center, LLCSpringfield 28 $15,501 $4,644 $3,698
Memorial HospitalFremont 26 $17,185 $3,874 $2,977
Mercy Franciscan Hospital - Mt AiryCincinnati 26 $31,953 $4,500 $3,585
Mercy Hospital FairfieldFairfield 24 $37,844 $4,500 $3,585
St Elizabeth Health CenterYoungstown 24 $23,762 $4,403 $3,507
Mercy Hospital AndersonCincinnati 23 $32,732 $4,500 $3,566
O'bleness Memorial HospitalAthens 23 $38,322 $4,851 $3,864
Trihealth Clinton Regional HospitalWilmington 23 $18,855 $4,403 $3,508
Kettering Medical CenterKettering 22 $39,258 $4,644 $3,700
Alliance Community HospitalAlliance 21 $17,240 $4,403 $3,508
Holzer Medical CenterGallipolis 20 $23,688 $4,228 $3,323
University Hospitals Portage Medical CenterRavenna 20 $18,856 $4,403 $3,508
Avita OntarioOntario 20 $21,076 $4,500 $3,585
Van Wert County HospitalVan Wert 19 $14,309 $4,624 $3,683
Springfield Regional Medical CenterSpringfield 18 $19,197 $4,607 $3,670
Kettering Health DaytonDayton 18 $46,415 $4,529 $3,603
Berger HospitalCircleville 18 $22,353 $4,627 $3,677
Kings Daughters Medical Center OhioPortsmouth 18 $15,087 $4,242 $3,347
Mary Rutan HospitalBellefontaine 17 $35,207 $4,974 $3,963
Mercy Hospital of DefianceDefiance 17 $18,359 $4,624 $3,684
Kettering Health TroyTroy 17 $29,453 $4,425 $3,526
Grand Lake Health SystemSt Marys 16 $17,258 $4,425 $3,526
Knox Community HospitalMt Vernon 16 $14,579 $4,796 $3,821
Lake Hospital SystemPainesville 14 $21,895 $4,417 $3,519
Bay Park Community HospitalOregon 13 $35,739 $4,416 $3,504
Fort Hamilton Hughes Memorial HospitalHamilton 12 $44,684 $4,500 $3,575
Kettering Medical Center - SycamoreMiamisburg 12 $37,062 $4,644 $3,700
Coshocton County Memorial HospitalCoshocton 11 $15,070 $4,716 $3,757
Trumbull Memorial HospitalWarren – – – –
Ashtabula County Medical CenterAshtabula – – – –
St Joseph Health CenterWarren – – – –
Mercy Regional Medical CenterLorain – – – –
Mercy Health Kings Mills Hospital LLCMason – – – –
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Lowest and highest allowed amounts in Ohio

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

Southwest General Health CenterMiddleburg Heights, OH$1,540
Marietta Memorial HospitalMarietta, OH$2,733
Metrohealth SystemCleveland, OH$3,109
Memorial HospitalFremont, OH$3,874
Holzer Medical CenterGallipolis, OH$4,228

Highest

Mary Rutan HospitalBellefontaine, OH$4,974
O'bleness Memorial HospitalAthens, OH$4,851
Knox Community HospitalMt Vernon, OH$4,796
Genesis Healthcare SystemZanesville, OH$4,770
Coshocton County Memorial HospitalCoshocton, OH$4,716

Level 5 Urology and Related Services in other states

Questions

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

In 2024 Medicare data, level 5 urology and related services (APC 5375) at 104 hospitals in Ohio was billed at $26,955 on average, while the average medicare-allowed amount was $4,332, of which Medicare paid $3,430. 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 Ohio, average charges were 6.2 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.