facebook tracking Level 5 Urology and Related Services cost in Oregon: 27 hospitals compared (APC 5375)

Level 5 Urology and Related Services in Oregon

What 27 hospitals in Oregon 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 $25,099 Hospital list price billed
Average allowed $5,559 Medicare's payment + patient's share
Medicare paid $4,411 Average per service
State rank #45 of 49 1 = lowest average payment

Hospitals in Oregon billed an average of $25,099 for level 5 urology and related services, about 4.5 times the average medicare-allowed amount of $5,559. That payment is 13% 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.

Paid $5,559Billed $25,099

About 22¢ was paid for every $1 hospitals in Oregon billed for this service.

Oregon hospitals: level 5 urology and related services

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

Hospital Services Avg charge Avg allowed Medicare paid
St Charles Medical Center - BendBend 187 $28,662 $5,421 $4,308
Providence Medford Medical CenterMedford 180 $20,707 $6,255 $4,972
Rogue Valley Medical CenterMedford 124 $21,289 $6,242 $4,961
Salem HospitalSalem 102 $28,915 $5,574 $4,400
Legacy Meridian Park Medical CenterTualatin 101 $23,744 $5,260 $4,152
Mid-Columbia Medical CenterThe Dalles 92 $20,755 $5,654 $4,483
Sacred Heart Medical Center - RiverbendSpringfield 91 $39,773 $5,288 $4,194
Good Samaritan Regional Medical CenterCorvallis 81 $16,718 $5,266 $4,174
Legacy Good Samaritan Medical CenterPortland 77 $28,261 $5,317 $4,213
Bay Area HospitalCoos Bay 74 $24,823 $5,592 $4,443
OHSU Hospital and ClinicsPortland 70 $26,878 $5,429 $4,326
Legacy Mount Hood Medical CenterGresham 69 $23,540 $5,304 $4,200
Providence Portland Medical CenterPortland 57 $22,705 $5,353 $4,250
Samaritan Albany General HospitalAlbany 56 $14,710 $5,296 $4,200
Ashland Community HospitalAshland 50 $19,332 $5,105 $4,063
Adventist Medical CenterPortland 50 $36,390 $5,429 $4,321
McKenzie-Willamette Medical CenterSpringfield 42 $41,837 $5,178 $4,081
Providence St Vincent Medical CenterPortland 33 $21,589 $5,429 $4,324
Sky Lakes Medical CenterKlamath Falls 25 $20,530 $6,514 $5,142
Providence Willamette Falls Medical CenterOregon City 24 $17,887 $5,429 $4,326
Hillsboro Medical CenterHillsboro 22 $19,426 $5,429 $4,326
Providence Newberg HospitalNewberg 19 $15,859 $5,429 $4,326
Legacy Emanuel Medical CenterPortland 14 $25,609 $5,429 $4,326
Willamette Valley Medical CtrMcMinnville 14 $40,590 $5,120 $4,017
Silverton Hospital NetworkSilverton 12 $30,591 $5,182 $4,124
Kaiser Sunnyside Medical CenterClackamas – – – –
Kaiser Foundation Hospital WestsideHillsboro – – – –
Advertisement

Lowest and highest allowed amounts in Oregon

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

Highest

Sky Lakes Medical CenterKlamath Falls, OR$6,514
Providence Medford Medical CenterMedford, OR$6,255
Rogue Valley Medical CenterMedford, OR$6,242
Mid-Columbia Medical CenterThe Dalles, OR$5,654
Bay Area HospitalCoos Bay, OR$5,592

Level 5 Urology and Related Services in other states

Questions

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

In 2024 Medicare data, level 5 urology and related services (APC 5375) at 27 hospitals in Oregon was billed at $25,099 on average, while the average medicare-allowed amount was $5,559, of which Medicare paid $4,411. 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 Oregon, average charges were 4.5 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.