Level 5 Urology and Related Services in Pennsylvania
What 109 hospitals in Pennsylvania charged and were paid for level 5 urology and related services (APC 5375), from 2024 Medicare claims.
Average charge
$36,338
Hospital list price billed
Average allowed
$4,765
Medicare's payment + patient's share
Medicare paid
$3,788
Average per service
State rank
#27 of 49
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $36,338 for level 5 urology and related services, about 7.6 times the average medicare-allowed amount of $4,765. That payment is 3% 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 $4,765Billed $36,338
About 13¢ was paid for every $1 hospitals in Pennsylvania billed for this service.
Pennsylvania hospitals: level 5 urology and related services
Every Pennsylvania hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Lehigh Valley HospitalAllentown | 413 | $34,071 | $5,018 | $3,988 |
| Thomas Jefferson University HospitalPhiladelphia | 291 | $39,428 | $4,529 | $3,604 |
| St Luke's Hospital BethlehemBethlehem | 261 | $55,966 | $4,970 | $3,942 |
| St Mary Medical CenterLanghorne | 231 | $24,085 | $5,143 | $4,095 |
| Temple University HospitalPhiladelphia | 225 | $74,465 | $5,197 | $4,136 |
| Fox Chase Cancer CenterPhiladelphia | 174 | $48,503 | $5,013 | $3,994 |
| Penn State Health Lancaster Medical CenterLancaster | 171 | $44,124 | $4,502 | $3,573 |
| Hospital of the Univ of PaPhiladelphia | 164 | $56,991 | $5,213 | $4,153 |
| UPMC Pinnacle HospitalsHarrisburg | 162 | $19,334 | $3,963 | $3,151 |
| Chambersburg HospitalChambersburg | 157 | $25,766 | $5,163 | $4,107 |
| Mount Nittany Medical CenterState College | 156 | $23,745 | $5,195 | $4,134 |
| Geisinger Medical CenterDanville | 143 | $70,650 | $4,590 | $3,657 |
| Reading Hospital and Med CtrWest Reading | 143 | $29,301 | $4,675 | $3,713 |
| Doylestown HospitalDoylestown | 130 | $31,471 | $4,962 | $3,946 |
| Jefferson Health- NortheastPhiladelphia | 126 | $22,007 | $5,016 | $3,995 |
| St Clair Memorial HospitalPittsburgh | 121 | $20,282 | $4,622 | $3,679 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 121 | $57,548 | $2,903 | $2,311 |
| Milton S Hershey Medical CenterHershey | 112 | $48,988 | $4,767 | $3,771 |
| Williamsport Hospital & Medical CenterWilliamsport | 107 | $50,165 | $4,622 | $3,682 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 105 | $23,060 | $4,992 | $3,977 |
| Riddle Memorial HospitalMedia | 103 | $19,852 | $4,964 | $3,944 |
| York HospitalYork | 102 | $33,348 | $4,870 | $3,880 |
| Abington Memorial HospitalAbington | 101 | $19,828 | $4,854 | $3,866 |
| UPMC Presbyterian ShadysidePittsburgh | 100 | $61,213 | $4,622 | $3,682 |
| Hamot Medical CenterErie | 99 | $43,533 | $5,418 | $4,307 |
| Chestnut Hill HospitalPhiladelphia | 94 | $71,191 | $4,984 | $3,958 |
| Main Line Hospital LankenauWynnewood | 94 | $21,421 | $4,829 | $3,810 |
| St Luke's Hospital - Anderson CampusEaston | 91 | $57,244 | $4,676 | $3,712 |
| UPMC MemorialYork | 89 | $19,828 | $2,331 | $1,855 |
| Chester County HospitalWest Chester | 80 | $27,144 | $4,992 | $3,977 |
| Pottstown Memorial Med CenterPottstown | 77 | $29,888 | $4,772 | $3,792 |
| Geisinger-Community Medical CenterScranton | 76 | $62,957 | $4,622 | $3,682 |
| Good Samaritan HospitalLebanon | 76 | $28,063 | $4,906 | $3,909 |
| Robert Packer HospitalSayre | 76 | $31,908 | $4,753 | $3,786 |
| Allegheny General HospitalPittsburgh | 75 | $25,652 | $4,573 | $3,628 |
| UPMC St MargaretPittsburgh | 75 | $54,933 | $4,622 | $3,682 |
| Hanover HospitalHanover | 74 | $21,881 | $4,766 | $3,774 |
| Carlisle Regional Medical CtrCarlisle | 71 | $16,991 | $4,685 | $3,733 |
| UPMC BedfordEverett | 69 | $15,944 | $4,950 | $3,944 |
| Evangelical Community HospitalLewisburg | 68 | $36,596 | $4,622 | $3,682 |
| Lancaster General HospitalLancaster | 67 | $26,661 | $4,813 | $3,834 |
| Uniontown HospitalUniontown | 64 | $14,125 | $4,564 | $3,623 |
| UPMC PassavantPittsburgh | 63 | $36,175 | $4,446 | $3,506 |
| Saint Vincent Health CenterErie | 59 | $31,302 | $5,386 | $4,275 |
| Wilkes-Barre General HospitalWilkes-Barre | 57 | $54,134 | $4,557 | $3,618 |
| Butler Health SystemButler | 57 | $16,250 | $4,366 | $3,421 |
| Penn Presbyterian Medical CenterPhiladelphia | 54 | $57,119 | $5,213 | $4,153 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 52 | $36,487 | $5,213 | $4,153 |
| Jefferson Regional Medical CenterClairton | 50 | $24,517 | $4,622 | $3,682 |
| Altoona Regional Health SystemAltoona | 49 | $35,516 | $4,950 | $3,944 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 49 | $19,687 | $4,622 | $3,682 |
| UPMC HorizonGreenville | 48 | $48,404 | $4,589 | $3,648 |
| Northwest Medical CenterOil City | 47 | $19,202 | $4,543 | $3,604 |
| Jameson Memorial HospitalNew Castle | 45 | $22,126 | $4,559 | $3,620 |
| Gettysburg HospitalGettysburg | 44 | $30,042 | $5,099 | $4,063 |
| UPMC MercyPittsburgh | 41 | $40,250 | $4,622 | $3,682 |
| Wayne Memorial HospitalHonesdale | 40 | $16,488 | $4,965 | $3,956 |
| Heritage Valley SewickleySewickley | 39 | $9,882 | $4,622 | $3,682 |
| Main Line Hospital PaoliPaoli | 39 | $22,073 | $4,788 | $3,773 |
| Pocono Medical CenterEast Stroudsburg | 39 | $50,696 | $5,047 | $4,021 |
| Washington Hospital, theWashington | 38 | $21,224 | $4,622 | $3,682 |
| Lewistown HospitalLewistown | 37 | $20,896 | $4,424 | $3,502 |
| Mercy Health SystemConshohocken | 37 | $34,735 | $5,027 | $4,005 |
| Lansdale HospitalLansdale | 36 | $15,984 | $4,854 | $3,868 |
| Indiana Regional Medical CenterIndiana | 36 | $21,655 | $4,711 | $3,726 |
| Latrobe Area HospitalLatrobe | 36 | $23,341 | $4,622 | $3,682 |
| Penn State Health Hampden Medical CenterEnola | 36 | $43,564 | $4,637 | $3,691 |
| Phoenixville HospitalPhoenixville | 33 | $30,023 | $4,875 | $3,855 |
| Holy Redeemer Hosp and Med CtrJenkintown | 31 | $15,516 | $4,781 | $3,795 |
| Conemaugh Valley Memorial HospitalJohnstown | 31 | $18,568 | $4,950 | $3,935 |
| Geisinger St. Luke's HospitalOrwigsburg | 30 | $41,817 | $4,767 | $3,798 |
| Bloomsburg HospitalBloomsburg | 27 | $24,583 | $4,622 | $3,679 |
| Dubois Regional Medical CenterDubois | 27 | $13,417 | $4,804 | $3,796 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 27 | $22,891 | $4,854 | $3,861 |
| St Joseph Medical CenterReading | 26 | $43,087 | $4,718 | $3,759 |
| St Luke's Hospital - Carbon CampusLehighton | 26 | $65,967 | $4,716 | $3,755 |
| ACMH HospitalKittanning | 25 | $18,872 | $4,474 | $3,535 |
| Allegheny Valley HospitalNatrona Heights | 24 | $20,908 | $4,622 | $3,677 |
| AHN Wexford HospitalWexford | 24 | $20,577 | $4,622 | $3,682 |
| Heritage Valley BeaverBeaver | 22 | $9,257 | $4,622 | $3,682 |
| West Penn HospitalPittsburgh | 22 | $39,046 | $4,454 | $3,510 |
| Albert Einstein Medical CenterPhiladelphia | 22 | $27,356 | $5,027 | $4,005 |
| St Luke's Hospital - Monroe CampusStroudsburg | 21 | $53,467 | $4,901 | $3,903 |
| Excela Health Westmoreland Regional HospitalGreensburg | 20 | $19,891 | $4,622 | $3,681 |
| Mercy Hospital ScrantonScranton | 20 | $57,304 | $4,622 | $3,682 |
| St Luke's Miners Memorial HospitalCoaldale | 19 | $37,665 | $4,767 | $3,793 |
| Warren General HospitalWarren | 18 | $10,235 | $5,454 | $4,339 |
| UPMC EastMonroeville | 18 | $46,501 | $4,622 | $3,682 |
| Lehigh Valley Hospital - Dickson CityDickson City | 18 | $31,390 | $4,622 | $3,682 |
| Monongahela Valley HospitalMonongahela | 17 | $16,550 | $4,405 | $3,466 |
| Hazleton General HospitalHazleton | 17 | $36,118 | $4,622 | $3,682 |
| Grove City Medical CenterGrove City | 16 | $14,330 | $4,622 | $3,682 |
| Somerset HospitalSomerset | 15 | $19,094 | $4,950 | $3,944 |
| Grand View HospitalSellersville | 14 | $22,706 | $4,992 | $3,977 |
| Meadville Medical CenterMeadville | 13 | $12,131 | $4,950 | $3,944 |
| Canonsburg General HospitalCanonsburg | 13 | $17,462 | $4,622 | $3,682 |
| Easton HospitalEaston | 13 | $45,771 | $4,969 | $3,959 |
| UPMC McKeesportMcKeesport | – | – | – | – |
| Holy Spirit HospitalCamp Hill | – | – | – | – |
| Schuylkill Medical Center - South Jackson StreetPottsville | – | – | – | – |
| St Luke's Quakertown HospitalQuakertown | – | – | – | – |
| Nason HospitalRoaring Spring | – | – | – | – |
| UPMC LititzLititz | – | – | – | – |
| Lower Bucks HospitalBristol | – | – | – | – |
| Magee Womens Hospital of UPMC Health SystemPittsburgh | – | – | – | – |
| Crozer Chester Medical CenterChester | – | – | – | – |
| Millcreek Community HospitalErie | – | – | – | – |
| Punxsutawney Area HospitalPunxsutawney | – | – | – | – |
| Ephrata Community HospitalEphrata | – | – | – | – |
Lowest and highest allowed amounts in Pennsylvania
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
| UPMC MemorialYork, PA | $2,331 |
|---|---|
| Geisinger Wyoming Vly Med CtrWilkes-Barre, PA | $2,903 |
| UPMC Pinnacle HospitalsHarrisburg, PA | $3,963 |
| Butler Health SystemButler, PA | $4,366 |
| Monongahela Valley HospitalMonongahela, PA | $4,405 |
Highest
| Warren General HospitalWarren, PA | $5,454 |
|---|---|
| Hamot Medical CenterErie, PA | $5,418 |
| Saint Vincent Health CenterErie, PA | $5,386 |
| Hospital of the Univ of PaPhiladelphia, PA | $5,213 |
| Penn Presbyterian Medical CenterPhiladelphia, PA | $5,213 |
Level 5 Urology and Related Services in other states
Questions
How much does level 5 urology and related services cost in Pennsylvania?
In 2024 Medicare data, level 5 urology and related services (APC 5375) at 109 hospitals in Pennsylvania was billed at $36,338 on average, while the average medicare-allowed amount was $4,765, of which Medicare paid $3,788. 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 Pennsylvania, average charges were 7.6 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.