Level 5 Urology and Related Services in Utah
What 25 hospitals in Utah charged and were paid for level 5 urology and related services (APC 5375), from 2024 Medicare claims.
Average charge
$26,329
Hospital list price billed
Average allowed
$4,654
Medicare's payment + patient's share
Medicare paid
$3,698
Average per service
State rank
#21 of 49
1 = lowest average payment
Hospitals in Utah billed an average of $26,329 for level 5 urology and related services, about 5.7 times the average medicare-allowed amount of $4,654. That payment is 6% 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 $4,654Billed $26,329
About 18¢ was paid for every $1 hospitals in Utah billed for this service.
Utah hospitals: level 5 urology and related services
Every Utah hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University Health Care/Univ Hospitals and ClinicsSalt Lake City | 254 | $21,746 | $4,606 | $3,664 |
| St. George Regional HospitalSt George | 253 | $20,111 | $4,903 | $3,892 |
| Lds HospitalSalt Lake City | 165 | $19,523 | $4,613 | $3,668 |
| McKay-Dee Hospital CenterOgden | 150 | $23,008 | $4,635 | $3,693 |
| St Marks HospitalSalt Lake City | 145 | $46,772 | $4,559 | $3,617 |
| Davis Hospital and Medical CenterLayton | 100 | $23,330 | $4,635 | $3,693 |
| Timpanogos Regional HospitalOrem | 90 | $59,910 | $4,594 | $3,650 |
| Jordan Valley Medical CenterWest Jordan | 85 | $17,109 | $4,592 | $3,648 |
| American Fork HospitalAmerican Fork | 76 | $14,551 | $4,538 | $3,596 |
| Logan Regional HospitalLogan | 68 | $16,609 | $4,635 | $3,688 |
| Ogden Regional Medical CenterOgden | 57 | $63,321 | $4,570 | $3,626 |
| Utah Valley Regional Medical CenterProvo | 56 | $26,292 | $4,635 | $3,690 |
| Intermountain Health Cedar City HospitalCedar City | 49 | $15,667 | $4,752 | $3,754 |
| Alta View HospitalSandy | 44 | $20,670 | $4,635 | $3,689 |
| Salt Lake Regional Medical CenterSalt Lake City | 40 | $19,439 | $4,628 | $3,683 |
| Riverton HospitalRiverton | 30 | $23,007 | $4,532 | $3,590 |
| Mountain West Medical CenterTooele | 28 | $28,633 | $4,635 | $3,693 |
| Cottonwood Hospital Med CntrMurray | 27 | $23,498 | $4,635 | $3,693 |
| Park City Medical CenterPark City | 25 | $15,079 | $4,488 | $3,545 |
| Sevier Valley HospitalRichfield | 20 | $14,000 | $4,964 | $3,955 |
| Uintah Basin Medical CenterRoosevelt | 17 | $16,773 | $4,732 | $3,723 |
| Lone Peak HospitalDraper | 16 | $57,875 | $4,635 | $3,693 |
| Lakeview HospitalBountiful | 12 | $47,095 | $4,635 | $3,693 |
| Mountain View HospitalPayson | – | – | – | – |
| Intermountain Health Layton HospitalLayton | – | – | – | – |
Lowest and highest allowed amounts in Utah
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
| Park City Medical CenterPark City, UT | $4,488 |
|---|---|
| Riverton HospitalRiverton, UT | $4,532 |
| American Fork HospitalAmerican Fork, UT | $4,538 |
| St Marks HospitalSalt Lake City, UT | $4,559 |
| Ogden Regional Medical CenterOgden, UT | $4,570 |
Highest
| Sevier Valley HospitalRichfield, UT | $4,964 |
|---|---|
| St. George Regional HospitalSt George, UT | $4,903 |
| Intermountain Health Cedar City HospitalCedar City, UT | $4,752 |
| Uintah Basin Medical CenterRoosevelt, UT | $4,732 |
| Logan Regional HospitalLogan, UT | $4,635 |
Level 5 Urology and Related Services in other states
Questions
How much does level 5 urology and related services cost in Utah?
In 2024 Medicare data, level 5 urology and related services (APC 5375) at 25 hospitals in Utah was billed at $26,329 on average, while the average medicare-allowed amount was $4,654, of which Medicare paid $3,698. 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 Utah, average charges were 5.7 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.