Level 5 Urology and Related Services in Virginia
What 54 hospitals in Virginia charged and were paid for level 5 urology and related services (APC 5375), from 2024 Medicare claims.
Average charge
$33,096
Hospital list price billed
Average allowed
$4,633
Medicare's payment + patient's share
Medicare paid
$3,677
Average per service
State rank
#19 of 49
1 = lowest average payment
Hospitals in Virginia billed an average of $33,096 for level 5 urology and related services, about 7.1 times the average medicare-allowed amount of $4,633. 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 $4,633Billed $33,096
About 14¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: level 5 urology and related services
Every Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Inova Fairfax HospitalFalls Church | 378 | $28,080 | $4,791 | $3,804 |
| University of Virginia Medical CenterCharlottesville | 328 | $21,439 | $4,520 | $3,588 |
| Mary Washington Hospital, INCFredericksburg | 217 | $17,798 | $4,764 | $3,777 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 197 | $25,802 | $4,751 | $3,782 |
| Henrico Doctors' HospitalRichmond | 189 | $105,873 | $4,474 | $3,557 |
| Virginia Hospital Center - ArlingtonArlington | 188 | $22,205 | $4,819 | $3,835 |
| Inova Fair Oaks HospitalFairfax | 175 | $31,342 | $4,749 | $3,762 |
| Inova Loudoun HospitalLeesburg | 172 | $27,853 | $4,695 | $3,708 |
| Inova Alexandria HospitalAlexandria | 163 | $32,967 | $4,781 | $3,793 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 161 | $24,656 | $4,433 | $3,527 |
| Augusta HealthFishersville | 159 | $27,926 | $4,951 | $3,939 |
| Sentara Norfolk General HospitalNorfolk | 158 | $31,686 | $4,434 | $3,516 |
| Winchester Medical Center INCWinchester | 151 | $20,569 | $5,062 | $4,027 |
| Riverside Regional Medical CenterNewport News | 123 | $20,961 | $4,340 | $3,429 |
| Martha Jefferson HospitalCharlottesville | 123 | $24,760 | $4,471 | $3,555 |
| Carilion New River Vly Med CtrChristiansburg | 120 | $37,543 | $4,454 | $3,549 |
| Mary Immaculate HospitalNewport News | 113 | $36,071 | $4,331 | $3,422 |
| Sentara Rmh Medical CenterHarrisonburg | 104 | $19,464 | $4,894 | $3,857 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 97 | $35,724 | $4,751 | $3,784 |
| Sentara Bayside HospitalVirginia Beach | 95 | $35,992 | $4,396 | $3,479 |
| Chesapeake General HospitalChesapeake | 92 | $25,219 | $4,463 | $3,547 |
| Carilion Medical CenterRoanoke | 83 | $27,582 | $4,455 | $3,543 |
| Bon Secours - Maryview Medical CenterPortsmouth | 77 | $39,474 | $4,334 | $3,433 |
| Stonesprings Hospital CenterDulles | 76 | $47,949 | $4,801 | $3,815 |
| Medical College of Virginia HospitalsRichmond | 68 | $46,975 | $4,412 | $3,504 |
| Riverside Walter Reed HospitalGloucester | 64 | $20,003 | $4,400 | $3,491 |
| Reston Hospital CenterReston | 61 | $40,220 | $4,838 | $3,842 |
| Riverside Doctors' Hospital of WilliamsburgWilliamsburg | 61 | $14,181 | $4,339 | $3,425 |
| Prince William HospitalManassas | 60 | $22,075 | $4,893 | $3,896 |
| Lewisgale Medical CenterSalem | 50 | $74,568 | $4,412 | $3,498 |
| Cjw Medical CenterRichmond | 49 | $123,987 | $4,382 | $3,477 |
| UVA Health Haymarket Medical CenterHaymarket | 39 | $23,127 | $4,793 | $3,796 |
| Southside Regional Medical CenterPetersburg | 38 | $61,024 | $4,502 | $3,587 |
| Montgomery Regional HospitalBlacksburg | 36 | $61,904 | $4,263 | $3,353 |
| The Fauquier Hospital, INCWarrenton | 35 | $39,311 | $4,852 | $3,863 |
| Sentara Leigh HospitalNorfolk | 28 | $28,736 | $4,502 | $3,583 |
| Sentara Virginia Beach General HospitalVirginia Beach | 22 | $28,903 | $4,502 | $3,584 |
| Sentara Northern Virginia Medical CenterWoodbridge | 22 | $26,795 | $4,852 | $3,866 |
| Riverside Shore Memorial HospitalNassawadox | 20 | $19,333 | $4,590 | $3,602 |
| Community Memorial Healthcenter, INCSouth Hill | 17 | $23,058 | $4,596 | $3,616 |
| Danville Regional Medical CenterDanville | 16 | $58,714 | $4,598 | $3,655 |
| Bon Secours - St Francis Medical CenterMidlothian | 16 | $34,273 | $4,265 | $3,352 |
| Stafford Hospital CenterStafford | 16 | $14,953 | $4,610 | $3,624 |
| Culpeper Regional HospitalCulpeper | 15 | $20,446 | $4,852 | $3,866 |
| Twin County Regional HospitalGalax | 15 | $30,857 | $4,771 | $3,801 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 13 | $33,863 | $4,751 | $3,785 |
| Wythe County Community HospitalWytheville | 11 | $40,944 | $4,771 | $3,801 |
| Johnston Memorial HospitalAbingdon | – | – | – | – |
| Clinch Valley Medical CenterRichlands | – | – | – | – |
| Riverside Tappahannock HospitalTappahannock | – | – | – | – |
| Sentara Careplex HospitalHampton | – | – | – | – |
| Pulaski Community HospitalPulaski | – | – | – | – |
| Inova Mount Vernon HospitalAlexandria | – | – | – | – |
| Buchanan General HospitalGrundy | – | – | – | – |
Lowest and highest allowed amounts in Virginia
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
| Montgomery Regional HospitalBlacksburg, VA | $4,263 |
|---|---|
| Bon Secours - St Francis Medical CenterMidlothian, VA | $4,265 |
| Mary Immaculate HospitalNewport News, VA | $4,331 |
| Bon Secours - Maryview Medical CenterPortsmouth, VA | $4,334 |
| Riverside Doctors' Hospital of WilliamsburgWilliamsburg, VA | $4,339 |
Highest
| Winchester Medical Center INCWinchester, VA | $5,062 |
|---|---|
| Augusta HealthFishersville, VA | $4,951 |
| Sentara Rmh Medical CenterHarrisonburg, VA | $4,894 |
| Prince William HospitalManassas, VA | $4,893 |
| The Fauquier Hospital, INCWarrenton, VA | $4,852 |
Level 5 Urology and Related Services in other states
Questions
How much does level 5 urology and related services cost in Virginia?
In 2024 Medicare data, level 5 urology and related services (APC 5375) at 54 hospitals in Virginia was billed at $33,096 on average, while the average medicare-allowed amount was $4,633, of which Medicare paid $3,677. 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 Virginia, average charges were 7.1 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.