Level 5 Urology and Related Services in West Virginia
What 17 hospitals in West Virginia charged and were paid for level 5 urology and related services (APC 5375), from 2024 Medicare claims.
Average charge
$26,435
Hospital list price billed
Average allowed
$4,392
Medicare's payment + patient's share
Medicare paid
$3,478
Average per service
State rank
#8 of 49
1 = lowest average payment
Hospitals in West Virginia billed an average of $26,435 for level 5 urology and related services, about 6.0 times the average medicare-allowed amount of $4,392. That payment is 11% 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 $4,392Billed $26,435
About 17¢ was paid for every $1 hospitals in West Virginia billed for this service.
West Virginia hospitals: level 5 urology and related services
Every West 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 |
|---|---|---|---|---|
| Charleston Area Medical CenterCharleston | 223 | $30,467 | $4,325 | $3,424 |
| West Virginia University HospitalsMorgantown | 189 | $24,612 | $4,190 | $3,312 |
| United Hospital CenterBridgeport | 128 | $19,245 | $4,761 | $3,757 |
| Greenbrier Valley Medical CenterRonceverte | 80 | $23,505 | $4,626 | $3,665 |
| Cabell-Huntington Hospital INCHuntington | 79 | $24,293 | $4,319 | $3,423 |
| Raleigh General HospitalBeckley | 71 | $38,603 | $4,337 | $3,445 |
| Berkeley Medical CenterMartinsburg | 64 | $19,863 | $4,692 | $3,726 |
| Mon Health Medical CenterMorgantown | 64 | $25,162 | $4,328 | $3,434 |
| Princeton Community HospitalPrinceton | 63 | $26,668 | $4,627 | $3,686 |
| St Mary's Medical CenterHuntington | 60 | $27,182 | $4,238 | $3,342 |
| Weirton Medical CenterWeirton | 57 | $28,711 | $4,329 | $3,447 |
| Camden Clark Memorial HospitalParkersburg | 54 | $19,738 | $4,192 | $3,301 |
| Thomas Memorial HospitalSouth Charleston | 48 | $31,929 | $4,248 | $3,357 |
| Wheeling HospitalWheeling | 41 | $34,159 | $4,329 | $3,449 |
| Reynolds Memorial HospitalGlen Dale | – | – | – | – |
| Davis Memorial HospitalElkins | – | – | – | – |
| Logan Regional Medical CenterLogan | – | – | – | – |
Lowest and highest allowed amounts in West 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
| West Virginia University HospitalsMorgantown, WV | $4,190 |
|---|---|
| Camden Clark Memorial HospitalParkersburg, WV | $4,192 |
| St Mary's Medical CenterHuntington, WV | $4,238 |
| Thomas Memorial HospitalSouth Charleston, WV | $4,248 |
| Cabell-Huntington Hospital INCHuntington, WV | $4,319 |
Highest
| United Hospital CenterBridgeport, WV | $4,761 |
|---|---|
| Berkeley Medical CenterMartinsburg, WV | $4,692 |
| Princeton Community HospitalPrinceton, WV | $4,627 |
| Greenbrier Valley Medical CenterRonceverte, WV | $4,626 |
| Raleigh General HospitalBeckley, WV | $4,337 |
Level 5 Urology and Related Services in other states
Questions
How much does level 5 urology and related services cost in West Virginia?
In 2024 Medicare data, level 5 urology and related services (APC 5375) at 17 hospitals in West Virginia was billed at $26,435 on average, while the average medicare-allowed amount was $4,392, of which Medicare paid $3,478. 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 West Virginia, average charges were 6.0 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.