Level 5 Urology and Related Services in Wisconsin
What 52 hospitals in Wisconsin charged and were paid for level 5 urology and related services (APC 5375), from 2024 Medicare claims.
Average charge
$25,439
Hospital list price billed
Average allowed
$4,756
Medicare's payment + patient's share
Medicare paid
$3,780
Average per service
State rank
#26 of 49
1 = lowest average payment
Hospitals in Wisconsin billed an average of $25,439 for level 5 urology and related services, about 5.3 times the average medicare-allowed amount of $4,756. That payment is 4% 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 $4,756Billed $25,439
About 19¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Wisconsin hospitals: level 5 urology and related services
Every Wisconsin 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 Mary's HospitalMadison | 292 | $20,663 | $4,817 | $3,835 |
| University of Wi Hospitals & Clinics AuthorityMadison | 289 | $29,069 | $4,817 | $3,832 |
| Meriter HsptlMadison | 232 | $26,779 | $4,797 | $3,814 |
| Luther Hospital Mayo Health SystemEau Claire | 169 | $18,098 | $4,886 | $3,888 |
| Gundersen Luth Med CtrLa Crosse | 147 | $20,538 | $4,848 | $3,857 |
| Aurora St Lukes Medical CenterMilwaukee | 147 | $30,302 | $4,814 | $3,822 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | 139 | $20,531 | $4,847 | $3,856 |
| Froedtert Mem Lutheran HsptlMilwaukee | 133 | $31,187 | $4,723 | $3,733 |
| Aurora Baycare Med CtrGreen Bay | 120 | $25,360 | $4,659 | $3,706 |
| Waukesha Memorial HospitalWaukesha | 117 | $34,449 | $4,682 | $3,721 |
| Aurora Med Ctr KenoshaKenosha | 93 | $28,933 | $4,779 | $3,788 |
| Aurora Medical CenterGrafton | 78 | $32,256 | $4,709 | $3,751 |
| Aurora Medical CenterSummit | 69 | $22,886 | $4,663 | $3,704 |
| Oakleaf Surgical HospitalEau Claire | 66 | $21,127 | $4,651 | $3,705 |
| Ascension SE Wisconsin HospitalMilwaukee | 65 | $23,741 | $4,598 | $3,639 |
| St Agnes HsptlFond du Lac | 62 | $23,711 | $5,053 | $4,023 |
| Bellin Memorial HsptlGreen Bay | 56 | $26,543 | $4,630 | $3,689 |
| Monroe ClinicMonroe | 54 | $34,362 | $4,830 | $3,846 |
| St Vincent HsptlGreen Bay | 54 | $27,210 | $4,590 | $3,643 |
| Aspirus Wausau HospitalWausau | 51 | $19,767 | $4,630 | $3,689 |
| Wheaton Franciscan Healthcare- All SaintsRacine | 51 | $26,228 | $4,869 | $3,879 |
| Aurora West Allis Medical CenterWest Allis | 51 | $34,806 | $4,611 | $3,653 |
| Marshfield Medical Center - Eau ClaireEau Claire | 51 | $16,840 | $4,651 | $3,705 |
| St Josephs Com Hsptl West BendWest Bend | 50 | $33,681 | $4,639 | $3,681 |
| Froedtert SouthKenosha | 47 | $21,628 | $4,866 | $3,877 |
| Beloit Mem HsptlBeloit | 45 | $37,802 | $4,943 | $3,921 |
| Aurora Sheboygan Mem Med CtrSheboygan | 44 | $21,805 | $4,710 | $3,751 |
| Marshfield Medical CenterMarshfield | 44 | $17,703 | $4,959 | $3,948 |
| SSM Health St Mary's Hospital - JanesvilleJanesville | 43 | $22,169 | $4,866 | $3,874 |
| Marshfield Medical Center - MinocquaMinocqua | 42 | $17,449 | $4,630 | $3,689 |
| St Nicholas HospitalSheboygan | 41 | $26,550 | $4,527 | $3,570 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 40 | $33,726 | $4,869 | $3,879 |
| Community Mem HsptlMenomonee Falls | 40 | $33,805 | $4,526 | $3,568 |
| Appleton Med CtrAppleton | 36 | $18,791 | $4,251 | $3,303 |
| Mercy Hlth Sys CorpJanesville | 34 | $27,580 | $4,714 | $3,754 |
| St Clare's Hospital of Weston INCWeston | 30 | $16,223 | $4,630 | $3,689 |
| Ministry St Michaels Hospital of Stevens PointStevens Point | 28 | $16,564 | $4,630 | $3,689 |
| Thedacare Regional Med Ctr - NeenahNeenah | 28 | $20,209 | $4,630 | $3,689 |
| Aurora Lakeland Med CtrElkhorn | 28 | $25,100 | $4,728 | $3,739 |
| St Elizabeth HsptlAppleton | 23 | $23,506 | $4,663 | $3,715 |
| St Marys Hsptl Med CtrGreen Bay | 21 | $29,648 | $4,477 | $3,531 |
| Aurora Memorial Hsptl BurlingtonBurlington | 18 | $26,252 | $4,651 | $3,662 |
| Oconomowoc Mem HsptlOconomowoc | 16 | $24,574 | $4,714 | $3,756 |
| Aurora Med Ctr OshkoshOshkosh | 14 | $14,868 | $4,659 | $3,712 |
| UW Hlth Partners - Watertown Regional Medical CtrWatertown | 12 | $23,258 | $4,714 | $3,756 |
| Marshfield Medical Center - Rice LakeRice Lake | – | – | – | – |
| Sacred Heart HospitalEau Claire | – | – | – | – |
| Aurora Med Ctr Manitowoc CtyTwo Rivers | – | – | – | – |
| Aurora Med Center-Washington CountyHartford | – | – | – | – |
| St Clare Hsptl Hlth SvcsBaraboo | – | – | – | – |
| Fort HealthcareFort Atkinson | – | – | – | – |
| Sauk Prairie Mem HsptlPrairie du Sac | – | – | – | – |
Lowest and highest allowed amounts in Wisconsin
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
| Appleton Med CtrAppleton, WI | $4,251 |
|---|---|
| St Marys Hsptl Med CtrGreen Bay, WI | $4,477 |
| Community Mem HsptlMenomonee Falls, WI | $4,526 |
| St Nicholas HospitalSheboygan, WI | $4,527 |
| St Vincent HsptlGreen Bay, WI | $4,590 |
Highest
| St Agnes HsptlFond du Lac, WI | $5,053 |
|---|---|
| Marshfield Medical CenterMarshfield, WI | $4,959 |
| Beloit Mem HsptlBeloit, WI | $4,943 |
| Luther Hospital Mayo Health SystemEau Claire, WI | $4,886 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee, WI | $4,869 |
Level 5 Urology and Related Services in other states
Questions
How much does level 5 urology and related services cost in Wisconsin?
In 2024 Medicare data, level 5 urology and related services (APC 5375) at 52 hospitals in Wisconsin was billed at $25,439 on average, while the average medicare-allowed amount was $4,756, of which Medicare paid $3,780. 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 Wisconsin, average charges were 5.3 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.