Level 6 Urology and Related Services
What 1,551 hospitals in the U.S. charged and were paid for level 6 urology and related services (APC 5376), from 2024 Medicare claims.
Average charge
$54,530
Hospital list price billed
Average allowed
$8,915
Medicare's payment + patient's share
Medicare paid
$7,291
Average per service
Volume
18,218
Medicare services
Hospitals in the U.S. billed an average of $54,530 for level 6 urology and related services, about 6.1 times the average medicare-allowed amount of $8,915.
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 $8,915Billed $54,530
About 16¢ was paid for every $1 hospitals in the U.S. billed for this service.
Lowest and highest allowed amounts
Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Rutland Regional Medical CenterRutland, VT | $4,878 |
|---|---|
| UPMC Pinnacle HospitalsHarrisburg, PA | $5,778 |
| St Francis HospitalMemphis, TN | $5,974 |
| University of Arkansas Medical SciencesLittle Rock, AR | $6,475 |
| Vanderbilt University HospitalNashville, TN | $6,517 |
| Baptist Health RichmondRichmond, KY | $7,059 |
| Ochsner Foundation HospitalNew Orleans, LA | $7,207 |
| Delray Medical CenterDelray Beach, FL | $7,233 |
| Christ HospitalCincinnati, OH | $7,452 |
| Physicians Regional Medical CenterKnoxville, TN | $7,483 |
Highest
| Washington HospitalFremont, CA | $12,952 |
|---|---|
| Sequoia HospitalRedwood City, CA | $12,952 |
| El Camino HospitalMountain View, CA | $12,952 |
| UCSF Medical CenterSan Francisco, CA | $12,952 |
| John Muir Medical Center - Concord CampusConcord, CA | $12,807 |
| Alta Bates Summit Medical CenterOakland, CA | $12,773 |
| Stanford HospitalPalo Alto, CA | $12,767 |
| Sutter Maternity & Surgery Center of Santa CruzSanta Cruz, CA | $12,291 |
| Sutter Roseville Medical CenterRoseville, CA | $11,750 |
| University of California Davis Medical CenterSacramento, CA | $11,469 |
Level 6 Urology and Related Services cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 26 | $56,388 | $7,707 | $7,368 – $7,965 |
| Alaska | 2 | – | – | – – – |
| Arizona | 36 | $65,973 | $8,966 | $8,629 – $9,964 |
| Arkansas | 18 | $32,842 | $7,976 | $6,475 – $8,460 |
| California | 119 | $67,316 | $11,601 | $9,007 – $12,952 |
| Colorado | 27 | $76,545 | $8,962 | $8,767 – $9,387 |
| Connecticut | 15 | $31,252 | $10,336 | $10,267 – $10,367 |
| Delaware | 3 | $30,510 | $9,238 | $9,238 – $9,238 |
| Florida | 110 | $75,557 | $8,259 | $7,233 – $8,344 |
| Georgia | 51 | $47,836 | $8,311 | $7,554 – $8,547 |
| Hawaii | 7 | – | – | – – – |
| Idaho | 12 | $28,327 | $8,144 | $7,991 – $8,875 |
| Illinois | 56 | $51,420 | $8,699 | $8,097 – $9,114 |
| Indiana | 45 | $57,610 | $8,352 | $8,201 – $8,791 |
| Iowa | 15 | $41,012 | $7,912 | $7,491 – $8,398 |
| Kansas | 17 | $52,870 | $7,928 | $7,660 – $8,075 |
| Kentucky | 29 | $65,644 | $7,914 | $7,059 – $8,521 |
| Louisiana | 34 | $40,436 | $7,651 | $7,207 – $7,984 |
| Maine | 10 | $40,388 | $8,653 | $8,653 – $8,653 |
| Massachusetts | 39 | $29,975 | $9,803 | $9,142 – $10,381 |
| Michigan | 52 | $41,304 | $8,126 | $7,086 – $8,684 |
| Minnesota | 21 | $38,067 | $9,170 | $8,510 – $9,484 |
| Mississippi | 20 | $33,169 | $7,713 | $7,712 – $7,714 |
| Missouri | 38 | $33,762 | $8,108 | $7,746 – $8,778 |
| Montana | 8 | $32,095 | $8,800 | $8,634 – $9,067 |
| Nebraska | 15 | $35,362 | $8,309 | $7,937 – $8,746 |
| Nevada | 14 | $80,690 | $9,734 | $9,609 – $9,859 |
| New Hampshire | 10 | $48,941 | $9,046 | $8,784 – $9,406 |
| New Jersey | 40 | $43,114 | $9,705 | $8,636 – $10,368 |
| New Mexico | 6 | – | – | – – – |
| New York | 75 | $58,150 | $10,156 | $9,194 – $10,473 |
| North Carolina | 54 | $40,882 | $8,167 | $7,591 – $8,595 |
| North Dakota | 5 | $35,738 | $8,927 | $8,634 – $9,080 |
| Ohio | 81 | $42,126 | $7,917 | $7,452 – $8,267 |
| Oklahoma | 23 | $61,414 | $7,957 | $7,786 – $8,498 |
| Oregon | 17 | $38,624 | $9,620 | $9,085 – $9,727 |
| Pennsylvania | 69 | $59,293 | $8,572 | $4,425 – $9,703 |
| Rhode Island | 5 | $31,922 | $9,232 | $9,022 – $9,344 |
| South Carolina | 27 | $70,909 | $7,935 | $7,775 – $8,449 |
| South Dakota | 6 | $40,092 | $8,855 | $8,468 – $9,130 |
| Tennessee | 40 | $50,865 | $7,480 | $5,525 – $8,449 |
| Texas | 113 | $60,562 | $8,142 | $7,739 – $8,540 |
| Utah | 15 | $41,852 | $8,175 | $8,090 – $8,252 |
| Vermont | 3 | $42,235 | $5,468 | $4,878 – $6,308 |
| Virginia | 36 | $56,118 | $8,359 | $7,640 – $9,055 |
| Washington | 32 | $49,967 | $9,365 | $8,910 – $9,928 |
| West Virginia | 14 | $52,072 | $7,813 | $7,803 – $7,847 |
| Wisconsin | 34 | $40,400 | $8,415 | $8,089 – $8,666 |
| Wyoming | 3 | – | – | – – – |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| NYU Hospitals CenterNew York, NY | 337 | $133,824 | $10,344 |
| UCLA Medical CenterLos Angeles, CA | 209 | $52,688 | $11,266 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 204 | $37,655 | $9,484 |
| Mem Sloan-Kettering Cancer CtrNew York, NY | 170 | $52,857 | $10,329 |
| Mount Sinai WestNew York, NY | 164 | $27,206 | $10,261 |
| Adventhealth OrlandoOrlando, FL | 163 | $98,254 | $8,343 |
| University of Kansas HospitalKansas City, KS | 137 | $61,356 | $8,075 |
| Methodist Hospital,TheHouston, TX | 135 | $66,854 | $8,387 |
| Evanston HospitalEvanston, IL | 124 | $47,922 | $8,688 |
| Sentara Northern Virginia Medical CenterWoodbridge, VA | 123 | $34,523 | $8,465 |
| Nkc HealthNorth Kansas City, MO | 118 | $34,554 | $7,860 |
| The Nebraska Methodist HospitalOmaha, NE | 118 | $31,730 | $8,244 |
| Memorial Healthcare System, INCChattanooga, TN | 116 | $27,927 | $7,743 |
| Cleveland Clinic - Main CampusCleveland, OH | 112 | $35,196 | $7,665 |
| Medstar Georgetown University HospitalWashington, DC | 110 | $41,467 | $9,208 |
Questions
How much does level 6 urology and related services cost in the U.S.?
In 2024 Medicare data, level 6 urology and related services (APC 5376) at 1,551 hospitals in the U.S. was billed at $54,530 on average, while the average medicare-allowed amount was $8,915, of which Medicare paid $7,291. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 6 urology and related services?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($11,601), Connecticut ($10,336), New York ($10,156) and lowest in Vermont ($5,468), Tennessee ($7,480), Louisiana ($7,651).
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 the U.S., average charges were 6.1 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.