facebook tracking Level 6 Urology and Related Services cost in Delaware: 3 hospitals compared (APC 5376)

Level 6 Urology and Related Services in Delaware

What 3 hospitals in Delaware charged and were paid for level 6 urology and related services (APC 5376), from 2024 Medicare claims.

APC 5376 Outpatient 2024 Medicare data
Average charge $30,510 Hospital list price billed
Average allowed $9,238 Medicare's payment + patient's share
Medicare paid $7,606 Average per service
State rank #37 of 45 1 = lowest average payment

Hospitals in Delaware billed an average of $30,510 for level 6 urology and related services, about 3.3 times the average medicare-allowed amount of $9,238. That payment is 4% above the U.S. average 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 $9,238Billed $30,510

About 30¢ was paid for every $1 hospitals in Delaware billed for this service.

Delaware hospitals: level 6 urology and related services

Every Delaware hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Christiana Care Health Services, INC.Newark 24 $30,510 $9,238 $7,606
Bayhealth - Kent General HospitalDover – – – –
Beebe Medical CenterLewes – – – –
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Level 6 Urology and Related Services in other states

Questions

How much does level 6 urology and related services cost in Delaware?

In 2024 Medicare data, level 6 urology and related services (APC 5376) at 3 hospitals in Delaware was billed at $30,510 on average, while the average medicare-allowed amount was $9,238, of which Medicare paid $7,606. 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 Delaware, average charges were 3.3 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.