facebook tracking Level 6 Urology and Related Services cost in Georgia: 51 hospitals compared (APC 5376)

Level 6 Urology and Related Services in Georgia

What 51 hospitals in Georgia 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 $47,836 Hospital list price billed
Average allowed $8,311 Medicare's payment + patient's share
Medicare paid $6,682 Average per service
State rank #22 of 45 1 = lowest average payment

Hospitals in Georgia billed an average of $47,836 for level 6 urology and related services, about 5.8 times the average medicare-allowed amount of $8,311. That payment is 7% below 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 $8,311Billed $47,836

About 17¢ was paid for every $1 hospitals in Georgia billed for this service.

Georgia hospitals: level 6 urology and related services

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

Hospital Services Avg charge Avg allowed Medicare paid
Northside Hospital CherokeeCanton 105 $47,422 $8,547 $6,912
Northeast Georgia Medical Center, INCGainesville 81 $69,797 $8,284 $6,652
Northside HospitalAtlanta 57 $49,643 $8,426 $6,790
Northside Hospital ForsythCumming 54 $40,468 $8,547 $6,914
Piedmont Fayette HospitalFayetteville 51 $58,300 $8,547 $6,911
Wellstar Kennestone HospitalMarietta 36 $55,138 $8,547 $6,915
Emory University Hospital MidtownAtlanta 34 $32,245 $8,140 $6,508
John D Archbold Memorial HospitalThomasville 28 $32,355 $7,898 $6,290
Southeast Georgia Reg Med CtrBrunswick 27 $18,507 $8,454 $6,822
Piedmont Newnan Hospital, INCNewnan 26 $55,915 $8,547 $6,906
Piedmont Augusta HospitalAugusta 25 $48,609 $7,796 $6,211
Gwinnett Medical CenterLawrenceville 25 $50,069 $8,547 $6,909
Candler HospitalSavannah 24 $34,980 $7,554 $5,972
Hamilton Medical CenterDalton 21 $50,041 $8,075 $6,443
Crisp Regional HospitalCordele 20 $21,405 $8,003 $6,359
Emory University HospitalAtlanta 17 $49,838 $8,140 $6,508
Union General HospitalBlairsville 17 $29,430 $8,338 $6,706
Coliseum Medical CenterMacon 17 $61,192 $7,909 $6,301
West Georgia Medical CenterLagrange 15 $61,287 $7,947 $6,315
Houston Medical CenterWarner Robins 12 $18,467 $7,867 $6,268
Gordon HospitalCalhoun 11 $68,402 $8,398 $6,760
Upson Regional Medical CenterThomaston – – – –
Phoebe Putney Memorial HospitalAlbany – – – –
Cartersville Medical CenterCartersville – – – –
Spalding Regional Medical CenterGriffin – – – –
Medical College of Ga Hospitals and ClinicsAugusta – – – –
Wellstar Paulding HospitalDallas – – – –
Barrow Regional Medical CenterWinder – – – –
Floyd Medical CenterRome – – – –
Athens Regional Medical CenterAthens – – – –
Emory Decatur HospitalDecatur – – – –
Grady Memorial HospitalAtlanta – – – –
Saint Joseph's Hosp of AtlantaAtlanta – – – –
Piedmont HospitalAtlanta – – – –
Coffee Regional Medical CenterDouglas – – – –
Rockdale Medical CenterConyers – – – –
Atrium Health Navicent the Medical CenterMacon – – – –
Wayne Memorial HospitalJesup – – – –
Navicent Health BaldwinMilledgeville – – – –
Redmond Regional Medical CenterRome – – – –
Doctors HospitalAugusta – – – –
Wellstar Douglas HospitalDouglasville – – – –
Henry Medical Center, INCStockbridge – – – –
Emory Eastside Medical CenterSnellville – – – –
North Fulton Regional HospitalRoswell – – – –
Piedmont Columbus Regional NorthsideColumbus – – – –
Piedmont Mountainside Hospital INCJasper – – – –
Dekalb Medical Center at HillandaleLithonia – – – –
Emory Johns Creek HospitalJohns Creek – – – –
Northside Hospital DuluthDuluth – – – –
Wellstar Windy Hill HospitalMarietta – – – –
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Lowest and highest allowed amounts in Georgia

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

Candler HospitalSavannah, GA$7,554
Piedmont Augusta HospitalAugusta, GA$7,796
Houston Medical CenterWarner Robins, GA$7,867
John D Archbold Memorial HospitalThomasville, GA$7,898
Coliseum Medical CenterMacon, GA$7,909

Highest

Piedmont Newnan Hospital, INCNewnan, GA$8,547
Gwinnett Medical CenterLawrenceville, GA$8,547
Piedmont Fayette HospitalFayetteville, GA$8,547
Northside Hospital CherokeeCanton, GA$8,547
Northside Hospital ForsythCumming, GA$8,547

Level 6 Urology and Related Services in other states

Questions

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

In 2024 Medicare data, level 6 urology and related services (APC 5376) at 51 hospitals in Georgia was billed at $47,836 on average, while the average medicare-allowed amount was $8,311, of which Medicare paid $6,682. 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 Georgia, average charges were 5.8 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.