facebook tracking Level 6 Urology and Related Services cost in Indiana: 45 hospitals compared (APC 5376)

Level 6 Urology and Related Services in Indiana

What 45 hospitals in Indiana 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 $57,610 Hospital list price billed
Average allowed $8,352 Medicare's payment + patient's share
Medicare paid $6,719 Average per service
State rank #23 of 45 1 = lowest average payment

Hospitals in Indiana billed an average of $57,610 for level 6 urology and related services, about 6.9 times the average medicare-allowed amount of $8,352. That payment is 6% 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 $8,352Billed $57,610

About 14¢ was paid for every $1 hospitals in Indiana billed for this service.

Indiana hospitals: level 6 urology and related services

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

Hospital Services Avg charge Avg allowed Medicare paid
Parkview HospitalFort Wayne 95 $71,466 $8,505 $6,873
Physicians' Medical Center LLCNew Albany 65 $64,922 $8,211 $6,579
Clarian Health PartnersIndianapolis 54 $62,459 $8,201 $6,569
Deaconess Hospital INCEvansville 41 $26,037 $8,211 $6,573
St Mary's Medical Center of Evansville INCEvansville 29 $53,278 $8,211 $6,579
Memorial HospitalLogansport 27 $33,433 $8,791 $7,159
Community Hospital SouthIndianapolis 24 $43,425 $8,392 $6,760
St Vincent Hospital & Health ServicesIndianapolis 22 $61,014 $8,269 $6,637
Indiana University Health West HospitalAvon 22 $63,772 $8,320 $6,688
Indiana University Health North HospitalCarmel 21 $84,744 $8,301 $6,669
St Joseph Hospital & Health Center INCKokomo 19 $92,710 $8,421 $6,789
Community HospitalMunster 18 $25,934 $8,661 $7,024
Daviess Community HospitalWashington 17 $17,546 $8,211 $6,579
Memorial Hospital of South BendSouth Bend 12 $41,263 $8,312 $6,680
Union Hospital INCTerre Haute 11 $54,762 $8,320 $6,688
Ascension St Vincent FishersFishers 11 $93,201 $8,320 $6,688
Johnson Memorial HospitalFranklin – – – –
Methodist Hospitals, INCGary – – – –
St Catherine Hospital INCEast Chicago – – – –
Clark Memorial HospitalJeffersonville – – – –
Saint Joseph Reg Medical CtrSouth Bend – – – –
Franciscan St Anthony Health - Michigan CityMichigan City – – – –
Elkhart General HospitalElkhart – – – –
Eskenazi HealthIndianapolis – – – –
IU Health Goshen HospitalGoshen – – – –
Henry County Memorial HospitalNew Castle – – – –
St Mary Medical Center INCHobart – – – –
Hancock Regional HospitalGreenfield – – – –
Floyd Memorial Hospital and Health ServicesNew Albany – – – –
Reid Hosp & Hlth Care ServicesRichmond – – – –
Bloomington HospitalBloomington – – – –
Riverview HospitalNoblesville – – – –
Community Hospital EastIndianapolis – – – –
Saint John's Health SystemAnderson – – – –
Ball Memorial Hospital INCMuncie – – – –
Franciscan St Margaret Health - DyerDyer – – – –
Franciscan Health LafayetteLafayette – – – –
Community Hospital of Anderson and Madison CountyAnderson – – – –
Memorial Hospital and Health Care CenterJasper – – – –
Franciscan St Anthony Health - Crown PointCrown Point – – – –
Dupont Hospital LLCFort Wayne – – – –
Franciscan Physicians Hospital LLCMunster – – – –
Community Hospital NorthIndianapolis – – – –
Indiana University Health Arnett HospitalLafayette – – – –
Unity Medical and Surgical HospitalMishawaka – – – –
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Lowest and highest allowed amounts in Indiana

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

Clarian Health PartnersIndianapolis, IN$8,201
Daviess Community HospitalWashington, IN$8,211
St Mary's Medical Center of Evansville INCEvansville, IN$8,211
Physicians' Medical Center LLCNew Albany, IN$8,211
Deaconess Hospital INCEvansville, IN$8,211

Highest

Memorial HospitalLogansport, IN$8,791
Community HospitalMunster, IN$8,661
Parkview HospitalFort Wayne, IN$8,505
St Joseph Hospital & Health Center INCKokomo, IN$8,421
Community Hospital SouthIndianapolis, IN$8,392

Level 6 Urology and Related Services in other states

Questions

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

In 2024 Medicare data, level 6 urology and related services (APC 5376) at 45 hospitals in Indiana was billed at $57,610 on average, while the average medicare-allowed amount was $8,352, of which Medicare paid $6,719. 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 Indiana, average charges were 6.9 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.