Level 6 Urology and Related Services in Kentucky
What 29 hospitals in Kentucky charged and were paid for level 6 urology and related services (APC 5376), from 2024 Medicare claims.
Average charge
$65,644
Hospital list price billed
Average allowed
$7,914
Medicare's payment + patient's share
Medicare paid
$6,293
Average per service
State rank
#8 of 45
1 = lowest average payment
Hospitals in Kentucky billed an average of $65,644 for level 6 urology and related services, about 8.3 times the average medicare-allowed amount of $7,914. That payment is 11% 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 $7,914Billed $65,644
About 12¢ was paid for every $1 hospitals in Kentucky billed for this service.
Kentucky hospitals: level 6 urology and related services
Every Kentucky hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Western Baptist HospitalPaducah | 41 | $94,564 | $8,261 | $6,629 |
| Central Baptist HospitalLexington | 29 | $87,745 | $7,978 | $6,350 |
| King's Daughters' Medical CenterAshland | 21 | $32,356 | $7,847 | $6,240 |
| Hardin Memorial HospitalElizabethtown | 21 | $88,310 | $7,636 | $6,023 |
| Baptist Health RichmondRichmond | 21 | $55,452 | $7,059 | $5,448 |
| Pikeville Medical CenterPikeville | 19 | $30,789 | $8,011 | $6,379 |
| Baptist Hospital EastLouisville | 19 | $83,654 | $7,937 | $6,324 |
| Baptist Hospital NortheastLa Grange | 18 | $62,942 | $7,937 | $6,313 |
| Ephraim McDowell Regional Medical CenterDanville | 15 | $30,661 | $7,929 | $6,317 |
| Jewish HospitalLouisville | 12 | $54,429 | $7,410 | $5,797 |
| Owensboro Medical Health SystemOwensboro | 11 | $45,444 | $8,521 | $6,889 |
| Lourdes HospitalPaducah | 11 | $52,973 | $8,427 | $6,795 |
| St Elizabeth Ft ThomasFort Thomas | – | – | – | – |
| Saint Joseph HospitalLexington | – | – | – | – |
| Jewish Hospital - ShelbyvilleShelbyville | – | – | – | – |
| T J Samson Community HospitalGlasgow | – | – | – | – |
| St Claire Regional Medical CenterMorehead | – | – | – | – |
| Spring View HospitalLebanon | – | – | – | – |
| St Elizabeth Med Center-SouthEdgewood | – | – | – | – |
| St Elizabeth FlorenceFlorence | – | – | – | – |
| Harlan Appalachian Regional Healthcare HospitalHarlan | – | – | – | – |
| University of Kentucky HospLexington | – | – | – | – |
| Taylor Regional HospitalCampbellsville | – | – | – | – |
| Norton Healthcare PavilionLouisville | – | – | – | – |
| Clark Regional Medical CenterWinchester | – | – | – | – |
| Baptist Health Deaconess MadisonvilleMadisonville | – | – | – | – |
| Greenview Regional HospitalBowling Green | – | – | – | – |
| Three Rivers Medical CenterLouisa | – | – | – | – |
| University of Louisville HospitalLouisville | – | – | – | – |
Lowest and highest allowed amounts in Kentucky
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
| Baptist Health RichmondRichmond, KY | $7,059 |
|---|---|
| Jewish HospitalLouisville, KY | $7,410 |
| Hardin Memorial HospitalElizabethtown, KY | $7,636 |
| King's Daughters' Medical CenterAshland, KY | $7,847 |
| Ephraim McDowell Regional Medical CenterDanville, KY | $7,929 |
Highest
| Owensboro Medical Health SystemOwensboro, KY | $8,521 |
|---|---|
| Lourdes HospitalPaducah, KY | $8,427 |
| Western Baptist HospitalPaducah, KY | $8,261 |
| Pikeville Medical CenterPikeville, KY | $8,011 |
| Central Baptist HospitalLexington, KY | $7,978 |
Level 6 Urology and Related Services in other states
Questions
How much does level 6 urology and related services cost in Kentucky?
In 2024 Medicare data, level 6 urology and related services (APC 5376) at 29 hospitals in Kentucky was billed at $65,644 on average, while the average medicare-allowed amount was $7,914, of which Medicare paid $6,293. 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 Kentucky, average charges were 8.3 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.