Level 6 Urology and Related Services in Maine
What 10 hospitals in Maine charged and were paid for level 6 urology and related services (APC 5376), from 2024 Medicare claims.
Average charge
$40,388
Hospital list price billed
Average allowed
$8,653
Medicare's payment + patient's share
Medicare paid
$7,021
Average per service
State rank
#27 of 45
1 = lowest average payment
Hospitals in Maine billed an average of $40,388 for level 6 urology and related services, about 4.7 times the average medicare-allowed amount of $8,653. That payment is 3% 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 $8,653Billed $40,388
About 21¢ was paid for every $1 hospitals in Maine billed for this service.
Maine hospitals: level 6 urology and related services
Every Maine hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Maine Medical CenterPortland | 11 | $40,388 | $8,653 | $7,021 |
| Mercy HospitalPortland | – | – | – | – |
| Southern Maine Health CareBiddeford | – | – | – | – |
| York HospitalYork | – | – | – | – |
| Mid Coast HospitalBrunswick | – | – | – | – |
| Eastern Maine Medical CenterBangor | – | – | – | – |
| St Marys Regional Medical CenterLewiston | – | – | – | – |
| Franklin Memorial HospitalFarmington | – | – | – | – |
| Maine General Medical CenterWaterville | – | – | – | – |
| Maine Coast Memorial HospitalEllsworth | – | – | – | – |
Level 6 Urology and Related Services in other states
Questions
How much does level 6 urology and related services cost in Maine?
In 2024 Medicare data, level 6 urology and related services (APC 5376) at 10 hospitals in Maine was billed at $40,388 on average, while the average medicare-allowed amount was $8,653, of which Medicare paid $7,021. 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 Maine, average charges were 4.7 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.