Level 6 Urology and Related Services in Massachusetts
What 39 hospitals in Massachusetts charged and were paid for level 6 urology and related services (APC 5376), from 2024 Medicare claims.
Average charge
$29,975
Hospital list price billed
Average allowed
$9,803
Medicare's payment + patient's share
Medicare paid
$8,175
Average per service
State rank
#42 of 45
1 = lowest average payment
Hospitals in Massachusetts billed an average of $29,975 for level 6 urology and related services, about 3.1 times the average medicare-allowed amount of $9,803. That payment is 10% 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 $9,803Billed $29,975
About 33¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 6 urology and related services
Every Massachusetts hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Cooley Dickinson Hospital Inc,TheNorthampton | 44 | $23,462 | $9,886 | $8,254 |
| Union HospitalLynn | 41 | $23,825 | $9,685 | $8,047 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 38 | $21,611 | $9,886 | $8,254 |
| Umass Memorial Medical Center INCWorcester | 35 | $40,469 | $9,650 | $8,018 |
| Newton-Wellesley HospitalNewton Lower Falls | 34 | $23,893 | $9,886 | $8,254 |
| St Vincent HospitalWorcester | 34 | $75,789 | $9,886 | $8,254 |
| Faulkner HospitalBoston | 33 | $27,671 | $9,886 | $8,254 |
| Cape Cod HospitalHyannis | 31 | $18,222 | $9,620 | $7,988 |
| Brigham and Women's HosptialBoston | 31 | $50,429 | $9,142 | $7,581 |
| Lahey Clinic HospitalBurlington | 31 | $17,594 | $9,886 | $8,254 |
| Beverly Hospital CorporationBeverly | 29 | $18,566 | $9,886 | $8,254 |
| Harrington Memorial HospitalSouthbridge | 24 | $44,044 | $9,886 | $8,254 |
| Beth Israel Deaconess Hospital - NeedhamNeedham | 24 | $20,244 | $9,886 | $8,254 |
| Beth Israel Deaconess Medical CenterBoston | 16 | $22,303 | $9,886 | $8,254 |
| Berkshire Medical Center INCPittsfield | 14 | $32,658 | $10,381 | $8,749 |
| Melrosewakefield HealthcareMelrose | 13 | $20,123 | $9,886 | $8,254 |
| Lawrence General HospitalLawrence | 12 | $19,894 | $9,886 | $8,254 |
| Emerson HospitalConcord | 11 | $19,918 | $9,887 | $8,233 |
| Healthalliance Hospitals, INCLeominster | – | – | – | – |
| Sturdy Memorial HospitalAttleboro | – | – | – | – |
| Carney HospitalDorchester | – | – | – | – |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | – | – | – | – |
| Holyoke Medical CenterHolyoke | – | – | – | – |
| Anna Jaques HospitalNewburyport | – | – | – | – |
| Boston Medical Center CorporationBoston | – | – | – | – |
| Marlborough HospitalMarlborough | – | – | – | – |
| Brockton HospitalBrockton | – | – | – | – |
| Lowell General HospitalLowell | – | – | – | – |
| Mercy Medical CenterSpringfield | – | – | – | – |
| Massachusetts General HospitalBoston | – | – | – | – |
| Southcoast Hospital Group, INCFall River | – | – | – | – |
| Baystate Medical CenterSpringfield | – | – | – | – |
| Holy Family Hospital, a Caritas Family HospitalMethuen | – | – | – | – |
| Milford Regional Medical CenterMilford | – | – | – | – |
| Heywood HospitalGardner | – | – | – | – |
| South Shore HospitalSouth Weymouth | – | – | – | – |
| Winchester HospitalWinchester | – | – | – | – |
| Tufts Medical CenterBoston | – | – | – | – |
| Falmouth HospitalFalmouth | – | – | – | – |
Lowest and highest allowed amounts in Massachusetts
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
| Brigham and Women's HosptialBoston, MA | $9,142 |
|---|---|
| Cape Cod HospitalHyannis, MA | $9,620 |
| Umass Memorial Medical Center INCWorcester, MA | $9,650 |
| Union HospitalLynn, MA | $9,685 |
| Lawrence General HospitalLawrence, MA | $9,886 |
Highest
| Berkshire Medical Center INCPittsfield, MA | $10,381 |
|---|---|
| Emerson HospitalConcord, MA | $9,887 |
| Lawrence General HospitalLawrence, MA | $9,886 |
| Cooley Dickinson Hospital Inc,TheNorthampton, MA | $9,886 |
| Harrington Memorial HospitalSouthbridge, MA | $9,886 |
Level 6 Urology and Related Services in other states
Questions
How much does level 6 urology and related services cost in Massachusetts?
In 2024 Medicare data, level 6 urology and related services (APC 5376) at 39 hospitals in Massachusetts was billed at $29,975 on average, while the average medicare-allowed amount was $9,803, of which Medicare paid $8,175. 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 Massachusetts, average charges were 3.1 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.