facebook tracking Level 6 Urology and Related Services cost in Missouri: 38 hospitals compared (APC 5376)

Level 6 Urology and Related Services in Missouri

What 38 hospitals in Missouri 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 $33,762 Hospital list price billed
Average allowed $8,108 Medicare's payment + patient's share
Medicare paid $6,477 Average per service
State rank #14 of 45 1 = lowest average payment

Hospitals in Missouri billed an average of $33,762 for level 6 urology and related services, about 4.2 times the average medicare-allowed amount of $8,108. That payment is 9% 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 $8,108Billed $33,762

About 24¢ was paid for every $1 hospitals in Missouri billed for this service.

Missouri hospitals: level 6 urology and related services

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

Hospital Services Avg charge Avg allowed Medicare paid
Nkc HealthNorth Kansas City 118 $34,554 $7,860 $6,223
St John's Mercy Medical CenterSt Louis 50 $29,207 $8,198 $6,566
Mercy Hospital SouthSt Louis 27 $24,146 $8,198 $6,566
St Lukes HospitalChesterfield 27 $21,557 $8,198 $6,558
SSM St Joseph Health CenterSt Charles 25 $25,665 $8,052 $6,420
Barnes Jewish HospitalSt Louis 25 $46,202 $8,198 $6,566
Bothwell Regional Health CenterSedalia 23 $10,003 $8,614 $6,982
Phelps County Regional Medical CenterRolla 19 $38,118 $8,778 $7,146
Lester E Cox Medical CentersSpringfield 18 $49,998 $7,746 $6,172
Barnes-Jewish St Peters HospitalSt Peters 18 $34,057 $8,198 $6,566
Boone Hospital CenterColumbia 15 $30,528 $7,839 $6,246
St Francis Medical CenterCape Girardeau 12 $70,504 $8,427 $6,795
Barnes-Jewish West County HospitalSt Louis 11 $37,187 $8,198 $6,566
Liberty HospitalLiberty 11 $38,028 $8,045 $6,396
Saint Luke's East Lee's Summit HospitalLee's Summit 11 $61,393 $8,045 $6,413
Mercy Hospital JoplinJoplin – – – –
Mosaic Life Care at St JosephSt Joseph – – – –
Jefferson Memorial HospitalCrystal City – – – –
Research Medical CenterKansas City – – – –
St Johns Mercy HospitalWashington – – – –
Mercy Hospital SpringfieldSpringfield – – – –
Moberly Regional Medical CenterMoberly – – – –
SSM St Joseph Hosp of KirkwoodSt Louis – – – –
SSM St Mary's Health CenterSt Louis – – – –
Cox Medical Center BransonBranson – – – –
Centerpoint Medical CenterIndependence – – – –
Western Missouri Medical CenterWarrensburg – – – –
SSM Depaul Health CenterBridgeton – – – –
St Louis University HospitalSt Louis – – – –
Missouri Baptist Medical CenterTown and Country – – – –
Southeast Missouri HospitalCape Girardeau – – – –
Missouri Delta Medical CenterSikeston – – – –
St Lukes Hospital of Kansas CityKansas City – – – –
University Hospitals & ClinicsColumbia – – – –
St Luke's Des Peres HospitalSaint Louis – – – –
Lake Regional Health SystemOsage Beach – – – –
Citizens Memorial HospitalBolivar – – – –
SSM St Joseph Hospital WestLake St Louis – – – –
Advertisement

Lowest and highest allowed amounts in Missouri

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

Lester E Cox Medical CentersSpringfield, MO$7,746
Boone Hospital CenterColumbia, MO$7,839
Nkc HealthNorth Kansas City, MO$7,860
Saint Luke's East Lee's Summit HospitalLee's Summit, MO$8,045
Liberty HospitalLiberty, MO$8,045

Highest

Phelps County Regional Medical CenterRolla, MO$8,778
Bothwell Regional Health CenterSedalia, MO$8,614
St Francis Medical CenterCape Girardeau, MO$8,427
St Lukes HospitalChesterfield, MO$8,198
St John's Mercy Medical CenterSt Louis, MO$8,198

Level 6 Urology and Related Services in other states

Questions

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

In 2024 Medicare data, level 6 urology and related services (APC 5376) at 38 hospitals in Missouri was billed at $33,762 on average, while the average medicare-allowed amount was $8,108, of which Medicare paid $6,477. 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 Missouri, average charges were 4.2 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.