Level 6 Urology and Related Services in Montana
What 8 hospitals in Montana charged and were paid for level 6 urology and related services (APC 5376), from 2024 Medicare claims.
Average charge
$32,095
Hospital list price billed
Average allowed
$8,800
Medicare's payment + patient's share
Medicare paid
$7,168
Average per service
State rank
#29 of 45
1 = lowest average payment
Hospitals in Montana billed an average of $32,095 for level 6 urology and related services, about 3.6 times the average medicare-allowed amount of $8,800. That payment is 1% 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 $8,800Billed $32,095
About 27¢ was paid for every $1 hospitals in Montana billed for this service.
Montana hospitals: level 6 urology and related services
Every Montana hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| St Peter's HospitalHelena | 26 | $21,807 | $9,067 | $7,435 |
| Benefis Hospitals INCGreat Falls | 24 | $38,097 | $8,634 | $7,002 |
| Community Medical Center INCMissoula | 18 | $38,954 | $8,634 | $7,002 |
| Billings Clinic HospitalBillings | – | – | – | – |
| St Patrick Hospital and Health Sciences CenterMissoula | – | – | – | – |
| Logan Health Medical CenterKalispell | – | – | – | – |
| Bozeman Deaconess HospitalBozeman | – | – | – | – |
| Great Falls Clinic Medical CenterGreat Falls | – | – | – | – |
Lowest and highest allowed amounts in Montana
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
| Benefis Hospitals INCGreat Falls, MT | $8,634 |
|---|---|
| Community Medical Center INCMissoula, MT | $8,634 |
| St Peter's HospitalHelena, MT | $9,067 |
Highest
| St Peter's HospitalHelena, MT | $9,067 |
|---|---|
| Benefis Hospitals INCGreat Falls, MT | $8,634 |
| Community Medical Center INCMissoula, MT | $8,634 |
Level 6 Urology and Related Services in other states
Questions
How much does level 6 urology and related services cost in Montana?
In 2024 Medicare data, level 6 urology and related services (APC 5376) at 8 hospitals in Montana was billed at $32,095 on average, while the average medicare-allowed amount was $8,800, of which Medicare paid $7,168. 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 Montana, average charges were 3.6 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.