facebook tracking Level 6 Urology and Related Services cost in Nevada: 14 hospitals compared (APC 5376)

Level 6 Urology and Related Services in Nevada

What 14 hospitals in Nevada 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 $80,690 Hospital list price billed
Average allowed $9,734 Medicare's payment + patient's share
Medicare paid $8,102 Average per service
State rank #41 of 45 1 = lowest average payment

Hospitals in Nevada billed an average of $80,690 for level 6 urology and related services, about 8.3 times the average medicare-allowed amount of $9,734. That payment is 9% 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 $9,734Billed $80,690

About 12¢ was paid for every $1 hospitals in Nevada billed for this service.

Nevada hospitals: level 6 urology and related services

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

Hospital Services Avg charge Avg allowed Medicare paid
Saint Mary's Regional Medical CenterReno 33 $56,634 $9,609 $7,977
Centennial Hills Hospital Medical CenterLas Vegas 19 $109,578 $9,859 $8,227
Summerlin Hospital Medical CenterLas Vegas 14 $98,190 $9,859 $8,227
Renown Regional Medical CenterReno – – – –
Sunrise Hospital and Medical CenterLas Vegas – – – –
Carson Tahoe HospitalCarson City – – – –
Valley Hospital Medical CenterLas Vegas – – – –
Northern Nevada Medical CenterSparks – – – –
Mountainview HospitalLas Vegas – – – –
Saint Rose Dominican Hospital - Siena CampusHenderson – – – –
Spring Valley Hospital Medical CenterLas Vegas – – – –
Southern Hills Hospital and Medical CenterLas Vegas – – – –
Saint Rose Dominican Hospital - San Martin CampusLas Vegas – – – –
Northern Nevada Sierra Medical CenterReno – – – –
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Lowest and highest allowed amounts in Nevada

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Level 6 Urology and Related Services in other states

Questions

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

In 2024 Medicare data, level 6 urology and related services (APC 5376) at 14 hospitals in Nevada was billed at $80,690 on average, while the average medicare-allowed amount was $9,734, of which Medicare paid $8,102. 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 Nevada, 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.