facebook tracking Level 6 Urology and Related Services cost in Oregon: 17 hospitals compared (APC 5376)

Level 6 Urology and Related Services in Oregon

What 17 hospitals in Oregon 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 $38,624 Hospital list price billed
Average allowed $9,620 Medicare's payment + patient's share
Medicare paid $7,988 Average per service
State rank #39 of 45 1 = lowest average payment

Hospitals in Oregon billed an average of $38,624 for level 6 urology and related services, about 4.0 times the average medicare-allowed amount of $9,620. That payment is 8% 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 $9,620Billed $38,624

About 25¢ was paid for every $1 hospitals in Oregon billed for this service.

Oregon hospitals: level 6 urology and related services

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

Hospital Services Avg charge Avg allowed Medicare paid
Adventist Medical CenterPortland 36 $48,627 $9,660 $8,028
Legacy Mount Hood Medical CenterGresham 33 $37,382 $9,660 $8,028
OHSU Hospital and ClinicsPortland 23 $33,568 $9,660 $8,028
Legacy Good Samaritan Medical CenterPortland 21 $44,084 $9,660 $8,028
St Charles Medical Center - BendBend 19 $40,961 $9,727 $8,095
Ashland Community HospitalAshland 11 $21,612 $9,085 $7,453
Good Samaritan Regional Medical CenterCorvallis 11 $22,735 $9,558 $7,926
Providence St Vincent Medical CenterPortland – – – –
Legacy Emanuel Medical CenterPortland – – – –
Rogue Valley Medical CenterMedford – – – –
McKenzie-Willamette Medical CenterSpringfield – – – –
Providence Willamette Falls Medical CenterOregon City – – – –
Providence Portland Medical CenterPortland – – – –
Willamette Valley Medical CtrMcMinnville – – – –
Providence Medford Medical CenterMedford – – – –
Bay Area HospitalCoos Bay – – – –
Sacred Heart Medical Center - RiverbendSpringfield – – – –
Advertisement

Lowest and highest allowed amounts in Oregon

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 Oregon?

In 2024 Medicare data, level 6 urology and related services (APC 5376) at 17 hospitals in Oregon was billed at $38,624 on average, while the average medicare-allowed amount was $9,620, of which Medicare paid $7,988. 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 Oregon, average charges were 4.0 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.