Level 6 Urology and Related Services in Vermont
What 3 hospitals in Vermont charged and were paid for level 6 urology and related services (APC 5376), from 2024 Medicare claims.
Average charge
$42,235
Hospital list price billed
Average allowed
$5,468
Medicare's payment + patient's share
Medicare paid
$3,836
Average per service
State rank
#1 of 45
1 = lowest average payment
Hospitals in Vermont billed an average of $42,235 for level 6 urology and related services, about 7.7 times the average medicare-allowed amount of $5,468. That payment is 39% 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 $5,468Billed $42,235
About 13¢ was paid for every $1 hospitals in Vermont billed for this service.
Vermont hospitals: level 6 urology and related services
Every Vermont hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Rutland Regional Medical CenterRutland | 27 | $47,391 | $4,878 | $3,246 |
| Fletcher Allen Hospital of VermontBurlington | 19 | $34,908 | $6,308 | $4,676 |
| Brattleboro Memorial HospitalBrattleboro | – | – | – | – |
Level 6 Urology and Related Services in other states
Questions
How much does level 6 urology and related services cost in Vermont?
In 2024 Medicare data, level 6 urology and related services (APC 5376) at 3 hospitals in Vermont was billed at $42,235 on average, while the average medicare-allowed amount was $5,468, of which Medicare paid $3,836. 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 Vermont, average charges were 7.7 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.