Level 6 Urology and Related Services in Virginia
What 36 hospitals in Virginia charged and were paid for level 6 urology and related services (APC 5376), from 2024 Medicare claims.
Average charge
$56,118
Hospital list price billed
Average allowed
$8,359
Medicare's payment + patient's share
Medicare paid
$6,728
Average per service
State rank
#24 of 45
1 = lowest average payment
Hospitals in Virginia billed an average of $56,118 for level 6 urology and related services, about 6.7 times the average medicare-allowed amount of $8,359. That payment is 6% 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 $8,359Billed $56,118
About 15¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: level 6 urology and related services
Every Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Sentara Northern Virginia Medical CenterWoodbridge | 123 | $34,523 | $8,465 | $6,831 |
| Sentara Rmh Medical CenterHarrisonburg | 76 | $28,181 | $9,055 | $7,418 |
| Henrico Doctors' HospitalRichmond | 48 | $213,271 | $7,863 | $6,234 |
| Virginia Hospital Center - ArlingtonArlington | 45 | $30,803 | $8,486 | $6,854 |
| Inova Fair Oaks HospitalFairfax | 42 | $42,574 | $8,469 | $6,835 |
| Mary Immaculate HospitalNewport News | 41 | $57,268 | $7,932 | $6,320 |
| Augusta HealthFishersville | 37 | $41,101 | $8,704 | $7,072 |
| University of Virginia Medical CenterCharlottesville | 31 | $35,621 | $8,071 | $6,434 |
| Sentara Leigh HospitalNorfolk | 25 | $47,071 | $7,760 | $6,131 |
| Reston Hospital CenterReston | 25 | $85,350 | $8,724 | $7,092 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 23 | $32,331 | $7,932 | $6,320 |
| Sentara Norfolk General HospitalNorfolk | 17 | $49,529 | $7,640 | $6,011 |
| Lewisgale Medical CenterSalem | 16 | $137,585 | $7,931 | $6,289 |
| Inova Fairfax HospitalFalls Church | 15 | $48,666 | $8,636 | $7,004 |
| Bon Secours - Maryview Medical CenterPortsmouth | 14 | $67,075 | $7,931 | $6,319 |
| Martha Jefferson HospitalCharlottesville | 14 | $28,235 | $8,009 | $6,381 |
| Inova Alexandria HospitalAlexandria | 12 | $43,785 | $8,636 | $6,984 |
| Inova Loudoun HospitalLeesburg | 12 | $30,106 | $8,636 | $7,004 |
| Chesapeake General HospitalChesapeake | 12 | $35,108 | $8,016 | $6,386 |
| Winchester Medical Center INCWinchester | – | – | – | – |
| Culpeper Regional HospitalCulpeper | – | – | – | – |
| Centra Health - Lynchburg Gen HospitalLynchburg | – | – | – | – |
| Mary Washington Hospital, INCFredericksburg | – | – | – | – |
| Carilion Medical CenterRoanoke | – | – | – | – |
| Medical College of Virginia HospitalsRichmond | – | – | – | – |
| Carilion New River Vly Med CtrChristiansburg | – | – | – | – |
| Prince William HospitalManassas | – | – | – | – |
| Riverside Regional Medical CenterNewport News | – | – | – | – |
| Sentara Virginia Beach General HospitalVirginia Beach | – | – | – | – |
| Southside Regional Medical CenterPetersburg | – | – | – | – |
| Danville Regional Medical CenterDanville | – | – | – | – |
| Wythe County Community HospitalWytheville | – | – | – | – |
| Cjw Medical CenterRichmond | – | – | – | – |
| Twin County Regional HospitalGalax | – | – | – | – |
| Sentara Bayside HospitalVirginia Beach | – | – | – | – |
| UVA Health Haymarket Medical CenterHaymarket | – | – | – | – |
Lowest and highest allowed amounts in Virginia
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
| Sentara Norfolk General HospitalNorfolk, VA | $7,640 |
|---|---|
| Sentara Leigh HospitalNorfolk, VA | $7,760 |
| Henrico Doctors' HospitalRichmond, VA | $7,863 |
| Bon Secours - Maryview Medical CenterPortsmouth, VA | $7,931 |
| Lewisgale Medical CenterSalem, VA | $7,931 |
Highest
| Sentara Rmh Medical CenterHarrisonburg, VA | $9,055 |
|---|---|
| Reston Hospital CenterReston, VA | $8,724 |
| Augusta HealthFishersville, VA | $8,704 |
| Inova Alexandria HospitalAlexandria, VA | $8,636 |
| Inova Loudoun HospitalLeesburg, VA | $8,636 |
Level 6 Urology and Related Services in other states
Questions
How much does level 6 urology and related services cost in Virginia?
In 2024 Medicare data, level 6 urology and related services (APC 5376) at 36 hospitals in Virginia was billed at $56,118 on average, while the average medicare-allowed amount was $8,359, of which Medicare paid $6,728. 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 Virginia, average charges were 6.7 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.