Level 6 Urology and Related Services in Wisconsin
What 34 hospitals in Wisconsin charged and were paid for level 6 urology and related services (APC 5376), from 2024 Medicare claims.
Average charge
$40,400
Hospital list price billed
Average allowed
$8,415
Medicare's payment + patient's share
Medicare paid
$6,789
Average per service
State rank
#25 of 45
1 = lowest average payment
Hospitals in Wisconsin billed an average of $40,400 for level 6 urology and related services, about 4.8 times the average medicare-allowed amount of $8,415. 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 $8,415Billed $40,400
About 21¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Wisconsin hospitals: level 6 urology and related services
Every Wisconsin hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Wisconsin
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
| Gundersen Luth Med CtrLa Crosse, WI | $8,089 |
|---|---|
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $8,125 |
| Bellin Memorial HsptlGreen Bay, WI | $8,242 |
| Aurora Baycare Med CtrGreen Bay, WI | $8,293 |
| Aurora Sheboygan Mem Med CtrSheboygan, WI | $8,391 |
Highest
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee, WI | $8,666 |
|---|---|
| Froedtert SouthKenosha, WI | $8,661 |
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $8,410 |
| Aurora Sheboygan Mem Med CtrSheboygan, WI | $8,391 |
| Ascension SE Wisconsin HospitalMilwaukee, WI | $8,391 |
Level 6 Urology and Related Services in other states
Questions
How much does level 6 urology and related services cost in Wisconsin?
In 2024 Medicare data, level 6 urology and related services (APC 5376) at 34 hospitals in Wisconsin was billed at $40,400 on average, while the average medicare-allowed amount was $8,415, of which Medicare paid $6,789. 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 Wisconsin, average charges were 4.8 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.