Level 7 Urology and Related Services
What 423 hospitals in the U.S. charged and were paid for level 7 urology and related services (APC 5377), from 2024 Medicare claims.
Average charge
$76,285
Hospital list price billed
Average allowed
$12,022
Medicare's payment + patient's share
Medicare paid
$10,388
Average per service
Volume
195
Medicare services
Hospitals in the U.S. billed an average of $76,285 for level 7 urology and related services, about 6.3 times the average medicare-allowed amount of $12,022.
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 $12,022Billed $76,285
About 16¢ was paid for every $1 hospitals in the U.S. billed for this service.
Level 7 Urology and Related Services cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 8 | $124,619 | $10,676 | $10,676 – $10,676 |
| Arizona | 10 | $35,061 | $12,499 | $12,499 – $12,499 |
| Arkansas | 10 | – | – | – – – |
| California | 34 | – | – | – – – |
| Colorado | 12 | $59,687 | $11,973 | $11,811 – $12,203 |
| Connecticut | 6 | – | – | – – – |
| Delaware | 1 | – | – | – |
| Florida | 29 | $78,138 | $11,613 | $11,613 – $11,613 |
| Georgia | 13 | – | – | – – – |
| Hawaii | 3 | – | – | – – – |
| Idaho | 3 | – | – | – – – |
| Illinois | 17 | – | – | – – – |
| Indiana | 10 | – | – | – – – |
| Iowa | 4 | – | – | – – – |
| Kansas | 4 | – | – | – – – |
| Kentucky | 3 | – | – | – – – |
| Louisiana | 4 | – | – | – – – |
| Maine | 3 | – | – | – – – |
| Massachusetts | 15 | – | – | – – – |
| Michigan | 9 | – | – | – – – |
| Minnesota | 6 | $69,999 | $12,253 | $12,253 – $12,253 |
| Mississippi | 7 | – | – | – – – |
| Missouri | 12 | – | – | – – – |
| Montana | 3 | – | – | – – – |
| Nebraska | 6 | – | – | – – – |
| Nevada | 3 | – | – | – – – |
| New Hampshire | 2 | – | – | – – – |
| New Jersey | 11 | – | – | – – – |
| New Mexico | 2 | – | – | – – – |
| New York | 23 | $98,003 | $14,504 | $14,420 – $14,581 |
| North Carolina | 19 | $57,253 | $11,564 | $11,564 – $11,564 |
| Ohio | 23 | $45,793 | $10,947 | $10,947 – $10,947 |
| Oklahoma | 6 | – | – | – – – |
| Oregon | 4 | – | – | – – – |
| Pennsylvania | 12 | – | – | – – – |
| Rhode Island | 2 | – | – | – – – |
| South Carolina | 8 | $54,638 | $11,063 | $11,063 – $11,063 |
| South Dakota | 2 | – | – | – – – |
| Tennessee | 10 | – | – | – – – |
| Texas | 27 | $131,590 | $11,887 | $11,887 – $11,887 |
| Utah | 4 | – | – | – – – |
| Vermont | 1 | – | – | – |
| Virginia | 12 | – | – | – – – |
| Washington | 11 | – | – | – – – |
| West Virginia | 2 | – | – | – – – |
| Wisconsin | 6 | – | – | – – – |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| University of Colorado Hospital Anschutz InpatientAurora, CO | 27 | $57,016 | $11,811 |
| Uchealth Highlands Ranch HospitalHighlands Ranch, CO | 19 | $63,482 | $12,203 |
| Methodist Hospital,TheHouston, TX | 19 | $131,590 | $11,887 |
| Tampa General HospitalTampa, FL | 18 | $100,646 | $11,613 |
| Grandview Medical CenterBirmingham, AL | 14 | $124,619 | $10,676 |
| United HospitalSt Paul, MN | 14 | $69,999 | $12,253 |
| Cleveland Clinic - Main CampusCleveland, OH | 14 | $45,793 | $10,947 |
| Mayo Clinic HospitalPhoenix, AZ | 13 | $35,061 | $12,499 |
| Mount Sinai HospitalNew York, NY | 12 | $40,596 | $14,581 |
| Duke University Medical CenterDurham, NC | 12 | $57,253 | $11,564 |
| Mayo ClinicJacksonville, FL | 11 | $41,308 | $11,613 |
| NYU Hospitals CenterNew York, NY | 11 | $160,629 | $14,420 |
| Roper HospitalCharleston, SC | 11 | $54,638 | $11,063 |
| University of Alabama HospitalBirmingham, AL | – | – | – |
| Huntsville HospitalHuntsville, AL | – | – | – |
Questions
How much does level 7 urology and related services cost in the U.S.?
In 2024 Medicare data, level 7 urology and related services (APC 5377) at 423 hospitals in the U.S. was billed at $76,285 on average, while the average medicare-allowed amount was $12,022, of which Medicare paid $10,388. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 7 urology and related services?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in New York ($14,504), Arizona ($12,499), Minnesota ($12,253) and lowest in Alabama ($10,676), Ohio ($10,947), South Carolina ($11,063).
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 the U.S., average charges were 6.3 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.