facebook tracking Level 7 Urology and Related Services cost in Minnesota: 6 hospitals compared (APC 5377)

Level 7 Urology and Related Services in Minnesota

What 6 hospitals in Minnesota charged and were paid for level 7 urology and related services (APC 5377), from 2024 Medicare claims.

APC 5377 Outpatient 2024 Medicare data
Average charge $69,999 Hospital list price billed
Average allowed $12,253 Medicare's payment + patient's share
Medicare paid $10,621 Average per service
State rank #8 of 10 1 = lowest average payment

Hospitals in Minnesota billed an average of $69,999 for level 7 urology and related services, about 5.7 times the average medicare-allowed amount of $12,253. That payment is 2% above the U.S. average 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 $12,253Billed $69,999

About 18¢ was paid for every $1 hospitals in Minnesota billed for this service.

Minnesota hospitals: level 7 urology and related services

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

Hospital Services Avg charge Avg allowed Medicare paid
United HospitalSt Paul 14 $69,999 $12,253 $10,621
Essentia Health St Mary's Medical CenterDuluth – – – –
Mayo Clinic - Saint Marys HospitalRochester – – – –
St Cloud HospitalSt Cloud – – – –
Abbott Northwestern Hospital INCMinneapolis – – – –
Healtheast Woodwinds HospitalWoodbury – – – –
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Level 7 Urology and Related Services in other states

Questions

How much does level 7 urology and related services cost in Minnesota?

In 2024 Medicare data, level 7 urology and related services (APC 5377) at 6 hospitals in Minnesota was billed at $69,999 on average, while the average medicare-allowed amount was $12,253, of which Medicare paid $10,621. 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 Minnesota, average charges were 5.7 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.