facebook tracking Level 7 Urology and Related Services cost in New York: 23 hospitals compared (APC 5377)

Level 7 Urology and Related Services in New York

What 23 hospitals in New York 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 $98,003 Hospital list price billed
Average allowed $14,504 Medicare's payment + patient's share
Medicare paid $12,872 Average per service
State rank #10 of 10 1 = lowest average payment

Hospitals in New York billed an average of $98,003 for level 7 urology and related services, about 6.8 times the average medicare-allowed amount of $14,504. That payment is 21% 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 $14,504Billed $98,003

About 15¢ was paid for every $1 hospitals in New York billed for this service.

New York hospitals: level 7 urology and related services

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

Hospital Services Avg charge Avg allowed Medicare paid
Mount Sinai HospitalNew York 12 $40,596 $14,581 $12,949
NYU Hospitals CenterNew York 11 $160,629 $14,420 $12,788
Buffalo General HospitalBuffalo – – – –
St Joseph's Medical CenterYonkers – – – –
Newark-Wayne Community HospitalNewark – – – –
Mount Sinai WestNew York – – – –
Brooklyn Hospital Center at Downtown CampusBrooklyn – – – –
St Peter's HospitalAlbany – – – –
New York-Presbyterian HospitalNew York – – – –
Olean General HospitalOlean – – – –
North Shore University HospitalManhasset – – – –
Oneida Healthcare CenterOneida – – – –
Lenox Hill HospitalNew York – – – –
Rochester General HospitalRochester – – – –
Garnet Health Medical CenterGoshen – – – –
Mem Sloan-Kettering Cancer CtrNew York – – – –
Erie County Medical CenterBuffalo – – – –
Brookdale Hospital Medical CenterBrooklyn – – – –
Westchester Medical CenterValhalla – – – –
University Hospital S U N Y Health Science CenterSyracuse – – – –
Cornwall HospitalCornwall – – – –
Strong Memorial HospitalRochester – – – –
University HospitalStony Brook – – – –
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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 New York?

In 2024 Medicare data, level 7 urology and related services (APC 5377) at 23 hospitals in New York was billed at $98,003 on average, while the average medicare-allowed amount was $14,504, of which Medicare paid $12,872. 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 New York, average charges were 6.8 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.