What 19 hospitals in North Carolina charged and were paid for level 7 urology and related services (APC 5377), from 2024 Medicare claims.
Hospitals in North Carolina billed an average of $57,253 for level 7 urology and related services, about 5.0 times the average medicare-allowed amount of $11,564. That payment is 4% below 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.
About 20¢ was paid for every $1 hospitals in North Carolina billed for this service.
Every North Carolina hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Duke University Medical CenterDurham | 12 | $57,253 | $11,564 | $9,932 |
| Carolinas Medical Center-NortheastConcord | – | – | – | – |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | – | – | – | – |
| Forsyth Memorial HospitalWinston-Salem | – | – | – | – |
| Rowan Regional Medical CenterSalisbury | – | – | – | – |
| ECU Health Medical CenterGreenville | – | – | – | – |
| Presbyterian HospitalCharlotte | – | – | – | – |
| UNC HospitalsChapel Hill | – | – | – | – |
| Duke Health Raleigh HospitalRaleigh | – | – | – | – |
| Moses H Cone Memorial Hospital, theGreensboro | – | – | – | – |
| Atrium Health PinevilleCharlotte | – | – | – | – |
| Carolinas Medical Center/Behav HealthCharlotte | – | – | – | – |
| Rex HospitalRaleigh | – | – | – | – |
| Carolinas Medical Center-UnionMonroe | – | – | – | – |
| New Hanover Regional Medical CenterWilmington | – | – | – | – |
| Medical Park HospitalWinston-Salem | – | – | – | – |
| Duke Regional HospitalDurham | – | – | – | – |
| Wakemed, Cary HospitalCary | – | – | – | – |
| Novant Health Mint Hill Medical CenterCharlotte | – | – | – | – |
In 2024 Medicare data, level 7 urology and related services (APC 5377) at 19 hospitals in North Carolina was billed at $57,253 on average, while the average medicare-allowed amount was $11,564, of which Medicare paid $9,932. Your own cost depends on your insurance, deductible and the hospital.
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 North Carolina, average charges were 5.0 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.