What 27 hospitals in Texas charged and were paid for level 7 urology and related services (APC 5377), from 2024 Medicare claims.
Hospitals in Texas billed an average of $131,590 for level 7 urology and related services, about 11.1 times the average medicare-allowed amount of $11,887. That payment is 1% 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 9¢ was paid for every $1 hospitals in Texas billed for this service.
Every Texas hospital that billed Medicare for this service at least 11 times. Click a column to sort.
In 2024 Medicare data, level 7 urology and related services (APC 5377) at 27 hospitals in Texas was billed at $131,590 on average, while the average medicare-allowed amount was $11,887, of which Medicare paid $10,255. 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 Texas, average charges were 11.1 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.