facebook tracking Level 8 Urology and Related Services cost: hospital prices by state (APC 5378)

Level 8 Urology and Related Services

What 1,012 hospitals in the U.S. charged and were paid for level 8 urology and related services (APC 5378), from 2024 Medicare claims.

APC 5378 Outpatient 2024 Medicare data
Average charge $98,984 Hospital list price billed
Average allowed $19,057 Medicare's payment + patient's share
Medicare paid $17,428 Average per service
Volume 4,670 Medicare services

Hospitals in the U.S. billed an average of $98,984 for level 8 urology and related services, about 5.2 times the average medicare-allowed amount of $19,057.

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 $19,057Billed $98,984

About 19¢ was paid for every $1 hospitals in the U.S. billed for this service.

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Lowest and highest allowed amounts

Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

University of Arkansas Medical SciencesLittle Rock, AR$11,173
Vanderbilt University HospitalNashville, TN$13,067
Grandview Medical CenterBirmingham, AL$14,859
University of Alabama HospitalBirmingham, AL$15,254
Methodist HospitalSan Antonio, TX$15,893
Univ of Tn Mem HospitalKnoxville, TN$15,934
MUSC Medical CenterCharleston, SC$16,209
Lafayette General Medical CenterLafayette, LA$16,357
University of Iowa Hospital & ClinicsIowa City, IA$16,478
University Hospitals Ahuja Medical CenterBeachwood, OH$16,535

Highest

El Camino HospitalMountain View, CA$28,322
Stanford HospitalPalo Alto, CA$28,322
UCSF Medical CenterSan Francisco, CA$27,215
Sutter General HospitalSacramento, CA$26,842
Verdugo Hills HospitalGlendale, CA$24,732
University of California San Diego Medical CenterSan Diego, CA$24,732
UCLA Medical CenterLos Angeles, CA$24,732
UCI Health-OrangeOrange, CA$24,732
Cedars-Sinai Medical CenterLos Angeles, CA$24,732
USC Kenneth Norris Jr Cancer HospitalLos Angeles, CA$24,553

Level 8 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 19 $139,480 $15,318 $14,859 – $16,690
Alaska 3 – – – – –
Arizona 20 $98,720 $19,535 $18,978 – $19,623
Arkansas 16 $67,726 $14,167 $11,173 – $17,120
California 84 $110,767 $25,535 $23,843 – $28,322
Colorado 16 $122,851 $19,157 $19,157 – $19,157
Connecticut 7 $64,807 $22,511 $22,443 – $22,641
Delaware 2 $112,509 $20,189 $20,189 – $20,189
Florida 89 $106,022 $18,057 $17,006 – $18,231
Georgia 41 $84,075 $18,111 $14,373 – $18,677
Hawaii 3 – – – – –
Idaho 5 – – – – –
Illinois 40 $112,263 $18,746 $17,294 – $19,572
Indiana 17 $127,137 $17,538 $17,156 – $18,152
Iowa 10 $74,492 $16,478 $16,478 – $16,478
Kansas 10 $97,523 $17,113 $16,369 – $17,577
Kentucky 19 $179,398 $17,943 $17,272 – $18,413
Louisiana 20 $84,040 $15,939 $12,102 – $17,049
Maine 6 – – – – –
Massachusetts 28 $51,221 $21,505 $19,792 – $21,608
Michigan 39 $71,016 $17,766 $16,040 – $18,617
Minnesota 16 $49,210 $20,431 $18,923 – $20,527
Mississippi 10 $55,262 $16,450 $15,467 – $16,851
Missouri 20 $67,933 $17,086 $15,954 – $17,593
Montana 5 $38,185 $18,868 $18,868 – $18,868
Nebraska 8 $66,266 $18,073 $17,972 – $18,135
Nevada 8 $200,654 $21,548 $21,548 – $21,548
New Hampshire 5 $73,789 $19,196 $19,196 – $19,196
New Jersey 33 $88,006 $22,075 $21,065 – $22,893
New Mexico 4 – – – – –
New York 45 $92,346 $21,965 $19,840 – $22,893
North Carolina 37 $92,237 $17,520 $16,744 – $18,756
North Dakota 1 – – –
Ohio 39 $76,108 $16,907 $15,719 – $17,998
Oklahoma 11 $111,302 $16,868 $16,468 – $17,341
Oregon 12 $79,290 $21,112 $21,112 – $21,112
Pennsylvania 39 $146,032 $19,311 $17,976 – $20,272
Rhode Island 4 – – – – –
South Carolina 25 $97,212 $16,729 $16,039 – $17,361
South Dakota 5 – – – – –
Tennessee 23 $91,410 $15,592 $13,067 – $17,341
Texas 89 $135,525 $17,796 $15,893 – $18,661
Utah 6 $67,602 $17,394 $17,212 – $18,029
Vermont 1 – – –
Virginia 22 $48,681 $17,941 $17,513 – $18,871
Washington 20 $102,146 $20,204 $18,958 – $21,560
West Virginia 8 $84,641 $15,862 $15,862 – $15,862
Wisconsin 18 $121,279 $18,786 $18,786 – $18,786
Wyoming 2 – – – – –

Hospitals that treat the most Medicare patients for this

HospitalServicesAvg chargeAvg allowed
Mayo Clinic - Saint Marys HospitalRochester, MN189$47,923$20,527
Lenox Hill HospitalNew York, NY86$88,310$21,588
Tampa General HospitalTampa, FL76$136,317$18,230
Mayo Clinic HospitalPhoenix, AZ73$49,037$19,623
USC Kenneth Norris Jr Cancer HospitalLos Angeles, CA69$78,585$24,553
HCA Houston Healthcare Medical CenterHouston, TX67$260,868$17,645
Univ of Tx M D Anderson CtrHouston, TX66$56,164$18,262
Lahey Clinic HospitalBurlington, MA62$42,049$21,608
Cleveland Clinic - Main CampusCleveland, OH62$72,038$17,183
Temple University HospitalPhiladelphia, PA61$181,728$20,272
UT Southwestern University HospitalDallas, TX60$69,726$17,837
Adventhealth OrlandoOrlando, FL59$122,257$17,953
Baylor Scott and White Medical Center McKinneyMc Kinney, TX57$78,227$17,953
Scottsdale Healthcare-Thompson Peak HospitalScottsdale, AZ56$134,896$19,623
Duke University Medical CenterDurham, NC56$100,768$17,030

Questions

How much does level 8 urology and related services cost in the U.S.?

In 2024 Medicare data, level 8 urology and related services (APC 5378) at 1,012 hospitals in the U.S. was billed at $98,984 on average, while the average medicare-allowed amount was $19,057, of which Medicare paid $17,428. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for level 8 urology and related services?

Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($25,535), Connecticut ($22,511), New Jersey ($22,075) and lowest in Arkansas ($14,167), Alabama ($15,318), Tennessee ($15,592).

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 5.2 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.