facebook tracking Level 8 Urology and Related Services cost in Connecticut: 7 hospitals compared (APC 5378)

Level 8 Urology and Related Services in Connecticut

What 7 hospitals in Connecticut 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 $64,807 Hospital list price billed
Average allowed $22,511 Medicare's payment + patient's share
Medicare paid $20,879 Average per service
State rank #37 of 38 1 = lowest average payment

Hospitals in Connecticut billed an average of $64,807 for level 8 urology and related services, about 2.9 times the average medicare-allowed amount of $22,511. That payment is 18% above the U.S. average 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 $22,511Billed $64,807

About 35¢ was paid for every $1 hospitals in Connecticut billed for this service.

Connecticut hospitals: level 8 urology and related services

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

Hospital Services Avg charge Avg allowed Medicare paid
Hartford HospitalHartford 23 $57,036 $22,443 $20,811
Yale-New Haven HospitalNew Haven 12 $79,701 $22,641 $21,009
St Francis Hospital & Medical CenterHartford – – – –
Charlotte Hungerford HospitalTorrington – – – –
Saint Marys HospitalWaterbury – – – –
William W Backus HospitalNorwich – – – –
Hospital of Central Connecticut, theNew Britain – – – –
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Level 8 Urology and Related Services in other states

Questions

How much does level 8 urology and related services cost in Connecticut?

In 2024 Medicare data, level 8 urology and related services (APC 5378) at 7 hospitals in Connecticut was billed at $64,807 on average, while the average medicare-allowed amount was $22,511, of which Medicare paid $20,879. 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 Connecticut, average charges were 2.9 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.