facebook tracking Level 8 Urology and Related Services cost in Georgia: 41 hospitals compared (APC 5378)

Level 8 Urology and Related Services in Georgia

What 41 hospitals in Georgia 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 $84,075 Hospital list price billed
Average allowed $18,111 Medicare's payment + patient's share
Medicare paid $16,480 Average per service
State rank #22 of 38 1 = lowest average payment

Hospitals in Georgia billed an average of $84,075 for level 8 urology and related services, about 4.6 times the average medicare-allowed amount of $18,111. That payment is 5% below 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 $18,111Billed $84,075

About 22¢ was paid for every $1 hospitals in Georgia billed for this service.

Georgia hospitals: level 8 urology and related services

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

Hospital Services Avg charge Avg allowed Medicare paid
Northside Hospital ForsythCumming 25 $69,859 $18,677 $17,043
Gwinnett Medical CenterLawrenceville 25 $91,749 $18,677 $17,036
Emory University HospitalAtlanta 19 $66,574 $18,677 $17,045
Northside Hospital CherokeeCanton 17 $96,849 $18,677 $17,045
Emory University Hospital MidtownAtlanta 14 $60,571 $18,677 $17,045
Wellstar Cobb HospitalAustell 13 $113,322 $14,373 $12,784
Piedmont Columbus Regional NorthsideColumbus 13 $127,413 $17,013 $15,375
Emory Decatur HospitalDecatur 11 $53,565 $18,677 $17,045
Hamilton Medical CenterDalton – – – –
St Mary's HospitalAthens – – – –
Phoebe Putney Memorial HospitalAlbany – – – –
West Georgia Medical CenterLagrange – – – –
Newton Medical CenterCovington – – – –
Candler HospitalSavannah – – – –
Southeast Georgia Reg Med CtrBrunswick – – – –
Piedmont Augusta HospitalAugusta – – – –
Northeast Georgia Medical Center, INCGainesville – – – –
Medical College of Ga Hospitals and ClinicsAugusta – – – –
Wellstar Kennestone HospitalMarietta – – – –
John D Archbold Memorial HospitalThomasville – – – –
Wellstar Paulding HospitalDallas – – – –
Barrow Regional Medical CenterWinder – – – –
Floyd Medical CenterRome – – – –
Athens Regional Medical CenterAthens – – – –
Grady Memorial HospitalAtlanta – – – –
Saint Joseph's Hosp of AtlantaAtlanta – – – –
Piedmont HospitalAtlanta – – – –
Rockdale Medical CenterConyers – – – –
Colquitt Reg Medical CenterMoultrie – – – –
Sgmc HealthValdosta – – – –
Northside HospitalAtlanta – – – –
Southern Regional Medical CenterRiverdale – – – –
Redmond Regional Medical CenterRome – – – –
Doctors HospitalAugusta – – – –
Wellstar Douglas HospitalDouglasville – – – –
Henry Medical Center, INCStockbridge – – – –
Emory Eastside Medical CenterSnellville – – – –
North Fulton Regional HospitalRoswell – – – –
Piedmont Fayette HospitalFayetteville – – – –
Southeastern Regional Medical Center, INCNewnan – – – –
Northside Hospital DuluthDuluth – – – –
Level 8 Urology and Related Services: all states All Georgia hospitals Georgia hospital finances
Advertisement

Lowest and highest allowed amounts in Georgia

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Wellstar Cobb HospitalAustell, GA$14,373
Piedmont Columbus Regional NorthsideColumbus, GA$17,013
Northside Hospital CherokeeCanton, GA$18,677
Emory University HospitalAtlanta, GA$18,677
Emory Decatur HospitalDecatur, GA$18,677

Highest

Gwinnett Medical CenterLawrenceville, GA$18,677
Northside Hospital ForsythCumming, GA$18,677
Northside Hospital CherokeeCanton, GA$18,677
Emory University HospitalAtlanta, GA$18,677
Emory Decatur HospitalDecatur, GA$18,677

Level 8 Urology and Related Services in other states

Florida · $18,057 Indiana · $17,538 Kentucky · $17,943 Michigan · $17,766 Nebraska · $18,073 North Carolina · $17,520 Texas · $17,796 Virginia · $17,941

Questions

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

In 2024 Medicare data, level 8 urology and related services (APC 5378) at 41 hospitals in Georgia was billed at $84,075 on average, while the average medicare-allowed amount was $18,111, of which Medicare paid $16,480. 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 Georgia, average charges were 4.6 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.