facebook tracking Level 8 Urology and Related Services cost in Illinois: 40 hospitals compared (APC 5378)

Level 8 Urology and Related Services in Illinois

What 40 hospitals in Illinois 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 $112,263 Hospital list price billed
Average allowed $18,746 Medicare's payment + patient's share
Medicare paid $17,114 Average per service
State rank #23 of 38 1 = lowest average payment

Hospitals in Illinois billed an average of $112,263 for level 8 urology and related services, about 6.0 times the average medicare-allowed amount of $18,746. That payment is 2% 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 $18,746Billed $112,263

About 17¢ was paid for every $1 hospitals in Illinois billed for this service.

Illinois hospitals: level 8 urology and related services

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

Hospital Services Avg charge Avg allowed Medicare paid
Northwestern Memorial HospitalChicago 38 $119,665 $18,628 $16,996
The University of Chicago Medical CenterChicago 20 $187,966 $19,572 $17,940
Rush University Medical CenterChicago 15 $90,123 $18,376 $16,744
Loyola University Medical CenterMaywood 15 $57,675 $19,572 $17,940
St Johns HospitalSpringfield 13 $62,693 $17,294 $15,662
Provena St Joseph Medical CenterJoliet – – – –
Loyola Gottlieb Memorial HospitalMelrose Park – – – –
Evanston HospitalEvanston – – – –
Blessing HospitalQuincy – – – –
Sherman HospitalElgin – – – –
St Anthonys Memorial HospitalEffingham – – – –
Advocate Trinity HospitalChicago – – – –
Macneal HospitalBerwyn – – – –
Palos Community HospitalPalos Heights – – – –
Swedish Covenant HospitalChicago – – – –
Resurrection Medical CenterChicago – – – –
John H Stroger Jr HospitalChicago – – – –
Bromenn Healthcare SystemNormal – – – –
Decatur Memorial HospitalDecatur – – – –
Memorial Medical CenterSpringfield – – – –
University of Illinois Hospital and ClinicsChicago – – – –
Franciscan Health Olympia & Chicago HeightsOlympia Fields – – – –
Little Company of Mary HospitalEvergreen Park – – – –
Advocate Illinois Masonic Medical CenterChicago – – – –
Heartland Regional Medical CenterMarion – – – –
Riverside Medical CenterKankakee – – – –
Elmhurst Memorial HospitalElmhurst – – – –
Advocate Condell Medical CenterLibertyville – – – –
Advocate Christ Hospital & Medical CenterOak Lawn – – – –
Methodist Medical Center of IllinoisPeoria – – – –
Delnor Community HospitalGeneva – – – –
Silver Cross HospitalJoliet – – – –
Swedish American HospitalRockford – – – –
Edward HospitalNaperville – – – –
Saint Anthony Medical CenterRockford – – – –
Central Dupage HospitalWinfield – – – –
Northwest Community HospitalArlington Heights – – – –
Alexian Brothers Medical CenterElk Grove Village – – – –
Anderson HospitalMaryville – – – –
Advocate Good Shepherd HospitalBarrington – – – –
Level 8 Urology and Related Services: all states All Illinois hospitals Illinois hospital finances
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Lowest and highest allowed amounts in Illinois

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

St Johns HospitalSpringfield, IL$17,294
Rush University Medical CenterChicago, IL$18,376
Northwestern Memorial HospitalChicago, IL$18,628
The University of Chicago Medical CenterChicago, IL$19,572
Loyola University Medical CenterMaywood, IL$19,572

Highest

The University of Chicago Medical CenterChicago, IL$19,572
Loyola University Medical CenterMaywood, IL$19,572
Northwestern Memorial HospitalChicago, IL$18,628
Rush University Medical CenterChicago, IL$18,376
St Johns HospitalSpringfield, IL$17,294

Level 8 Urology and Related Services in other states

Colorado · $19,157 Florida · $18,057 Georgia · $18,111 Montana · $18,868 Nebraska · $18,073 New Hampshire · $19,196 Pennsylvania · $19,311 Wisconsin · $18,786

Questions

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

In 2024 Medicare data, level 8 urology and related services (APC 5378) at 40 hospitals in Illinois was billed at $112,263 on average, while the average medicare-allowed amount was $18,746, of which Medicare paid $17,114. 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 Illinois, average charges were 6.0 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.