facebook tracking Level 8 Urology and Related Services cost in Indiana: 17 hospitals compared (APC 5378)

Level 8 Urology and Related Services in Indiana

What 17 hospitals in Indiana 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 $127,137 Hospital list price billed
Average allowed $17,538 Medicare's payment + patient's share
Medicare paid $15,903 Average per service
State rank #15 of 38 1 = lowest average payment

Hospitals in Indiana billed an average of $127,137 for level 8 urology and related services, about 7.2 times the average medicare-allowed amount of $17,538. That payment is 8% 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 $17,538Billed $127,137

About 14¢ was paid for every $1 hospitals in Indiana billed for this service.

Indiana hospitals: level 8 urology and related services

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

Hospital Services Avg charge Avg allowed Medicare paid
St Vincent Hospital & Health ServicesIndianapolis 27 $110,176 $17,437 $15,805
Clarian Health PartnersIndianapolis 25 $146,840 $17,156 $15,514
Indiana University Health North HospitalCarmel 20 $125,406 $18,152 $16,520
St Catherine Hospital INCEast Chicago – – – –
Marion General HospitalMarion – – – –
Franciscan St Anthony Health - Michigan CityMichigan City – – – –
Parkview HospitalFort Wayne – – – –
Floyd Memorial Hospital and Health ServicesNew Albany – – – –
Daviess Community HospitalWashington – – – –
Memorial HospitalLogansport – – – –
Deaconess Hospital INCEvansville – – – –
Ball Memorial Hospital INCMuncie – – – –
Franciscan St Margaret Health - DyerDyer – – – –
St Mary's Medical Center of Evansville INCEvansville – – – –
Franciscan St Anthony Health - Crown PointCrown Point – – – –
Indiana University Health West HospitalAvon – – – –
Physicians' Medical Center LLCNew Albany – – – –
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Lowest and highest allowed amounts in Indiana

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

Highest

Level 8 Urology and Related Services in other states

Questions

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

In 2024 Medicare data, level 8 urology and related services (APC 5378) at 17 hospitals in Indiana was billed at $127,137 on average, while the average medicare-allowed amount was $17,538, of which Medicare paid $15,903. 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 Indiana, average charges were 7.2 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.