Level 8 Urology and Related Services in Kentucky
What 19 hospitals in Kentucky charged and were paid for level 8 urology and related services (APC 5378), from 2024 Medicare claims.
Average charge
$179,398
Hospital list price billed
Average allowed
$17,943
Medicare's payment + patient's share
Medicare paid
$16,298
Average per service
State rank
#19 of 38
1 = lowest average payment
Hospitals in Kentucky billed an average of $179,398 for level 8 urology and related services, about 10.0 times the average medicare-allowed amount of $17,943. That payment is 6% 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 $17,943Billed $179,398
About 10¢ was paid for every $1 hospitals in Kentucky billed for this service.
Kentucky hospitals: level 8 urology and related services
Every Kentucky hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Western Baptist HospitalPaducah | 36 | $233,399 | $18,413 | $16,767 |
| University of Kentucky HospLexington | 16 | $92,054 | $17,430 | $15,798 |
| Norton Healthcare PavilionLouisville | 13 | $137,356 | $17,272 | $15,611 |
| King's Daughters' Medical CenterAshland | – | – | – | – |
| Hardin Memorial HospitalElizabethtown | – | – | – | – |
| The Medical Center at Bowling GreenBowling Green | – | – | – | – |
| T J Samson Community HospitalGlasgow | – | – | – | – |
| St Elizabeth Med Center-SouthEdgewood | – | – | – | – |
| Owensboro Medical Health SystemOwensboro | – | – | – | – |
| Jewish HospitalLouisville | – | – | – | – |
| Pikeville Medical CenterPikeville | – | – | – | – |
| St Elizabeth FlorenceFlorence | – | – | – | – |
| Ephraim McDowell Regional Medical CenterDanville | – | – | – | – |
| Central Baptist HospitalLexington | – | – | – | – |
| Greenview Regional HospitalBowling Green | – | – | – | – |
| Baptist Hospital EastLouisville | – | – | – | – |
| Lake Cumberland Regional HospitalSomerset | – | – | – | – |
| Baptist Hospital NortheastLa Grange | – | – | – | – |
| University of Louisville HospitalLouisville | – | – | – | – |
Lowest and highest allowed amounts in Kentucky
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
| Norton Healthcare PavilionLouisville, KY | $17,272 |
|---|---|
| University of Kentucky HospLexington, KY | $17,430 |
| Western Baptist HospitalPaducah, KY | $18,413 |
Highest
| Western Baptist HospitalPaducah, KY | $18,413 |
|---|---|
| University of Kentucky HospLexington, KY | $17,430 |
| Norton Healthcare PavilionLouisville, KY | $17,272 |
Level 8 Urology and Related Services in other states
Questions
How much does level 8 urology and related services cost in Kentucky?
In 2024 Medicare data, level 8 urology and related services (APC 5378) at 19 hospitals in Kentucky was billed at $179,398 on average, while the average medicare-allowed amount was $17,943, of which Medicare paid $16,298. 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 Kentucky, average charges were 10.0 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.