facebook tracking Level 8 Urology and Related Services cost in Massachusetts: 28 hospitals compared (APC 5378)

Level 8 Urology and Related Services in Massachusetts

What 28 hospitals in Massachusetts 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 $51,221 Hospital list price billed
Average allowed $21,505 Medicare's payment + patient's share
Medicare paid $19,873 Average per service
State rank #33 of 38 1 = lowest average payment

Hospitals in Massachusetts billed an average of $51,221 for level 8 urology and related services, about 2.4 times the average medicare-allowed amount of $21,505. That payment is 13% 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 $21,505Billed $51,221

About 42¢ was paid for every $1 hospitals in Massachusetts billed for this service.

Massachusetts hospitals: level 8 urology and related services

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

Hospital Services Avg charge Avg allowed Medicare paid
Lahey Clinic HospitalBurlington 62 $42,049 $21,608 $19,976
Cape Cod HospitalHyannis 39 $34,031 $21,608 $19,976
Brigham and Women's HosptialBoston 35 $78,484 $21,608 $19,976
Boston Medical Center CorporationBoston 20 $37,150 $21,608 $19,972
Massachusetts General HospitalBoston 15 $90,663 $21,608 $19,976
Baystate Medical CenterSpringfield 12 $52,443 $21,608 $19,976
Union HospitalLynn 11 $47,580 $19,792 $18,160
Healthalliance Hospitals, INCLeominster – – – –
Lawrence General HospitalLawrence – – – –
Saint Anne's Hospital, a Caritas Family HospitalFall River – – – –
Holyoke Medical CenterHolyoke – – – –
Anna Jaques HospitalNewburyport – – – –
Boston Medical Center-BrightonBrighton – – – –
Berkshire Medical Center INCPittsfield – – – –
Beth Israel Deaconess Hospital PlymouthPlymouth – – – –
Lowell General HospitalLowell – – – –
Mercy Medical CenterSpringfield – – – –
Melrosewakefield HealthcareMelrose – – – –
Southcoast Hospital Group, INCFall River – – – –
Holy Family Hospital, a Caritas Family HospitalMethuen – – – –
Beth Israel Deaconess Medical CenterBoston – – – –
South Shore HospitalSouth Weymouth – – – –
Good Samaritan Medical Center, a Caritas Family HoBrockton – – – –
Tufts Medical CenterBoston – – – –
Faulkner HospitalBoston – – – –
Umass Memorial Medical Center INCWorcester – – – –
Metrowest Medical CenterFramingham – – – –
St Vincent HospitalWorcester – – – –
Level 8 Urology and Related Services: all states All Massachusetts hospitals Massachusetts hospital finances
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Lowest and highest allowed amounts in Massachusetts

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

Union HospitalLynn, MA$19,792
Cape Cod HospitalHyannis, MA$21,608
Massachusetts General HospitalBoston, MA$21,608
Baystate Medical CenterSpringfield, MA$21,608
Brigham and Women's HosptialBoston, MA$21,608

Highest

Boston Medical Center CorporationBoston, MA$21,608
Cape Cod HospitalHyannis, MA$21,608
Massachusetts General HospitalBoston, MA$21,608
Baystate Medical CenterSpringfield, MA$21,608
Brigham and Women's HosptialBoston, MA$21,608

Level 8 Urology and Related Services in other states

Connecticut · $22,511 Delaware · $20,189 Minnesota · $20,431 Nevada · $21,548 New Jersey · $22,075 New York · $21,965 Oregon · $21,112 Washington · $20,204

Questions

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

In 2024 Medicare data, level 8 urology and related services (APC 5378) at 28 hospitals in Massachusetts was billed at $51,221 on average, while the average medicare-allowed amount was $21,505, of which Medicare paid $19,873. 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 Massachusetts, average charges were 2.4 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.