facebook tracking Level 8 Urology and Related Services cost in Missouri: 20 hospitals compared (APC 5378)

Level 8 Urology and Related Services in Missouri

What 20 hospitals in Missouri 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 $67,933 Hospital list price billed
Average allowed $17,086 Medicare's payment + patient's share
Medicare paid $15,450 Average per service
State rank #11 of 38 1 = lowest average payment

Hospitals in Missouri billed an average of $67,933 for level 8 urology and related services, about 4.0 times the average medicare-allowed amount of $17,086. That payment is 10% 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 $17,086Billed $67,933

About 25¢ was paid for every $1 hospitals in Missouri billed for this service.

Missouri hospitals: level 8 urology and related services

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

Hospital Services Avg charge Avg allowed Medicare paid
Barnes Jewish HospitalSt Louis 32 $50,193 $17,405 $15,771
Missouri Baptist Medical CenterTown and Country 22 $59,185 $17,593 $15,961
Christian Hospital NortheastSt Louis 17 $59,590 $16,661 $15,029
Boone Hospital CenterColumbia 13 $59,833 $15,954 $14,303
University Hospitals & ClinicsColumbia 13 $145,416 $17,127 $15,495
Mercy Hospital JoplinJoplin – – – –
Mosaic Life Care at St JosephSt Joseph – – – –
St John's Mercy Medical CenterSt Louis – – – –
Lester E Cox Medical CentersSpringfield – – – –
Pemiscot Memorial HospitalHayti – – – –
Moberly Regional Medical CenterMoberly – – – –
Mercy Hospital SouthSt Louis – – – –
SSM St Joseph Hosp of KirkwoodSt Louis – – – –
Nkc HealthNorth Kansas City – – – –
St Louis University HospitalSt Louis – – – –
Freeman Health System - Freeman WestJoplin – – – –
Barnes-Jewish West County HospitalSt Louis – – – –
St Francis Medical CenterCape Girardeau – – – –
Citizens Memorial HospitalBolivar – – – –
Saint Luke's East Lee's Summit HospitalLee's Summit – – – –
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Lowest and highest allowed amounts in Missouri

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

Boone Hospital CenterColumbia, MO$15,954
Christian Hospital NortheastSt Louis, MO$16,661
University Hospitals & ClinicsColumbia, MO$17,127
Barnes Jewish HospitalSt Louis, MO$17,405
Missouri Baptist Medical CenterTown and Country, MO$17,593

Highest

Missouri Baptist Medical CenterTown and Country, MO$17,593
Barnes Jewish HospitalSt Louis, MO$17,405
University Hospitals & ClinicsColumbia, MO$17,127
Christian Hospital NortheastSt Louis, MO$16,661
Boone Hospital CenterColumbia, MO$15,954

Level 8 Urology and Related Services in other states

Questions

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

In 2024 Medicare data, level 8 urology and related services (APC 5378) at 20 hospitals in Missouri was billed at $67,933 on average, while the average medicare-allowed amount was $17,086, of which Medicare paid $15,450. 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 Missouri, average charges were 4.0 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.