facebook tracking Level 8 Urology and Related Services cost in New York: 45 hospitals compared (APC 5378)

Level 8 Urology and Related Services in New York

What 45 hospitals in New York 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 $92,346 Hospital list price billed
Average allowed $21,965 Medicare's payment + patient's share
Medicare paid $20,335 Average per service
State rank #35 of 38 1 = lowest average payment

Hospitals in New York billed an average of $92,346 for level 8 urology and related services, about 4.2 times the average medicare-allowed amount of $21,965. That payment is 15% 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 $21,965Billed $92,346

About 24¢ was paid for every $1 hospitals in New York billed for this service.

New York hospitals: level 8 urology and related services

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

Hospital Services Avg charge Avg allowed Medicare paid
Lenox Hill HospitalNew York 86 $88,310 $21,588 $19,954
Mem Sloan-Kettering Cancer CtrNew York 42 $49,129 $22,893 $21,261
NYU Hospitals CenterNew York 25 $293,855 $22,657 $21,025
Mount Sinai WestNew York 20 $64,700 $21,689 $20,094
New York-Presbyterian HospitalNew York 17 $76,250 $22,893 $21,261
North Shore University HospitalManhasset 15 $88,059 $19,840 $18,208
Cornwall HospitalCornwall 13 $49,173 $22,447 $20,815
Albany Medical Center HospitalAlbany 12 $37,382 $21,333 $19,701
University HospitalStony Brook 12 $61,123 $22,471 $20,839
Buffalo General HospitalBuffalo 11 $56,977 $21,333 $19,701
New York Community Hospital of Brooklyn, INC.Brooklyn – – – –
Mount Sinai HospitalNew York – – – –
Southside HospitalBay Shore – – – –
New York Hospital Medical Center of QueensNew York – – – –
Brooklyn Hospital Center at Downtown CampusBrooklyn – – – –
St Peter's HospitalAlbany – – – –
Montefiore Medical CenterBronx – – – –
F F Thompson HospitalCanandaigua – – – –
Lincoln Medical & Mental Health CenterBronx – – – –
Olean General HospitalOlean – – – –
Oneida Healthcare CenterOneida – – – –
Rochester General HospitalRochester – – – –
St Joseph's Hospital Health CenterSyracuse – – – –
Long Island Community HospitalPatchogue – – – –
Ellis HospitalSchenectady – – – –
Samaritan Medical CenterWatertown – – – –
Staten Island University HospitalStaten Island – – – –
Highland HospitalRochester – – – –
Beth Israel Medical CenterNew York – – – –
Maimonides Medical CenterBrooklyn – – – –
Long Island Jewish Medical CenterNew Hyde Park – – – –
South Brooklyn HealthBrooklyn – – – –
St John's Riverside HospitalYonkers – – – –
Erie County Medical CenterBuffalo – – – –
Westchester Medical CenterValhalla – – – –
Auburn Memorial HospitalAuburn – – – –
University Hospital S U N Y Health Science CenterSyracuse – – – –
Mercy Medical CenterRockville Centre – – – –
Putnam Hospital CenterCarmel – – – –
Strong Memorial HospitalRochester – – – –
Good Samaritan Hospital Medical CenterWest Islip – – – –
White Plains Hospital CtrWhite Plains – – – –
University Hospital of Brooklyn ( Downstate )Brooklyn – – – –
Roswell Park Cancer InstituteBuffalo – – – –
St Barnabas HospitalBronx – – – –
Level 8 Urology and Related Services: all states All New York hospitals New York hospital finances
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Lowest and highest allowed amounts in New York

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

North Shore University HospitalManhasset, NY$19,840
Buffalo General HospitalBuffalo, NY$21,333
Albany Medical Center HospitalAlbany, NY$21,333
Lenox Hill HospitalNew York, NY$21,588
Mount Sinai WestNew York, NY$21,689

Highest

New York-Presbyterian HospitalNew York, NY$22,893
Mem Sloan-Kettering Cancer CtrNew York, NY$22,893
NYU Hospitals CenterNew York, NY$22,657
University HospitalStony Brook, NY$22,471
Cornwall HospitalCornwall, NY$22,447

Level 8 Urology and Related Services in other states

Connecticut · $22,511 Delaware · $20,189 Massachusetts · $21,505 Minnesota · $20,431 Nevada · $21,548 New Jersey · $22,075 Oregon · $21,112 Washington · $20,204

Questions

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

In 2024 Medicare data, level 8 urology and related services (APC 5378) at 45 hospitals in New York was billed at $92,346 on average, while the average medicare-allowed amount was $21,965, of which Medicare paid $20,335. 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 New York, average charges were 4.2 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.