facebook tracking Level 8 Urology and Related Services cost in Oregon: 12 hospitals compared (APC 5378)

Level 8 Urology and Related Services in Oregon

What 12 hospitals in Oregon 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 $79,290 Hospital list price billed
Average allowed $21,112 Medicare's payment + patient's share
Medicare paid $19,480 Average per service
State rank #32 of 38 1 = lowest average payment

Hospitals in Oregon billed an average of $79,290 for level 8 urology and related services, about 3.8 times the average medicare-allowed amount of $21,112. That payment is 11% 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 $21,112Billed $79,290

About 27¢ was paid for every $1 hospitals in Oregon billed for this service.

Oregon hospitals: level 8 urology and related services

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

Hospital Services Avg charge Avg allowed Medicare paid
OHSU Hospital and ClinicsPortland 25 $79,290 $21,112 $19,480
Mid-Columbia Medical CenterThe Dalles – – – –
Providence St Vincent Medical CenterPortland – – – –
Legacy Emanuel Medical CenterPortland – – – –
Legacy Good Samaritan Medical CenterPortland – – – –
Rogue Valley Medical CenterMedford – – – –
McKenzie-Willamette Medical CenterSpringfield – – – –
St Charles Medical Center - BendBend – – – –
Adventist Medical CenterPortland – – – –
Providence Medford Medical CenterMedford – – – –
Legacy Meridian Park Medical CenterTualatin – – – –
Sacred Heart Medical Center - RiverbendSpringfield – – – –
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Level 8 Urology and Related Services in other states

Questions

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

In 2024 Medicare data, level 8 urology and related services (APC 5378) at 12 hospitals in Oregon was billed at $79,290 on average, while the average medicare-allowed amount was $21,112, of which Medicare paid $19,480. 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 Oregon, average charges were 3.8 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.