facebook tracking Level 8 Urology and Related Services cost in Utah: 6 hospitals compared (APC 5378)

Level 8 Urology and Related Services in Utah

What 6 hospitals in Utah 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 $67,602 Hospital list price billed
Average allowed $17,394 Medicare's payment + patient's share
Medicare paid $15,776 Average per service
State rank #13 of 38 1 = lowest average payment

Hospitals in Utah billed an average of $67,602 for level 8 urology and related services, about 3.9 times the average medicare-allowed amount of $17,394. That payment is 9% 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 $17,394Billed $67,602

About 26¢ was paid for every $1 hospitals in Utah billed for this service.

Utah hospitals: level 8 urology and related services

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

Hospital Services Avg charge Avg allowed Medicare paid
University Health Care/Univ Hospitals and ClinicsSalt Lake City 42 $58,844 $17,212 $15,598
Salt Lake Regional Medical CenterSalt Lake City 12 $98,256 $18,029 $16,397
Intermountain Health Cedar City HospitalCedar City – – – –
Lds HospitalSalt Lake City – – – –
Mountain West Medical CenterTooele – – – –
St. George Regional HospitalSt George – – – –
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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 Utah?

In 2024 Medicare data, level 8 urology and related services (APC 5378) at 6 hospitals in Utah was billed at $67,602 on average, while the average medicare-allowed amount was $17,394, of which Medicare paid $15,776. 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 Utah, average charges were 3.9 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.