Level 8 Urology and Related Services in Virginia
What 22 hospitals in Virginia charged and were paid for level 8 urology and related services (APC 5378), from 2024 Medicare claims.
Average charge
$48,681
Hospital list price billed
Average allowed
$17,941
Medicare's payment + patient's share
Medicare paid
$16,304
Average per service
State rank
#18 of 38
1 = lowest average payment
Hospitals in Virginia billed an average of $48,681 for level 8 urology and related services, about 2.7 times the average medicare-allowed amount of $17,941. That payment is 6% 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 $17,941Billed $48,681
About 37¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: level 8 urology and related services
Every Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Virginia
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
| Sentara Norfolk General HospitalNorfolk, VA | $17,513 |
|---|---|
| University of Virginia Medical CenterCharlottesville, VA | $17,805 |
| Inova Loudoun HospitalLeesburg, VA | $18,871 |
Highest
| Inova Loudoun HospitalLeesburg, VA | $18,871 |
|---|---|
| University of Virginia Medical CenterCharlottesville, VA | $17,805 |
| Sentara Norfolk General HospitalNorfolk, VA | $17,513 |
Level 8 Urology and Related Services in other states
Questions
How much does level 8 urology and related services cost in Virginia?
In 2024 Medicare data, level 8 urology and related services (APC 5378) at 22 hospitals in Virginia was billed at $48,681 on average, while the average medicare-allowed amount was $17,941, of which Medicare paid $16,304. 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 Virginia, average charges were 2.7 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.