Level 8 Urology and Related Services in West Virginia
What 8 hospitals in West Virginia charged and were paid for level 8 urology and related services (APC 5378), from 2024 Medicare claims.
Average charge
$84,641
Hospital list price billed
Average allowed
$15,862
Medicare's payment + patient's share
Medicare paid
$14,223
Average per service
State rank
#4 of 38
1 = lowest average payment
Hospitals in West Virginia billed an average of $84,641 for level 8 urology and related services, about 5.3 times the average medicare-allowed amount of $15,862. That payment is 17% 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 $15,862Billed $84,641
About 19¢ was paid for every $1 hospitals in West Virginia billed for this service.
West Virginia hospitals: level 8 urology and related services
Every West Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Charleston Area Medical CenterCharleston | 12 | $84,641 | $15,862 | $14,223 |
| West Virginia University HospitalsMorgantown | – | – | – | – |
| Berkeley Medical CenterMartinsburg | – | – | – | – |
| Weirton Medical CenterWeirton | – | – | – | – |
| Mon Health Medical CenterMorgantown | – | – | – | – |
| Thomas Memorial HospitalSouth Charleston | – | – | – | – |
| Logan Regional Medical CenterLogan | – | – | – | – |
| Cabell-Huntington Hospital INCHuntington | – | – | – | – |
Level 8 Urology and Related Services in other states
Questions
How much does level 8 urology and related services cost in West Virginia?
In 2024 Medicare data, level 8 urology and related services (APC 5378) at 8 hospitals in West Virginia was billed at $84,641 on average, while the average medicare-allowed amount was $15,862, of which Medicare paid $14,223. 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 West Virginia, average charges were 5.3 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.