Level 8 Urology and Related Services in Wisconsin
What 18 hospitals in Wisconsin charged and were paid for level 8 urology and related services (APC 5378), from 2024 Medicare claims.
Average charge
$121,279
Hospital list price billed
Average allowed
$18,786
Medicare's payment + patient's share
Medicare paid
$17,154
Average per service
State rank
#24 of 38
1 = lowest average payment
Hospitals in Wisconsin billed an average of $121,279 for level 8 urology and related services, about 6.5 times the average medicare-allowed amount of $18,786. That payment is 1% 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 $18,786Billed $121,279
About 15¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Wisconsin hospitals: level 8 urology and related services
Every Wisconsin hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Meriter HsptlMadison | 20 | $121,279 | $18,786 | $17,154 |
| Waukesha Memorial HospitalWaukesha | – | – | – | – |
| Froedtert SouthKenosha | – | – | – | – |
| Monroe ClinicMonroe | – | – | – | – |
| Marshfield Medical CenterMarshfield | – | – | – | – |
| Thedacare Regional Med Ctr - NeenahNeenah | – | – | – | – |
| Bellin Memorial HsptlGreen Bay | – | – | – | – |
| St Vincent HsptlGreen Bay | – | – | – | – |
| Wheaton Franciscan Healthcare- All SaintsRacine | – | – | – | – |
| St Marys Hsptl Med CtrGreen Bay | – | – | – | – |
| University of Wi Hospitals & Clinics AuthorityMadison | – | – | – | – |
| Ascension SE Wisconsin HospitalMilwaukee | – | – | – | – |
| Aurora St Lukes Medical CenterMilwaukee | – | – | – | – |
| Aurora West Allis Medical CenterWest Allis | – | – | – | – |
| Froedtert Mem Lutheran HsptlMilwaukee | – | – | – | – |
| Aurora Baycare Med CtrGreen Bay | – | – | – | – |
| Oakleaf Surgical HospitalEau Claire | – | – | – | – |
| SSM Health St Mary's Hospital - JanesvilleJanesville | – | – | – | – |
Level 8 Urology and Related Services in other states
Questions
How much does level 8 urology and related services cost in Wisconsin?
In 2024 Medicare data, level 8 urology and related services (APC 5378) at 18 hospitals in Wisconsin was billed at $121,279 on average, while the average medicare-allowed amount was $18,786, of which Medicare paid $17,154. 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 Wisconsin, average charges were 6.5 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.