Outpatient procedure · APC 5374 · Surgery or procedure

Level 4 Urology and Related Services

In 2024, Medicare and patients paid an average of $3,312 per procedure at 1,986 hospitals. Half of hospitals averaged between $3,026 and $3,464.

Also known as: Urologic surgery, cystoscopy

National figures, 2024

Average payment per case: $3,312
Typical range (middle half of hospitals): $3,026–$3,464
Medicare’s share: $2,62979% of the payment
Average billed charge: $23,596
Hospitals reporting: 1,986154,884 procedures

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1,974 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. Download as CSV

Medicare payments per case for Level 4 Urology and Related Services by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Central Vermont Medical CenterBarre, VT · CCN 470001	50	$1,310	60% below the national average	$606	$11,025
St Joseph's Hospital - SavannahSavannah, GA · CCN 110043	21	$1,386	58% below the national average	$1,096	$13,787
MetroHealth SystemCleveland, OH · CCN 360059	48	$1,395	58% below the national average	$790	$13,925
Northwestern Medical Center IncSaint Albans, VT · CCN 470024	15	$1,406	58% below the national average	$719	$9,346
University Of Vermont - Fletcher Allen Health CareBurlington, VT · CCN 470003	223	$1,637	51% below the national average	$941	$12,138
Marietta Memorial HospitalMarietta, OH · CCN 360147	205	$1,699	49% below the national average	$1,095	$19,208
Rutland Regional Medical CenterRutland, VT · CCN 470005	81	$1,852	44% below the national average	$1,162	$21,804
AdventHealth Port CharlottePort Charlotte, FL · CCN 100077	25	$1,869	44% below the national average	$1,489	$56,953
Ochsner LSU Health Shreveport-St Mary Medical CentShreveport, LA · CCN 190317	133	$1,886	43% below the national average	$1,488	$13,090
UPMC MemorialYork, PA · CCN 390101	45	$1,909	42% below the national average	$1,517	$19,185
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	140	$1,979	40% below the national average	$1,572	$43,621
Baptist Memorial Hospital - Carroll CountyHuntingdon, TN · CCN 440016	40	$2,056	38% below the national average	$1,630	$12,328
Brattleboro Memorial HospitalBrattleboro, VT · CCN 470011	21	$2,080	37% below the national average	$1,429	$15,084
Vanderbilt University Medical CenterNashville, TN · CCN 440039 · +$94 outlier payments per case	412	$2,176	34% below the national average	$1,727	$28,658
Townsen Memorial HospitalHumble, TX · CCN 670266	16	$2,505	24% below the national average	$1,996	$63,443
University Of Arkansas Medical SciencesLittle Rock, AR · CCN 040016	116	$2,566	23% below the national average	$2,036	$10,630
Southwestern Vermont Medical CenterBennington, VT · CCN 470012	27	$2,568	22% below the national average	$1,857	$16,369
Memorial HospitalFremont, OH · CCN 360156	31	$2,593	22% below the national average	$1,988	$15,752
Shelby Baptist Medical CenterAlabaster, AL · CCN 010016	37	$2,649	20% below the national average	$2,056	$32,423
Navicent Health BaldwinMilledgeville, GA · CCN 110150	18	$2,661	20% below the national average	$2,068	$11,247
Tennova Healthcare-Jefferson Memorial HospitalJefferson City, TN · CCN 440056	22	$2,667	19% below the national average	$2,082	$25,256
Clinch Valley Medical CenterRichlands, VA · CCN 490060	22	$2,675	19% below the national average	$2,065	$45,877
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067 · +$366 outlier payments per case	321	$2,677	19% below the national average	$2,130	$16,625
Princeton Baptist Medical CenterBirmingham, AL · CCN 010103	30	$2,687	19% below the national average	$2,090	$47,269
East Jefferson General HospitalMetairie, LA · CCN 190176	84	$2,721	18% below the national average	$2,157	$50,320
Helen Keller HospitalSheffield, AL · CCN 010019	63	$2,730	18% below the national average	$2,144	$7,999
Baptist Health Brookwood HospitalBirmingham, AL · CCN 010139	30	$2,731	18% below the national average	$2,140	$60,386
Singing River Health SystemPascagoula, MS · CCN 250040	30	$2,736	17% below the national average	$2,153	$47,842
Geisinger-Lewistown HospitalLewistown, PA · CCN 390048	42	$2,738	17% below the national average	$2,181	$18,636
Princeton Community Hospital Assn IncPrinceton, WV · CCN 510046	33	$2,746	17% below the national average	$2,108	$18,518
Saint Francis Bartlett Medical CenterBartlett, TN · CCN 440228	48	$2,750	17% below the national average	$2,147	$27,980
Grandview Medical CenterBirmingham, AL · CCN 010104	91	$2,750	17% below the national average	$2,160	$78,491
Palomar Medical Center PowayPoway, CA · CCN 050636	31	$2,750	17% below the national average	$1,873	$31,798
Raleigh General HospitalBeckley, WV · CCN 510070	44	$2,750	17% below the national average	$2,148	$27,564
Borgess Medical CenterKalamazoo, MI · CCN 230117	16	$2,752	17% below the national average	$2,123	$21,459
Singing River GulfportGulfport, MS · CCN 250123	51	$2,758	17% below the national average	$2,177	$71,945
Henry Ford Health HospitalDetroit, MI · CCN 230053	169	$2,760	17% below the national average	$2,192	$10,720
St. Vincent's EastBirmingham, AL · CCN 010011	16	$2,765	17% below the national average	$2,162	$25,248
Piedmont Medical CenterRock Hill, SC · CCN 420002	87	$2,767	16% below the national average	$2,128	$36,046
Springhill Medical CenterMobile, AL · CCN 010144	55	$2,768	16% below the national average	$2,180	$9,766
Merit Health River OaksFlowood, MS · CCN 250138	32	$2,773	16% below the national average	$2,170	$70,452
Bmh-Golden TriangleColumbus, MS · CCN 250100	82	$2,774	16% below the national average	$2,185	$12,599
Parrish Medical CenterTitusville, FL · CCN 100028	53	$2,778	16% below the national average	$2,134	$26,846
Forrest General HospitalHattiesburg, MS · CCN 250078	33	$2,778	16% below the national average	$2,197	$15,143
University Hospitals Samaritan Medical CenterAshland, OH · CCN 360002	89	$2,781	16% below the national average	$2,178	$14,905
Greeneville Community HospitalGreeneville, TN · CCN 440050	24	$2,782	16% below the national average	$2,189	$19,536
Hillcrest Medical CenterTulsa, OK · CCN 370001	54	$2,782	16% below the national average	$2,168	$32,511
Mercy Medical CenterCanton, OH · CCN 360070	137	$2,783	16% below the national average	$2,204	$12,572
Our Lady Of The Lake Surgical HospitalSlidell, LA · CCN 190270	14	$2,786	16% below the national average	$2,186	$25,529
Frankfort Regional Medical CenterFrankfort, KY · CCN 180127	20	$2,790	16% below the national average	$2,174	$32,351

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

Average payment
Average billed charge

2020: 154,197 procedures at 2,057 hospitals · 2021: 166,587 procedures at 2,074 hospitals · 2022: 162,203 procedures at 2,039 hospitals · 2023: 160,624 procedures at 2,011 hospitals · 2024: 154,884 procedures at 1,986 hospitals

View data as a table

National average payment and billed charge for Level 4 Urology and Related Services
Year of care	Average payment	Average billed charge
2020	$2,991	$20K
2021	$3,073	$20K
2022	$3,109	$21K
2023	$3,147	$22K
2024	$3,312	$24K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 50 states

Average payment by state for Level 4 Urology and Related Services, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	6	417	$1,714	$1,464–$2,023
Tennessee	46	3,697	$2,840	$2,870–$3,003
Louisiana	46	2,744	$2,846	$2,879–$2,925
Alabama	35	2,480	$2,887	$2,817–$2,930
Mississippi	26	1,973	$2,914	$2,818–$2,921
Ohio	98	6,698	$2,944	$2,927–$3,052
West Virginia	16	1,506	$2,948	$2,848–$2,981
South Carolina	33	3,933	$2,978	$2,936–$3,008
Arkansas	21	2,160	$2,980	$2,926–$3,117
Oklahoma	34	3,138	$2,982	$2,924–$3,003
Kentucky	37	2,820	$3,004	$2,965–$3,132
Missouri	45	3,581	$3,019	$3,007–$3,103
Kansas	26	2,030	$3,049	$2,976–$3,188
Iowa	22	2,002	$3,051	$2,985–$3,142
Michigan	67	4,979	$3,076	$3,012–$3,193
Georgia	62	4,249	$3,092	$3,003–$3,200
Texas	145	8,968	$3,097	$3,025–$3,149
North Carolina	67	5,237	$3,097	$3,034–$3,130
Virginia	46	4,168	$3,117	$2,985–$3,237
Florida	127	9,149	$3,131	$3,118–$3,158
Utah	20	1,195	$3,138	$3,075–$3,123
Nebraska	19	1,402	$3,143	$3,108–$3,217
Indiana	55	4,002	$3,143	$3,107–$3,185
Maine	14	936	$3,165	$2,999–$3,256
New Mexico	11	647	$3,185	$3,036–$3,126
Idaho	10	882	$3,191	$3,122–$3,335
Wisconsin	46	3,231	$3,202	$3,122–$3,237
Pennsylvania	102	7,264	$3,211	$3,114–$3,337
Montana	10	989	$3,284	$3,218–$3,484
Illinois	81	6,766	$3,289	$3,222–$3,351
North Dakota	6	739	$3,319	$3,268–$3,400
South Dakota	12	1,318	$3,327	$3,268–$3,500
Colorado	32	1,716	$3,350	$3,287–$3,319
Arizona	43	3,866	$3,394	$3,334–$3,399
New Hampshire	12	1,026	$3,400	$3,338–$3,421
Minnesota	32	2,673	$3,407	$3,304–$3,428
Delaware	5	642	$3,472	$3,465–$3,498
Wyoming	7	289	$3,474	$3,477–$3,500
Rhode Island	7	520	$3,518	$3,503–$3,538
District of Columbia	5	423	$3,526	$3,501–$3,547
Washington	41	3,407	$3,587	$3,499–$3,671
Alaska	6	314	$3,679	$3,626–$3,777
Nevada	13	708	$3,700	$3,686–$3,734
Massachusetts	47	5,424	$3,723	$3,704–$3,744
New Jersey	51	5,386	$3,730	$3,605–$3,838
Oregon	24	1,376	$3,766	$3,613–$3,693
New York	94	9,593	$3,839	$3,670–$3,928
Connecticut	23	1,841	$3,873	$3,856–$3,889
Hawaii	8	357	$3,962	$3,947–$4,063
California	145	10,023	$4,418	$4,286–$4,452

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. For outpatient procedures it is Medicare’s allowed amount, which leaves out extra “outlier” payments for unusually costly cases; those are shown under the hospital name where CMS reported any, and included in the CSV. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Outpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 procedures. More in the glossary.