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 851–900. 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
Texas Health Presbyterian Hospital PlanoPlano, TX · CCN 450771	36	$3,137	About average	$2,500	$15,812
Treasure Valley HospitalBoise, ID · CCN 130063	30	$3,137	About average	$2,500	$13,799
Texas Health Center For Diagnostics & Surgery PlanPlano, TX · CCN 450891	76	$3,137	About average	$2,499	$25,302
Texoma Medical CenterDenison, TX · CCN 450324	48	$3,137	About average	$2,498	$46,179
Texas Health Presbyterian Hospital AllenAllen, TX · CCN 450840	35	$3,137	About average	$2,497	$20,092
Texas Health Presbyterian Hospital DallasDallas, TX · CCN 450462	40	$3,137	About average	$2,495	$18,437
North Central Surgical Center LLPDallas, TX · CCN 670049	20	$3,137	About average	$2,490	$12,564
Baylor Scott And White Medical Center McKinneyMc Kinney, TX · CCN 670082	43	$3,138	About average	$2,484	$22,015
ProMedica Charles And Virginia Hickman HospitalAdrian, MI · CCN 230005	29	$3,138	About average	$2,481	$29,110
Trinity Health Livingston HospitalHowell, MI · CCN 230069	44	$3,138	About average	$2,488	$20,872
Ascension ProvidenceWaco, TX · CCN 450042	54	$3,139	About average	$2,490	$22,416
Aurora Medical Center OshkoshOshkosh, WI · CCN 520198	35	$3,139	About average	$2,500	$15,379
Aurora BayCare Medical CenterGreen Bay, WI · CCN 520193	90	$3,139	About average	$2,496	$20,450
Northeast Georgia Medical Center, IncGainesville, GA · CCN 110029	250	$3,139	About average	$2,492	$40,842
Jupiter Medical CenterJupiter, FL · CCN 100253	135	$3,139	About average	$2,497	$21,700
Citizens Memorial HospitalBolivar, MO · CCN 260195	23	$3,139	About average	$2,501	$14,791
Cox Medical Center BransonBranson, MO · CCN 260094	25	$3,139	About average	$2,501	$26,060
Hamilton Medical CenterDalton, GA · CCN 110001	65	$3,139	About average	$2,493	$23,263
Lake Regional Health SystemOsage Beach, MO · CCN 260186	96	$3,139	About average	$2,500	$9,163
Sarasota Memorial Hospital - VeniceNorth Venice, FL · CCN 100359	269	$3,140	About average	$2,502	$25,822
Ascension Se Wisconsin HospitalMilwaukee, WI · CCN 520136	72	$3,141	About average	$2,491	$17,910
Aurora Memorial Hospital BurlingtonBurlington, WI · CCN 520059	19	$3,141	About average	$2,470	$23,652
MercyOne Siouxland Medical CenterSioux City, IA · CCN 160153	51	$3,141	About average	$2,503	$14,554
CHI Health LakesideOmaha, NE · CCN 280130	20	$3,142	About average	$2,495	$25,535
Memorial HospitalBelleville, IL · CCN 140185	64	$3,142	About average	$2,487	$18,175
Methodist Jennie EdmundsonCouncil Bluffs, IA · CCN 160047	39	$3,142	About average	$2,490	$13,524
St Josephs HospitalTampa, FL · CCN 100075	154	$3,142	About average	$2,493	$21,804
CHI Health ImmanuelOmaha, NE · CCN 280081	11	$3,142	About average	$2,490	$31,161
Thedacare Regional Medical Center - Appleton IncAppleton, WI · CCN 520160	45	$3,142	About average	$2,503	$14,486
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 450054	193	$3,142	About average	$2,494	$15,855
Memorial Hospital Of CarbondaleCarbondale, IL · CCN 140164	30	$3,143	About average	$2,481	$33,480
Novant Health Medical Park HospitalWinston-Salem, NC · CCN 340148	145	$3,143	About average	$2,494	$11,667
Hendrick Medical Center BrownwoodBrownwood, TX · CCN 450587	27	$3,144	About average	$2,478	$33,805
North Carolina Specialty HospitalDurham, NC · CCN 340049	15	$3,145	About average	$2,505	$10,002
Duke Regional HospitalDurham, NC · CCN 340155	46	$3,145	About average	$2,505	$17,186
Morton Plant HospitalClearwater, FL · CCN 100127	195	$3,145	About average	$2,502	$17,666
Camc Greenbrier Valley Medical Center, IncRonceverte, WV · CCN 510002	73	$3,145	About average	$2,499	$18,702
Unity Physicians HospitalMishawaka, IN · CCN 150177	20	$3,146	About average	$2,507	$10,026
Baylor Scott & White Medical Center- WaxahachieWaxahachie, TX · CCN 450372	23	$3,147	About average	$2,508	$20,315
Ennis Regional Medical CenterEnnis, TX · CCN 450833	23	$3,147	About average	$2,508	$44,013
Lake Granbury Medical CenterGranbury, TX · CCN 450596	16	$3,147	About average	$2,508	$78,547
Medical City WeatherfordWeatherford, TX · CCN 450203	36	$3,147	About average	$2,508	$34,006
Texas Health Harris Methodist Hospital AllianceFort Worth, TX · CCN 670085	14	$3,147	About average	$2,508	$17,682
Texas Health Harris Methodist Hospital Southwest FFort Worth, TX · CCN 450779	68	$3,147	About average	$2,508	$17,126
Texas Health Huguley Hospital Fort Worth SouthFort Worth, TX · CCN 450677	22	$3,147	About average	$2,508	$34,397
Texas Health Presbyterian Hospital Flower MoundFlower Mound, TX · CCN 670068	87	$3,147	About average	$2,508	$22,474
Baylor Scott And White All Saints Medical CenterFort Worth, TX · CCN 450137	60	$3,147	About average	$2,505	$20,624
HSHS St Elizabeth's HospitalO Fallon, IL · CCN 140187	133	$3,148	About average	$2,493	$21,901
Piedmont Fayette HospitalFayetteville, GA · CCN 110215	114	$3,148	About average	$2,484	$31,242
Prisma Health Oconee Memorial HospitalSeneca, SC · CCN 420009	39	$3,149	About average	$2,495	$24,229

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.