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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Year of care

1,974 hospitals reported at least 11 Medicare procedures for this in 2024; showing 951–1,000. 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
HCA Florida Citrus HospitalInverness, FL · CCN 100023	47	$3,158	About average	$2,516	$77,804
HCA Florida Highlands HospitalSebring, FL · CCN 100049	11	$3,158	About average	$2,516	$60,906
HCA Florida North Florida HospitalGainesville, FL · CCN 100204	22	$3,158	About average	$2,516	$103,005
HCA Florida Northwest HospitalMargate, FL · CCN 100189	30	$3,158	About average	$2,516	$63,392
HCA Florida Palms West HospitalLoxahatchee, FL · CCN 100269	11	$3,158	About average	$2,516	$54,647
HCA Florida Sarasota Doctors HospitalSarasota, FL · CCN 100166	45	$3,158	About average	$2,516	$66,685
HCA Florida St Petersburg HospitalSaint Petersburg, FL · CCN 100180	21	$3,158	About average	$2,516	$95,802
HCA Florida Twin Cities HospitalNiceville, FL · CCN 100054	21	$3,158	About average	$2,516	$71,320
Holy Cross HospitalFt Lauderdale, FL · CCN 100073	46	$3,158	About average	$2,516	$23,456
Mease Dunedin HospitalDunedin, FL · CCN 100043	15	$3,158	About average	$2,516	$16,243
Memorial Hospital MiramarMiramar, FL · CCN 100285	21	$3,158	About average	$2,516	$29,818
Memorial Hospital WestPembroke Pines, FL · CCN 100281	19	$3,158	About average	$2,516	$32,932
Memorial Regional HospitalHollywood, FL · CCN 100038	25	$3,158	About average	$2,516	$34,737
Morton Plant North Bay HospitalNew Port Richey, FL · CCN 100063	27	$3,158	About average	$2,516	$18,278
Orlando Health-Health Central HospitalOcoee, FL · CCN 100030	26	$3,158	About average	$2,516	$51,364
Orlando Health St Cloud HospitalSaint Cloud, FL · CCN 100302	11	$3,158	About average	$2,516	$40,047
Palm Bay HospitalPalm Bay, FL · CCN 100316	14	$3,158	About average	$2,516	$28,892
Palmetto General HospitalHialeah, FL · CCN 100187	11	$3,158	About average	$2,516	$51,487
Tampa General Hospital BrooksvilleBrooksville, FL · CCN 100071	31	$3,158	About average	$2,516	$62,277
University Hospital And Medical CenterTamarac, FL · CCN 100224	15	$3,158	About average	$2,516	$60,226
AdventHealth Palm CoastPalm Coast, FL · CCN 100118	45	$3,158	About average	$2,516	$30,519
HCA Florida Fort Walton-Destin HospitalFort Walton Beach, FL · CCN 100223	69	$3,158	About average	$2,516	$110,534
Sarasota Memorial HospitalSarasota, FL · CCN 100087	294	$3,158	About average	$2,516	$28,639
HCA Florida Aventura HospitalAventura, FL · CCN 100131	22	$3,158	About average	$2,516	$72,158
Cleveland Clinic HospitalWeston, FL · CCN 100289	100	$3,158	About average	$2,516	$20,894
Cleveland Clinic Martin North HospitalStuart, FL · CCN 100044	108	$3,158	About average	$2,516	$27,974
Orlando HealthOrlando, FL · CCN 100006	90	$3,158	About average	$2,515	$47,658
Mease Countryside HospitalSafety Harbor, FL · CCN 100265	141	$3,158	About average	$2,515	$20,640
Holmes Regional Medical CenterMelbourne, FL · CCN 100019	86	$3,158	About average	$2,515	$30,869
The Villages Regional HospitalThe Villages, FL · CCN 100290	78	$3,158	About average	$2,515	$20,768
HCA Florida Northside HospitalSaint Petersburg, FL · CCN 100238	83	$3,158	About average	$2,515	$74,793
Halifax Health Medical CenterDaytona Beach, FL · CCN 100017	62	$3,158	About average	$2,515	$26,308
AdventHealth ZephyrhillsZephyrhills, FL · CCN 100046	42	$3,158	About average	$2,515	$44,112
Winter Haven HospitalWinter Haven, FL · CCN 100052	40	$3,158	About average	$2,514	$22,928
Tampa General HospitalTampa, FL · CCN 100128 · +$247 outlier payments per case	202	$3,158	About average	$2,513	$47,755
Orlando Health South Lake HospitalClermont, FL · CCN 100051	69	$3,158	About average	$2,513	$45,536
Gulf Coast Medical Center Lee HealthFort Myers, FL · CCN 100220	103	$3,158	About average	$2,513	$33,896
HCA Florida Lawnwood HospitalFort Pierce, FL · CCN 100246	23	$3,158	About average	$2,513	$77,186
AdventHealth Daytona BeachDaytona Beach, FL · CCN 100068	34	$3,158	About average	$2,513	$31,544
Boca Raton Regional HospitalBoca Raton, FL · CCN 100168	154	$3,158	About average	$2,512	$26,326
Bethesda Hospital EastBoynton Beach, FL · CCN 100002	142	$3,158	About average	$2,512	$31,636
Naples Community HospitalNaples, FL · CCN 100018	128	$3,158	About average	$2,512	$24,781
HCA Florida Orange Park HospitalOrange Park, FL · CCN 100226	49	$3,158	About average	$2,512	$81,889
Viera HospitalMelbourne, FL · CCN 100315	38	$3,158	About average	$2,512	$32,387
Memorial Hospital PembrokePembroke Pines, FL · CCN 100230	31	$3,158	About average	$2,512	$31,365
AdventHealth OcalaOcala, FL · CCN 100062	128	$3,158	About average	$2,512	$73,677
Orlando Health Sebastian River HospitalSebastian, FL · CCN 100217	34	$3,158	About average	$2,510	$68,537
Manatee Memorial HospitalBradenton, FL · CCN 100035	34	$3,158	About average	$2,510	$52,777
AdventHealth CarrollwoodTampa, FL · CCN 100069	26	$3,158	About average	$2,510	$45,327
AdventHealth Fish MemorialOrange City, FL · CCN 100072	25	$3,158	About average	$2,509	$17,734

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.