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 101–150. 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
St Mary's Regional Medical CenterLewiston, ME · CCN 200034	14	$2,854	14% below the national average	$2,238	$26,761
Piedmont Columbus Regional NorthsideColumbus, GA · CCN 110200	123	$2,854	14% below the national average	$2,254	$27,262
Magnolia Regional Health CenterCorinth, MS · CCN 250009	20	$2,863	14% below the national average	$2,281	$18,432
Insight Hospital And Medical Center ColdwaterColdwater, MI · CCN 230022	35	$2,864	14% below the national average	$2,244	$13,344
Washington Regional Medical CenterFayetteville, AR · CCN 040004	173	$2,864	14% below the national average	$2,268	$19,568
St Joseph HospitalBangor, ME · CCN 200001	19	$2,866	13% below the national average	$2,256	$16,639
Southern Tennessee Regional Health System LawrenceLawrenceburg, TN · CCN 440175	16	$2,869	13% below the national average	$2,286	$16,304
Southeast Health Medical CenterDothan, AL · CCN 010001	172	$2,870	13% below the national average	$2,266	$30,381
Ochsner Medical Center AcuteNew Orleans, LA · CCN 190036	184	$2,873	13% below the national average	$2,282	$27,985
Riverside Walter Reed HospitalGloucester, VA · CCN 490130	75	$2,874	13% below the national average	$2,264	$13,336
St Vincent's BirminghamBirmingham, AL · CCN 010056	62	$2,874	13% below the national average	$2,279	$27,049
Tristar Hendersonville Medical CenterHendersonville, TN · CCN 440194	36	$2,875	13% below the national average	$2,263	$33,841
Medical College Of Virginia HospitalsRichmond, VA · CCN 490032	73	$2,875	13% below the national average	$2,279	$30,244
Cox Medical CentersSpringfield, MO · CCN 260040	266	$2,875	13% below the national average	$2,281	$24,695
Fort Sanders Regional Medical CenterKnoxville, TN · CCN 440125	81	$2,875	13% below the national average	$2,291	$10,185
Methodist Medical Center Of Oak RidgeOak Ridge, TN · CCN 440034	25	$2,875	13% below the national average	$2,288	$11,470
West Tennessee Healthcare Henry County HospitalParis, TN · CCN 440132	67	$2,875	13% below the national average	$2,286	$9,610
Morristown Hamblen Hospital AssociationMorristown, TN · CCN 440030	47	$2,875	13% below the national average	$2,285	$8,009
Slidell Memorial HospitalSlidell, LA · CCN 190040	121	$2,875	13% below the national average	$2,273	$18,125
Huntsville HospitalHuntsville, AL · CCN 010039	202	$2,875	13% below the national average	$2,274	$20,472
Surgical Specialty Center Of Baton RougeBaton Rouge, LA · CCN 190251	157	$2,877	13% below the national average	$2,274	$11,804
Jackson County Memorial Hospital AuthorityAltus, OK · CCN 370022	21	$2,878	13% below the national average	$2,211	$13,518
Lake Health Beachwood Medical CenterBeachwood, OH · CCN 360367	97	$2,878	13% below the national average	$2,273	$14,293
Marion Communtiy HospitalOcala, FL · CCN 100212	18	$2,878	13% below the national average	$2,236	$111,264
Baptist Memorial Hospital Jonesboro, Inc.Jonesboro, AR · CCN 040118	46	$2,878	13% below the national average	$2,275	$12,882
Mercy Hospital Fort SmithFort Smith, AR · CCN 040062	139	$2,879	13% below the national average	$2,276	$9,806
Ochsner Medical Center-KennerKenner, LA · CCN 190274	20	$2,879	13% below the national average	$2,294	$11,535
Roper St Francis Hospital-Berkeley IncSummerville, SC · CCN 420110	17	$2,880	13% below the national average	$2,266	$16,897
Summa Health SystemAkron, OH · CCN 360020	107	$2,880	13% below the national average	$2,273	$18,670
St Joe Mercy Hospital System LivoniaLivonia, MI · CCN 230002	102	$2,880	13% below the national average	$2,283	$19,117
Baton Rouge General Medical CenterBaton Rouge, LA · CCN 190065	98	$2,880	13% below the national average	$2,281	$13,967
Starr Regional Medical Center AthensAthens, TN · CCN 440068	28	$2,881	13% below the national average	$2,295	$29,848
Wheeling Hospital, IncWheeling, WV · CCN 510050 · +$651 outlier payments per case	65	$2,881	13% below the national average	$2,287	$22,924
Thibodaux Regional Medical CenterThibodaux, LA · CCN 190004	50	$2,881	13% below the national average	$2,284	$15,701
Mercy Hospital SpringfieldSpringfield, MO · CCN 260065	140	$2,882	13% below the national average	$2,285	$17,422
Christus Central Louisiana Surgical HospitalAlexandria, LA · CCN 190298	53	$2,882	13% below the national average	$2,269	$28,001
Mississippi Baptist Medical CenterJackson, MS · CCN 250102	249	$2,882	13% below the national average	$2,283	$27,121
SGMC HealthValdosta, GA · CCN 110122	74	$2,883	13% below the national average	$2,284	$25,466
McLeod Regional Medical Center-Pee DeeFlorence, SC · CCN 420051	115	$2,884	13% below the national average	$2,276	$26,909
Baptist Memorial Hospital North MsOxford, MS · CCN 250034	134	$2,884	13% below the national average	$2,291	$15,122
Ochsner Rush HospitalMeridian, MS · CCN 250069	30	$2,884	13% below the national average	$2,298	$12,076
Clay County Medical CorporationWest Point, MS · CCN 250067	39	$2,884	13% below the national average	$2,297	$18,593
Anderson Regional Medical CenterMeridian, MS · CCN 250104	74	$2,885	13% below the national average	$2,296	$11,387
Coliseum Medical CentersMacon, GA · CCN 110164	44	$2,885	13% below the national average	$2,276	$40,308
Northwest Medical Center-SpringdaleSpringdale, AR · CCN 040022	71	$2,885	13% below the national average	$2,284	$32,912
Aultman HospitalCanton, OH · CCN 360084	113	$2,886	13% below the national average	$2,280	$15,735
Cleveland Clinic Avon HospitalAvon, OH · CCN 360364	82	$2,889	13% below the national average	$2,284	$15,256
Coosa Valley Medical CenterSylacauga, AL · CCN 010164	27	$2,891	13% below the national average	$2,295	$11,107
USA Health University HospitalMobile, AL · CCN 010087	62	$2,891	13% below the national average	$2,301	$8,418
St Francis Hospital- Emory HealthcareColumbus, GA · CCN 110129	42	$2,891	13% below the national average	$2,292	$16,937

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.