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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

Hospitals in California

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
California
Specific hospitals up to 10
Average payment across these 143 hospitals
$4,427National $3,312 · California $4,418
Median hospital
$4,286
Lowest to highest
$2,750–$5,016
Medicare procedures
9,453

143 hospitals reported at least 11 Medicare procedures for this in 2024; showing 101–143. Download as CSV

Medicare payments per case for Level 4 Urology and Related Services by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Sutter Tracy Community HospitalTracy, CA · CCN 05031328$4,37832% above the national average$3,488$26,300
Adventist Health Lodi MemorialLodi, CA · CCN 05033630$4,37832% above the national average$3,486$48,674
Barton Memorial HospitalSouth Lake Tahoe, CA · CCN 05035228$4,45234% above the national average$3,547$52,126
Marshall Medical CenterPlacerville, CA · CCN 05025458$4,45234% above the national average$3,547$36,891
Mercy General HospitalSacramento, CA · CCN 05001713$4,45234% above the national average$3,547$33,073
Sutter Auburn Faith HospitalAuburn, CA · CCN 05049819$4,45234% above the national average$3,547$21,585
Woodland Memorial HospitalWoodland, CA · CCN 05012728$4,45234% above the national average$3,547$25,554
Adventist Health St HelenaSaint Helena, CA · CCN 05001335$4,47435% above the national average$3,559$49,281
Adventist Health SonoraSonora, CA · CCN 05033580$4,49936% above the national average$3,565$44,279
Dominican HospitalSanta Cruz, CA · CCN 05024285$4,56738% above the national average$3,639$40,089
Adventist Health Ukiah ValleyUkiah, CA · CCN 05030145$4,59039% above the national average$3,657$28,550
Sutter Coast HospitalCrescent City, CA · CCN 05041711$4,59039% above the national average$3,657$20,118
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 050396116$4,59039% above the national average$3,657$32,370
Adventist Health And RideoutMarysville, CA · CCN 05013332$4,59039% above the national average$3,651$35,762
Sutter Maternity & Surgery Center Of Santa CruzSanta Cruz, CA · CCN 050714127$4,59939% above the national average$3,653$19,433
Petaluma Valley HospitalPetaluma, CA · CCN 05013626$4,65341% above the national average$3,708$46,433
Sutter Santa Rosa Regional HospitalSanta Rosa, CA · CCN 05029150$4,65341% above the national average$3,707$24,998
St Joseph's Medical Center Of StocktonStockton, CA · CCN 05008497$4,73343% above the national average$3,769$41,605
Zuckerberg San Francisco General Hospital & Trauma CenterSan Francisco, CA · CCN 05022830$4,81745% above the national average$3,838$43,444
Sutter Medical Center, SacramentoSacramento, CA · CCN 05010874$4,83046% above the national average$3,837$25,321
John Muir Medical Center - Concord CampusConcord, CA · CCN 050496167$4,83146% above the national average$3,844$72,536
California Pacific Medical Center- Van Ness CampusSan Francisco, CA · CCN 05004727$4,83646% above the national average$3,823$17,694
Eden Medical CenterCastro Valley, CA · CCN 05048824$4,84146% above the national average$3,857$25,170
Alta Bates Summit Medical CenterOakland, CA · CCN 05004359$4,84146% above the national average$3,857$29,043
Alta Bates Summit Medical Center - Alta Bates CampBerkeley, CA · CCN 05030519$4,84146% above the national average$3,857$27,474
Highland HospitalOakland, CA · CCN 05032016$4,84146% above the national average$3,846$25,868
Providence Santa Rosa Memorial HospitalSanta Rosa, CA · CCN 05017475$4,84546% above the national average$3,850$53,405
San Ramon Regional Medical CenterSan Ramon, CA · CCN 05068920$4,85447% above the national average$3,867$50,222
Salinas Valley Health Medical CenterSalinas, CA · CCN 05033452$4,86247% above the national average$3,874$39,826
Stanford Health CareStanford, CA · CCN 050441 · +$364 outlier payments per case436$4,86547% above the national average$3,866$70,521
Santa Clara Valley Medical CenterSan Jose, CA · CCN 05003859$4,86747% above the national average$3,877$23,352
MarinHealth Medical CenterGreenbrae, CA · CCN 050360110$4,86947% above the national average$3,879$70,624
Providence Queen Of The Valley Medical CenterNapa, CA · CCN 05000947$4,88247% above the national average$3,889$41,437
UCSF Medical CenterSan Francisco, CA · CCN 050454 · +$202 outlier payments per case396$4,89448% above the national average$3,899$35,648
Sequoia HospitalRedwood City, CA · CCN 05019734$4,90948% above the national average$3,911$45,624
Stanford Health Care Tri-ValleyPleasanton, CA · CCN 05028346$4,90948% above the national average$3,911$45,457
El Camino HealthMountain View, CA · CCN 050308173$4,90948% above the national average$3,911$50,397
Community Hospital Of The Monterey PeninsulaMonterey, CA · CCN 050145100$4,90948% above the national average$3,910$32,013
Washington HospitalFremont, CA · CCN 05019525$4,90948% above the national average$3,908$43,539
California Pacific Medical Center-Davies Campus HospitalSan Francisco, CA · CCN 05000882$4,93549% above the national average$3,922$25,589
Peninsula Medical CenterBurlingame, CA · CCN 05000768$4,98350% above the national average$3,970$28,650
Sutter Solano Medical CenterVallejo, CA · CCN 05010114$5,01651% above the national average$3,996$28,860
NorthBay Medical CenterFairfield, CA · CCN 050367 · +$4,122 outlier payments per case46$5,01651% above the national average$3,991$136,595

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont6417$1,714$1,464–$2,023
Tennessee463,697$2,840$2,870–$3,003
Louisiana462,744$2,846$2,879–$2,925
Alabama352,480$2,887$2,817–$2,930
Mississippi261,973$2,914$2,818–$2,921
Ohio986,698$2,944$2,927–$3,052
West Virginia161,506$2,948$2,848–$2,981
South Carolina333,933$2,978$2,936–$3,008
Arkansas212,160$2,980$2,926–$3,117
Oklahoma343,138$2,982$2,924–$3,003
Kentucky372,820$3,004$2,965–$3,132
Missouri453,581$3,019$3,007–$3,103
Kansas262,030$3,049$2,976–$3,188
Iowa222,002$3,051$2,985–$3,142
Michigan674,979$3,076$3,012–$3,193
Georgia624,249$3,092$3,003–$3,200
Texas1458,968$3,097$3,025–$3,149
North Carolina675,237$3,097$3,034–$3,130
Virginia464,168$3,117$2,985–$3,237
Florida1279,149$3,131$3,118–$3,158
Utah201,195$3,138$3,075–$3,123
Nebraska191,402$3,143$3,108–$3,217
Indiana554,002$3,143$3,107–$3,185
Maine14936$3,165$2,999–$3,256
New Mexico11647$3,185$3,036–$3,126
Idaho10882$3,191$3,122–$3,335
Wisconsin463,231$3,202$3,122–$3,237
Pennsylvania1027,264$3,211$3,114–$3,337
Montana10989$3,284$3,218–$3,484
Illinois816,766$3,289$3,222–$3,351
North Dakota6739$3,319$3,268–$3,400
South Dakota121,318$3,327$3,268–$3,500
Colorado321,716$3,350$3,287–$3,319
Arizona433,866$3,394$3,334–$3,399
New Hampshire121,026$3,400$3,338–$3,421
Minnesota322,673$3,407$3,304–$3,428
Delaware5642$3,472$3,465–$3,498
Wyoming7289$3,474$3,477–$3,500
Rhode Island7520$3,518$3,503–$3,538
District of Columbia5423$3,526$3,501–$3,547
Washington413,407$3,587$3,499–$3,671
Alaska6314$3,679$3,626–$3,777
Nevada13708$3,700$3,686–$3,734
Massachusetts475,424$3,723$3,704–$3,744
New Jersey515,386$3,730$3,605–$3,838
Oregon241,376$3,766$3,613–$3,693
New York949,593$3,839$3,670–$3,928
Connecticut231,841$3,873$3,856–$3,889
Hawaii8357$3,962$3,947–$4,063
California14510,023$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.