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 1,601–1,650. 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
Flagstaff Medical CenterFlagstaff, AZ · CCN 030023	56	$3,641	About average	$2,901	$16,397
Verde Valley Medical CenterCottonwood, AZ · CCN 030007	16	$3,641	About average	$2,901	$18,790
Yavapai Regional Medical CenterPrescott, AZ · CCN 030012	76	$3,641	About average	$2,900	$11,769
Yuma Regional Medical CenterYuma, AZ · CCN 030013	94	$3,641	About average	$2,900	$26,251
Kaleida HealthBuffalo, NY · CCN 330005	240	$3,641	About average	$2,891	$10,042
Summit Healthcare Regional Medical CenterShow Low, AZ · CCN 030062	32	$3,641	About average	$2,880	$14,332
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241 · +$592 outlier payments per case	96	$3,642	About average	$2,895	$19,717
Highland HospitalRochester, NY · CCN 330164	60	$3,647	10% above the national average	$2,896	$14,599
Saint Vincent HospitalErie, PA · CCN 390009	119	$3,649	10% above the national average	$2,900	$19,592
Inspira Medical Center VinelandVineland, NJ · CCN 310032	82	$3,650	10% above the national average	$2,908	$20,230
Southern Ocean Medical CenterManahawkin, NJ · CCN 310113	94	$3,650	10% above the national average	$2,908	$14,608
St Luke's Warren HospitalPhillipsburg, NJ · CCN 310060	46	$3,650	10% above the national average	$2,908	$35,856
Ahs Hospital CorpHackettstown, NJ · CCN 310115	17	$3,650	10% above the national average	$2,907	$22,906
Shore Medical CenterSomers Point, NJ · CCN 310047	59	$3,650	10% above the national average	$2,907	$28,473
Cape Regional Medical Center IncCape May Court House, NJ · CCN 310011	69	$3,650	10% above the national average	$2,906	$14,877
Inspira Medical Center Mullica HillElmer, NJ · CCN 310069	124	$3,650	10% above the national average	$2,906	$21,663
Ocean Medical CenterBrick, NJ · CCN 310052	61	$3,650	10% above the national average	$2,905	$16,481
Robert Wood Johnson University Hospital At RahwayRahway, NJ · CCN 310024	48	$3,650	10% above the national average	$2,900	$20,082
UMass Memorial Health - Harrington HospitalSouthbridge, MA · CCN 220019	32	$3,651	10% above the national average	$2,890	$15,341
Putnam Hospital CenterCarmel, NY · CCN 330273	56	$3,651	10% above the national average	$2,845	$13,913
Carepoint Health - Bayonne Medical CenterBayonne, NJ · CCN 310025	20	$3,651	10% above the national average	$2,837	$32,347
Mount Auburn HospitalCambridge, MA · CCN 220002	41	$3,653	10% above the national average	$2,901	$6,265
United Health Services Hospitals, IncBinghamton, NY · CCN 330394	72	$3,655	10% above the national average	$2,901	$18,480
Bayshore Medical CenterHolmdel, NJ · CCN 310112	76	$3,657	10% above the national average	$2,898	$16,792
Hillsboro Medical CenterHillsboro, OR · CCN 380021	29	$3,658	10% above the national average	$2,914	$17,146
Providence Newberg Medical CenterNewberg, OR · CCN 380037	28	$3,658	10% above the national average	$2,914	$14,647
Providence Portland Medical CenterPortland, OR · CCN 380061	37	$3,658	10% above the national average	$2,914	$15,802
Providence Willamette Falls Medical CenterOregon City, OR · CCN 380038	26	$3,658	10% above the national average	$2,914	$14,839
Providence St Vincent Medical CenterPortland, OR · CCN 380004	11	$3,658	10% above the national average	$2,914	$19,474
Willamette Valley Medical CenterMcminnville, OR · CCN 380071	24	$3,658	10% above the national average	$2,914	$29,155
Legacy Meridian Park Medical CenterTualatin, OR · CCN 380089	67	$3,658	10% above the national average	$2,914	$17,942
Adventist Health PortlandPortland, OR · CCN 380060	56	$3,658	10% above the national average	$2,911	$30,233
PeaceHealth Southwest Medical CenteVancouver, WA · CCN 500050	24	$3,658	10% above the national average	$2,911	$28,561
Legacy Mount Hood Medical CenterGresham, OR · CCN 380025	50	$3,658	10% above the national average	$2,910	$18,339
HealthAlliance Hospital Marys Avenue CampusKingston, NY · CCN 330224	16	$3,659	10% above the national average	$2,893	$16,903
USC Arcadia HospitalArcadia, CA · CCN 050238	11	$3,665	11% above the national average	$2,794	$29,163
Mountainview HospitalLas Vegas, NV · CCN 290039	73	$3,667	11% above the national average	$2,905	$42,010
St Peter's HospitalAlbany, NY · CCN 330057	105	$3,668	11% above the national average	$2,916	$14,966
Spring Valley Hospital Medical CenterLas Vegas, NV · CCN 290046	46	$3,669	11% above the national average	$2,903	$76,331
Grays Harbor Community HospitalAberdeen, WA · CCN 500031	34	$3,671	11% above the national average	$2,885	$36,950
UPMC HamotErie, PA · CCN 390063	110	$3,674	11% above the national average	$2,924	$34,646
Northern Westchester HospitalMount Kisco, NY · CCN 330162	119	$3,675	11% above the national average	$2,865	$14,367
Raritan Bay Medical CenterPerth Amboy, NJ · CCN 310039	139	$3,677	11% above the national average	$2,925	$16,211
University Medical Center Of Princeton At PlainsboroPlainsboro, NJ · CCN 310010	104	$3,681	11% above the national average	$2,933	$28,886
Brigham And Women Faulkner HospitalJamaica Plain, MA · CCN 220119	244	$3,683	11% above the national average	$2,921	$12,378
Anna Jaques HospitalNewburyport, MA · CCN 220029	99	$3,684	11% above the national average	$2,923	$10,689
Holyoke Medical CenterHolyoke, MA · CCN 220024	50	$3,684	11% above the national average	$2,922	$13,459
Saint Rose Dominican Hospitals - San Martin CampusLas Vegas, NV · CCN 290053	62	$3,686	11% above the national average	$2,927	$49,688
Lowell General HospitalLowell, MA · CCN 220063	84	$3,686	11% above the national average	$2,929	$10,834
Winchester HospitalWinchester, MA · CCN 220105	104	$3,687	11% above the national average	$2,926	$7,555

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.