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 1,651–1,700. 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
Carson Tahoe Regional Medical CenterCarson City, NV · CCN 290019	61	$3,694	12% above the national average	$2,933	$17,700
Jersey Shore University Medical CenterNeptune, NJ · CCN 310073	41	$3,695	12% above the national average	$2,944	$14,833
CentraState Medical CenterFreehold, NJ · CCN 310111	121	$3,695	12% above the national average	$2,944	$11,488
Riverview Medical CenterRed Bank, NJ · CCN 310034	237	$3,695	12% above the national average	$2,942	$14,776
Glens Falls HospitalGlens Falls, NY · CCN 330191	71	$3,696	12% above the national average	$2,945	$8,053
Nicholas H Noyes Memorial HospitalDansville, NY · CCN 330238	13	$3,696	12% above the national average	$2,945	$6,118
Our Lady Of Lourdes Memorial Hospital, IncBinghamton, NY · CCN 330011	75	$3,696	12% above the national average	$2,945	$21,167
Rome Memorial Hospital, IncRome, NY · CCN 330215	43	$3,696	12% above the national average	$2,945	$13,606
St Marys HealthcareAmsterdam, NY · CCN 330047	11	$3,696	12% above the national average	$2,945	$9,582
Unity HospitalRochester, NY · CCN 330226	11	$3,696	12% above the national average	$2,945	$11,343
Oneida Health HospitalOneida, NY · CCN 330115	31	$3,696	12% above the national average	$2,945	$12,627
UPMC ChautauquaJamestown, NY · CCN 330239	42	$3,696	12% above the national average	$2,944	$13,249
Saratoga HospitalSaratoga Springs, NY · CCN 330222	105	$3,696	12% above the national average	$2,944	$14,667
Samaritan Hospital Of Troy, New YorkTroy, NY · CCN 330180	61	$3,696	12% above the national average	$2,944	$14,031
Nathan Littauer HospitalGloversville, NY · CCN 330276	25	$3,696	12% above the national average	$2,944	$10,712
St Joseph's Hospital Health CenterSyracuse, NY · CCN 330140	55	$3,696	12% above the national average	$2,943	$13,141
Erie County Medical CenterBuffalo, NY · CCN 330219	21	$3,696	12% above the national average	$2,936	$4,264
Newark-Wayne Community HospitalNewark, NY · CCN 330030	19	$3,696	12% above the national average	$2,935	$9,434
Yakima Valley MemorialYakima, WA · CCN 500036	234	$3,697	12% above the national average	$2,934	$15,189
Saint Rose Dominican Hospitals - Siena CampusHenderson, NV · CCN 290045	83	$3,698	12% above the national average	$2,936	$44,130
JFK University Medical CenterEdison, NJ · CCN 310108	87	$3,699	12% above the national average	$2,945	$19,948
Providence St Mary Medical CenterWalla Walla, WA · CCN 500002	64	$3,701	12% above the national average	$2,939	$21,534
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	218	$3,703	12% above the national average	$2,940	$19,661
South Shore HospitalSouth Weymouth, MA · CCN 220100	223	$3,704	12% above the national average	$2,941	$5,886
Swedish Medical CenterSeattle, WA · CCN 500027	95	$3,704	12% above the national average	$2,944	$26,583
Hackensack Meridian Mountainside MedicalMontclair, NJ · CCN 310054	74	$3,704	12% above the national average	$2,943	$15,665
Northeast Hospital CorporationBeverly, MA · CCN 220033	190	$3,705	12% above the national average	$2,951	$6,394
Mat-Su Regional Medical CenterPalmer, AK · CCN 020006	20	$3,710	12% above the national average	$2,917	$34,876
Massachusetts General HospitalBoston, MA · CCN 220071	465	$3,712	12% above the national average	$2,950	$20,085
Merrimack Health Lawrence HospitalLawrence, MA · CCN 220010	110	$3,717	12% above the national average	$2,956	$9,527
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086	120	$3,719	12% above the national average	$2,957	$11,796
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	269	$3,722	12% above the national average	$2,960	$9,677
Emerson Hospital -W Concord, MA · CCN 220084	93	$3,724	12% above the national average	$2,967	$9,497
Beth Israel Deaconess Hospital PlymouthPlymouth, MA · CCN 220060	157	$3,725	12% above the national average	$2,962	$12,900
Newton-Wellesley HospitalNewton, MA · CCN 220101	161	$3,726	13% above the national average	$2,961	$12,907
The Hospital Of Central ConnecticutNew Britain, CT · CCN 070035	62	$3,728	13% above the national average	$2,925	$14,489
St Michael Medical CenterSilverdale, WA · CCN 500039	300	$3,730	13% above the national average	$2,965	$32,051
Saint Mary's Regional Medical CenterReno, NV · CCN 290009	13	$3,734	13% above the national average	$2,975	$26,877
Centennial Hills Hospital Medical CenterLas Vegas, NV · CCN 290054	30	$3,734	13% above the national average	$2,975	$75,831
Sunrise Hospital And Medical CenterLas Vegas, NV · CCN 290003	64	$3,734	13% above the national average	$2,975	$50,143
Southern Hills Hospital And Medical CenterLas Vegas, NV · CCN 290047	91	$3,734	13% above the national average	$2,974	$41,382
Renown Regional Medical CenterReno, NV · CCN 290001	74	$3,734	13% above the national average	$2,972	$27,095
Northern Nevada Sierra Medical CenterReno, NV · CCN 290061	14	$3,734	13% above the national average	$2,961	$45,292
Brigham And Women's HospitalBoston, MA · CCN 220110	309	$3,734	13% above the national average	$2,973	$21,479
Baystate Medical CenterSpringfield, MA · CCN 220077	95	$3,744	13% above the national average	$2,983	$8,107
Beth Israel Deaconess Hospital - NeedhamNeedham, MA · CCN 220083	162	$3,744	13% above the national average	$2,983	$8,641
Cambridge Health AllianceCambridge, MA · CCN 220011	15	$3,744	13% above the national average	$2,983	$8,344
Falmouth HospitalFalmouth, MA · CCN 220135	51	$3,744	13% above the national average	$2,983	$11,692
MetroWest Medical CenterFramingham, MA · CCN 220175	62	$3,744	13% above the national average	$2,983	$43,068
North Shore Medical Center -Salem, MA · CCN 220035	162	$3,744	13% above the national average	$2,983	$11,518

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.