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 1,751–1,800. 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
Good Samaritan Hospital Medical CenterWest Islip, NY · CCN 330286	89	$3,859	17% above the national average	$3,066	$20,297
St Catherine Of Siena HospitalSmithtown, NY · CCN 330401	94	$3,861	17% above the national average	$3,067	$20,546
Mercy Medical CenterRockville Centre, NY · CCN 330259	46	$3,865	17% above the national average	$3,067	$21,771
Griffin HospitalDerby, CT · CCN 070031	51	$3,865	17% above the national average	$3,067	$24,410
Samaritan Medical CenterWatertown, NY · CCN 330157	64	$3,866	17% above the national average	$3,079	$10,390
The Queens Medical CenterHonolulu, HI · CCN 120001	89	$3,866	17% above the national average	$3,047	$18,680
Vassar Brothers Medical CenterPoughkeepsie, NY · CCN 330023	11	$3,866	17% above the national average	$3,069	$9,575
Montefiore St Luke's CornwallNewburgh, NY · CCN 330264	66	$3,866	17% above the national average	$3,069	$28,481
Mount Sinai Beth IsraelNew York, NY · CCN 330169	173	$3,869	17% above the national average	$3,070	$17,042
St Vincent's Medical CenterBridgeport, CT · CCN 070028	55	$3,870	17% above the national average	$3,072	$14,391
Salem HospitalSalem, OR · CCN 380051	81	$3,876	17% above the national average	$3,088	$22,597
Mid-Columbia Medical CenterThe Dalles, OR · CCN 380001	72	$3,876	17% above the national average	$3,084	$13,951
Canton-Potsdam HospitalPotsdam, NY · CCN 330197	40	$3,880	17% above the national average	$3,075	$10,481
Nyack HospitalNyack, NY · CCN 330104	53	$3,884	17% above the national average	$3,070	$23,120
North Shore University HospitalManhasset, NY · CCN 330106	222	$3,884	17% above the national average	$3,085	$22,223
Olean General HospitalOlean, NY · CCN 330103	42	$3,886	17% above the national average	$3,059	$6,177
MidState Medical CenterMeriden, CT · CCN 070017	37	$3,889	17% above the national average	$3,098	$10,929
Saint Mary's HospitalWaterbury, CT · CCN 070016	60	$3,889	17% above the national average	$3,098	$19,865
St Francis Hospital & Medical CenterHartford, CT · CCN 070002	58	$3,889	17% above the national average	$3,098	$22,289
Lawrence & Memorial HospitalNew London, CT · CCN 070007	55	$3,889	17% above the national average	$3,098	$12,867
Windham Community Memorial HospitalWillimantic, CT · CCN 070021	12	$3,889	17% above the national average	$3,097	$13,512
Hartford HospitalHartford, CT · CCN 070025	139	$3,889	17% above the national average	$3,095	$12,630
Manchester Memorial HospitalManchester, CT · CCN 070027	43	$3,889	17% above the national average	$3,092	$17,891
Day Kimball HospitalPutnam, CT · CCN 070003	14	$3,889	17% above the national average	$3,092	$9,582
Bristol HospitalBristol, CT · CCN 070029	22	$3,889	17% above the national average	$3,090	$16,672
Bridgeport HospitalBridgeport, CT · CCN 070010	263	$3,891	17% above the national average	$3,093	$14,991
Brooklyn Hospital Center - Downtown CampusBrooklyn, NY · CCN 330056	53	$3,892	18% above the national average	$3,101	$18,032
Long Island Community HospitalPatchogue, NY · CCN 330141	46	$3,894	18% above the national average	$3,100	$45,636
Hudson Valley Hospital CenterCortlandt Manor, NY · CCN 330267	45	$3,897	18% above the national average	$3,090	$18,210
New York-Presbyterian/QueensFlushing, NY · CCN 330055	90	$3,897	18% above the national average	$3,088	$18,948
Staten Island University HospitalStaten Island, NY · CCN 330160	183	$3,898	18% above the national average	$3,091	$18,248
Overlook Medical CenterSummit, NJ · CCN 310051	126	$3,900	18% above the national average	$3,102	$22,905
Stamford HospitalStamford, CT · CCN 070006	82	$3,903	18% above the national average	$3,110	$26,241
Saint Clare's Hospital/ Denville CampusDenville, NJ · CCN 310050	145	$3,904	18% above the national average	$3,105	$24,204
Greenwich Hospital Association -Greenwich, CT · CCN 070018	107	$3,905	18% above the national average	$3,110	$16,671
Yale-New Haven HospitalNew Haven, CT · CCN 070022	213	$3,909	18% above the national average	$3,111	$11,680
Berkshire Medical CenterPittsfield, MA · CCN 220046	135	$3,909	18% above the national average	$3,109	$14,301
Mount Sinai HospitalNew York, NY · CCN 330024	182	$3,915	18% above the national average	$3,109	$21,038
New York Community Hospital Of Brooklyn, Inc.Brooklyn, NY · CCN 330019	65	$3,918	18% above the national average	$3,112	$14,824
Nyu Langone HospitalsNew York, NY · CCN 330214	675	$3,920	18% above the national average	$3,121	$39,906
Norwalk HospitalNorwalk, CT · CCN 070034	69	$3,923	18% above the national average	$3,126	$15,351
The University HospitalNewark, NJ · CCN 310119	348	$3,923	18% above the national average	$3,124	$13,733
Chilton Medical CenterPompton Plains, NJ · CCN 310017	66	$3,923	18% above the national average	$3,122	$21,814
Montefiore Medical CenterBronx, NY · CCN 330059	92	$3,925	19% above the national average	$3,126	$30,541
Mount Sinai WestNew York, NY · CCN 330046	83	$3,927	19% above the national average	$3,129	$20,038
Mount Sinai South NassauOceanside, NY · CCN 330198	147	$3,928	19% above the national average	$3,129	$29,184
St Francis Hospital - The Heart CenterRoslyn, NY · CCN 330182	133	$3,928	19% above the national average	$3,129	$20,385
St Joseph HospitalBethpage, NY · CCN 330332	72	$3,928	19% above the national average	$3,127	$19,096
Phelps HospitalSleepy Hollow, NY · CCN 330261	61	$3,936	19% above the national average	$3,129	$26,663
Hackensack University Medical CenterHackensack, NJ · CCN 310001	327	$3,938	19% above the national average	$3,130	$17,209

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.