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 1,901–1,950. 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
MemorialCare Saddleback Medical CenterLaguna Hills, CA · CCN 050603	64	$4,286	29% above the national average	$3,414	$34,715
Loma Linda University Medical CenterLoma Linda, CA · CCN 050327	90	$4,286	29% above the national average	$3,414	$47,644
Sierra View Medical CenterPorterville, CA · CCN 050261	45	$4,286	29% above the national average	$3,414	$14,126
Sharp Memorial HospitalSan Diego, CA · CCN 050100	124	$4,286	29% above the national average	$3,413	$30,131
Mercy Medical Center ReddingRedding, CA · CCN 050280	117	$4,286	29% above the national average	$3,413	$22,256
Oroville HospitalOroville, CA · CCN 050030	38	$4,286	29% above the national average	$3,413	$14,970
Providence Cedars Sinai Tarzana Medical CenterTarzana, CA · CCN 050761	77	$4,286	29% above the national average	$3,413	$32,470
Saint Agnes Medical CenterFresno, CA · CCN 050093	103	$4,286	29% above the national average	$3,413	$21,803
Lac/Harbor-UCLA Medical CenterTorrance, CA · CCN 050376	14	$4,286	29% above the national average	$3,413	$34,626
Keck Hospital Of USCLos Angeles, CA · CCN 050696	108	$4,286	29% above the national average	$3,412	$28,444
Glendale Memorial Hospital & Health CenterGlendale, CA · CCN 050058	41	$4,286	29% above the national average	$3,411	$24,204
Los Robles Hospital & Medical CenterThousand Oaks, CA · CCN 050549	90	$4,286	29% above the national average	$3,411	$56,395
Providence St Joseph HospitalEureka, CA · CCN 050006	83	$4,286	29% above the national average	$3,410	$44,443
Community Regional Medical CenterFresno, CA · CCN 050060	30	$4,286	29% above the national average	$3,409	$25,739
MemorialCare Orange Coast Medical CenterFountain Valley, CA · CCN 050678	58	$4,286	29% above the national average	$3,408	$33,437
St Mary Medical CenterLong Beach, CA · CCN 050191	24	$4,286	29% above the national average	$3,407	$20,432
PIH Health Hospital-WhittierWhittier, CA · CCN 050169	54	$4,286	29% above the national average	$3,406	$24,587
Garfield Medical CenterMonterey Park, CA · CCN 050737	22	$4,286	29% above the national average	$3,406	$50,342
Redlands Community HospitalRedlands, CA · CCN 050272	20	$4,286	29% above the national average	$3,405	$43,009
Los Angeles General Medical CenterLos Angeles, CA · CCN 050373	18	$4,286	29% above the national average	$3,404	$28,047
Lac/Rancho Los Amigos National Rehabilitation CenterDowney, CA · CCN 050717	17	$4,286	29% above the national average	$3,404	$39,233
Desert Valley HospitalVictorville, CA · CCN 050709	17	$4,286	29% above the national average	$3,403	$23,738
Providence Little Company Of Mary Medical Center TorranceTorrance, CA · CCN 050353	15	$4,286	29% above the national average	$3,402	$25,684
Lac/Olive View-UCLA Medical CenterSylmar, CA · CCN 050040	33	$4,286	29% above the national average	$3,400	$14,092
Uci Health-LakewoodLakewood, CA · CCN 050581	28	$4,287	29% above the national average	$3,391	$41,709
Hemet Global Medical CenterHemet, CA · CCN 050390	14	$4,287	29% above the national average	$3,366	$26,692
Wilcox Memorial HospitalLihue, HI · CCN 120014	16	$4,294	30% above the national average	$3,421	$13,006
University Of California Davis Medical CenterSacramento, CA · CCN 050599 · +$550 outlier payments per case	249	$4,345	31% above the national average	$3,462	$44,833
Sutter Roseville Medical CenterRoseville, CA · CCN 050309	150	$4,360	32% above the national average	$3,452	$22,050
Mercy San Juan Medical CenterCarmichael, CA · CCN 050516	38	$4,362	32% above the national average	$3,454	$37,676
Sutter Tracy Community HospitalTracy, CA · CCN 050313	28	$4,378	32% above the national average	$3,488	$26,300
Adventist Health Lodi MemorialLodi, CA · CCN 050336	30	$4,378	32% above the national average	$3,486	$48,674
Barton Memorial HospitalSouth Lake Tahoe, CA · CCN 050352	28	$4,452	34% above the national average	$3,547	$52,126
Marshall Medical CenterPlacerville, CA · CCN 050254	58	$4,452	34% above the national average	$3,547	$36,891
Mercy General HospitalSacramento, CA · CCN 050017	13	$4,452	34% above the national average	$3,547	$33,073
Sutter Auburn Faith HospitalAuburn, CA · CCN 050498	19	$4,452	34% above the national average	$3,547	$21,585
Woodland Memorial HospitalWoodland, CA · CCN 050127	28	$4,452	34% above the national average	$3,547	$25,554
Adventist Health St HelenaSaint Helena, CA · CCN 050013	35	$4,474	35% above the national average	$3,559	$49,281
Adventist Health SonoraSonora, CA · CCN 050335	80	$4,499	36% above the national average	$3,565	$44,279
Sky Lakes Medical CenterKlamath Falls, OR · CCN 380050	21	$4,533	37% above the national average	$3,603	$14,284
Dominican HospitalSanta Cruz, CA · CCN 050242	85	$4,567	38% above the national average	$3,639	$40,089
Adventist Health Ukiah ValleyUkiah, CA · CCN 050301	45	$4,590	39% above the national average	$3,657	$28,550
Sutter Coast HospitalCrescent City, CA · CCN 050417	11	$4,590	39% above the national average	$3,657	$20,118
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 050396	116	$4,590	39% above the national average	$3,657	$32,370
Adventist Health And RideoutMarysville, CA · CCN 050133	32	$4,590	39% above the national average	$3,651	$35,762
Sutter Maternity & Surgery Center Of Santa CruzSanta Cruz, CA · CCN 050714	127	$4,599	39% above the national average	$3,653	$19,433
Petaluma Valley HospitalPetaluma, CA · CCN 050136	26	$4,653	41% above the national average	$3,708	$46,433
Sutter Santa Rosa Regional HospitalSanta Rosa, CA · CCN 050291	50	$4,653	41% above the national average	$3,707	$24,998
St Joseph's Medical Center Of StocktonStockton, CA · CCN 050084	97	$4,733	43% above the national average	$3,769	$41,605
Zuckerberg San Francisco General Hospital & Trauma CenterSan Francisco, CA · CCN 050228	30	$4,817	45% above the national average	$3,838	$43,444

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.