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 151–200. 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
Northeastern Health SystemTahlequah, OK · CCN 370089	27	$2,891	13% below the national average	$2,245	$6,400
Union HospitalDover, OH · CCN 360010	63	$2,891	13% below the national average	$2,286	$13,043
Thomas HospitalFairhope, AL · CCN 010100	84	$2,892	13% below the national average	$2,301	$8,471
Indian Path Community HospitalKingsport, TN · CCN 440176	68	$2,892	13% below the national average	$2,304	$20,452
Terrebonne General Medical Center - ParishHouma, LA · CCN 190008	125	$2,893	13% below the national average	$2,293	$9,079
Novant Health East Cooper Medical CenterMount Pleasant, SC · CCN 420089	84	$2,894	13% below the national average	$2,280	$25,257
Spectrum Health United HospitalGreenville, MI · CCN 230035	17	$2,895	13% below the national average	$2,277	$13,195
Omega Hospital, LLCMetairie, LA · CCN 190302 · +$7,595 outlier payments per case	21	$2,896	13% below the national average	$2,307	$25,444
O U Medical CenterOklahoma City, OK · CCN 370093	271	$2,896	13% below the national average	$2,294	$33,091
Taylor Regional HospitalCampbellsville, KY · CCN 180087	82	$2,896	13% below the national average	$2,300	$12,289
Christus Ochsner Lake Area HospitalLake Charles, LA · CCN 190201	75	$2,897	13% below the national average	$2,301	$41,318
Saint Francis Hospital South, LLCTulsa, OK · CCN 370218	38	$2,898	12% below the national average	$2,297	$18,732
Acadian Medical CenterEunice, LA · CCN 190318	23	$2,898	12% below the national average	$2,309	$31,193
Abbeville General HospitalAbbeville, LA · CCN 190034	11	$2,898	12% below the national average	$2,309	$8,099
Acadia General HospitalCrowley, LA · CCN 190044	13	$2,898	12% below the national average	$2,309	$12,275
Franklin Medical CenterWinnsboro, LA · CCN 190140	26	$2,898	12% below the national average	$2,309	$8,033
Iberia Medical CenterNew Iberia, LA · CCN 190054	41	$2,898	12% below the national average	$2,309	$18,644
Leonard J Chabert Medical CenterHouma, LA · CCN 190183	12	$2,898	12% below the national average	$2,309	$5,436
Monroe Surgical HospitalMonroe, LA · CCN 190245	79	$2,898	12% below the national average	$2,309	$19,777
Northern Louisiana Medical CenterRuston, LA · CCN 190086	49	$2,898	12% below the national average	$2,309	$14,982
Ochsner Lafayette General Medical CenterLafayette, LA · CCN 190002	54	$2,898	12% below the national average	$2,308	$17,174
Our Lady Of Lourdes Regional Medical Center, IncLafayette, LA · CCN 190102	175	$2,898	12% below the national average	$2,306	$14,175
Beauregard Memorial HospitalDeridder, LA · CCN 190050	18	$2,899	12% below the national average	$2,303	$19,388
Ochsner LSU Health ShreveportShreveport, LA · CCN 190098	28	$2,899	12% below the national average	$2,303	$16,663
Tift Regional Medical CenterTifton, GA · CCN 110095	109	$2,900	12% below the national average	$2,279	$18,504
Vanderbilt Tullahoma-Harton HospitalTullahoma, TN · CCN 440144	56	$2,901	12% below the national average	$2,293	$27,862
University Medical CenterLubbock, TX · CCN 450686	57	$2,901	12% below the national average	$2,283	$32,231
Lee Memorial HospitalFort Myers, FL · CCN 100012	52	$2,903	12% below the national average	$2,309	$34,714
Cypress Pointe Surgical HospitalHammond, LA · CCN 190303	23	$2,903	12% below the national average	$2,305	$24,721
Merit Health WesleyHattiesburg, MS · CCN 250094	83	$2,903	12% below the national average	$2,313	$45,705
Ochsner Medical Center - Baton RougeBaton Rouge, LA · CCN 190202	54	$2,904	12% below the national average	$2,305	$15,185
Saint Francis Hospital, IncTulsa, OK · CCN 370091	174	$2,906	12% below the national average	$2,304	$18,959
Harper University HospitalDetroit, MI · CCN 230104	12	$2,906	12% below the national average	$2,274	$40,873
Regional One HealthMemphis, TN · CCN 440152	26	$2,908	12% below the national average	$2,313	$9,072
Saint Luke's East HospitalLees Summit, MO · CCN 260216	50	$2,908	12% below the national average	$2,289	$29,856
Akron General Medical CenterAkron, OH · CCN 360027	163	$2,908	12% below the national average	$2,304	$12,581
Surgical Hospital At SouthwoodsYoungstown, OH · CCN 360352	147	$2,910	12% below the national average	$2,306	$13,245
Methodist Charlton Medical CenterDallas, TX · CCN 450723	11	$2,910	12% below the national average	$2,272	$23,060
Texas Institute For Surgery At Presbyterian HospitDallas, TX · CCN 450889	11	$2,910	12% below the national average	$2,272	$13,902
Medical West, An Affiliate Of UAB Health SystemBessemer, AL · CCN 010114	17	$2,910	12% below the national average	$2,319	$19,216
Las Palmas Medical Center A Campus Of Lpds HealthcEl Paso, TX · CCN 450107	21	$2,910	12% below the national average	$2,292	$72,065
Piedmont Augusta HospitalAugusta, GA · CCN 110028	121	$2,911	12% below the national average	$2,309	$22,248
Our Lady Of The Lake Regional Medical CenterBaton Rouge, LA · CCN 190064	130	$2,912	12% below the national average	$2,309	$28,802
CJW Medical CenterRichmond, VA · CCN 490112	54	$2,913	12% below the national average	$2,303	$76,334
Mercy Hospital JoplinJoplin, MO · CCN 260001	95	$2,913	12% below the national average	$2,319	$13,758
Charleston Area Medical CenterCharleston, WV · CCN 510022	208	$2,913	12% below the national average	$2,302	$17,354
Southern Ohio Medical CenterPortsmouth, OH · CCN 360008	29	$2,915	12% below the national average	$2,269	$21,916
Bellevue HospitalBellevue, OH · CCN 360107	41	$2,915	12% below the national average	$2,311	$18,244
Johnston Memorial HospitalAbingdon, VA · CCN 490053	28	$2,916	12% below the national average	$2,306	$24,357
Weirton Medical Center, IncWeirton, WV · CCN 510023	154	$2,917	12% below the national average	$2,322	$17,719

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.