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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Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

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Year of care

1,974 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,951–1,974. 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
Sutter Medical Center, SacramentoSacramento, CA · CCN 050108	74	$4,830	46% above the national average	$3,837	$25,321
John Muir Medical Center - Concord CampusConcord, CA · CCN 050496	167	$4,831	46% above the national average	$3,844	$72,536
California Pacific Medical Center- Van Ness CampusSan Francisco, CA · CCN 050047	27	$4,836	46% above the national average	$3,823	$17,694
Eden Medical CenterCastro Valley, CA · CCN 050488	24	$4,841	46% above the national average	$3,857	$25,170
Alta Bates Summit Medical CenterOakland, CA · CCN 050043	59	$4,841	46% above the national average	$3,857	$29,043
Alta Bates Summit Medical Center - Alta Bates CampBerkeley, CA · CCN 050305	19	$4,841	46% above the national average	$3,857	$27,474
Highland HospitalOakland, CA · CCN 050320	16	$4,841	46% above the national average	$3,846	$25,868
Providence Santa Rosa Memorial HospitalSanta Rosa, CA · CCN 050174	75	$4,845	46% above the national average	$3,850	$53,405
San Ramon Regional Medical CenterSan Ramon, CA · CCN 050689	20	$4,854	47% above the national average	$3,867	$50,222
Salinas Valley Health Medical CenterSalinas, CA · CCN 050334	52	$4,862	47% above the national average	$3,874	$39,826
Stanford Health CareStanford, CA · CCN 050441 · +$364 outlier payments per case	436	$4,865	47% above the national average	$3,866	$70,521
Santa Clara Valley Medical CenterSan Jose, CA · CCN 050038	59	$4,867	47% above the national average	$3,877	$23,352
MarinHealth Medical CenterGreenbrae, CA · CCN 050360	110	$4,869	47% above the national average	$3,879	$70,624
Providence Queen Of The Valley Medical CenterNapa, CA · CCN 050009	47	$4,882	47% above the national average	$3,889	$41,437
UCSF Medical CenterSan Francisco, CA · CCN 050454 · +$202 outlier payments per case	396	$4,894	48% above the national average	$3,899	$35,648
Sequoia HospitalRedwood City, CA · CCN 050197	34	$4,909	48% above the national average	$3,911	$45,624
Stanford Health Care Tri-ValleyPleasanton, CA · CCN 050283	46	$4,909	48% above the national average	$3,911	$45,457
El Camino HealthMountain View, CA · CCN 050308	173	$4,909	48% above the national average	$3,911	$50,397
Community Hospital Of The Monterey PeninsulaMonterey, CA · CCN 050145	100	$4,909	48% above the national average	$3,910	$32,013
Washington HospitalFremont, CA · CCN 050195	25	$4,909	48% above the national average	$3,908	$43,539
California Pacific Medical Center-Davies Campus HospitalSan Francisco, CA · CCN 050008	82	$4,935	49% above the national average	$3,922	$25,589
Peninsula Medical CenterBurlingame, CA · CCN 050007	68	$4,983	50% above the national average	$3,970	$28,650
Sutter Solano Medical CenterVallejo, CA · CCN 050101	14	$5,016	51% above the national average	$3,996	$28,860
NorthBay Medical CenterFairfield, CA · CCN 050367 · +$4,122 outlier payments per case	46	$5,016	51% above the national average	$3,991	$136,595

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.