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 201–250. 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
Ascension St John Broken ArrowBroken Arrow, OK · CCN 370235	54	$2,917	12% below the national average	$2,315	$24,477
Memorial HealthLawton, OK · CCN 370056	55	$2,918	12% below the national average	$2,307	$24,752
Allen HospitalWaterloo, IA · CCN 160110	74	$2,918	12% below the national average	$2,312	$16,283
University Of Mississippi Medical CenterJackson, MS · CCN 250001	37	$2,918	12% below the national average	$2,325	$22,639
Memorial Healthcare System, IncChattanooga, TN · CCN 440091	272	$2,919	12% below the national average	$2,312	$16,768
Medical City DecaturDecatur, TX · CCN 450271	11	$2,919	12% below the national average	$2,280	$33,012
Alliance Community HospitalAlliance, OH · CCN 360131	51	$2,920	12% below the national average	$2,317	$17,579
Crestwood Medical CenterHuntsville, AL · CCN 010131	119	$2,920	12% below the national average	$2,320	$65,047
Upper Valley Medical CenterTroy, OH · CCN 360174	39	$2,920	12% below the national average	$2,312	$20,366
Maury Regional HospitalColumbia, TN · CCN 440073	158	$2,921	12% below the national average	$2,318	$16,571
Kansas Medical Center LLCAndover, KS · CCN 170197	87	$2,922	12% below the national average	$2,315	$8,772
South Central Regional Medical CenterLaurel, MS · CCN 250058	24	$2,922	12% below the national average	$2,328	$10,330
Mercy Health-Anderson HospitalCincinnati, OH · CCN 360001	22	$2,922	12% below the national average	$2,306	$28,147
UH Regional HospitalsChardon, OH · CCN 360075	44	$2,922	12% below the national average	$2,317	$15,192
Walker Baptist Medical CenterJasper, AL · CCN 010089	57	$2,922	12% below the national average	$2,296	$49,786
Roper HospitalCharleston, SC · CCN 420087	132	$2,923	12% below the national average	$2,309	$16,052
Novant Health Hilton Head Medical CenterHilton Head Island, SC · CCN 420080	49	$2,923	12% below the national average	$2,306	$46,938
Integris Southwest Medical CenterOklahoma City, OK · CCN 370106	30	$2,924	12% below the national average	$2,313	$37,018
Baptist Memorial Hospital Union CityUnion City, TN · CCN 440130	15	$2,924	12% below the national average	$2,330	$10,548
Mon Health Medical CenterMorgantown, WV · CCN 510024	133	$2,924	12% below the national average	$2,319	$16,958
Murray-Calloway County HospitalMurray, KY · CCN 180027	21	$2,925	12% below the national average	$2,330	$16,387
Spring View HospitalLebanon, KY · CCN 180024	25	$2,925	12% below the national average	$2,330	$35,209
Opelousas General Health SystemOpelousas, LA · CCN 190017	84	$2,925	12% below the national average	$2,328	$14,011
St Tammany Parish HospitalCovington, LA · CCN 190045	84	$2,925	12% below the national average	$2,321	$19,941
Erlanger Medical CenterChattanooga, TN · CCN 440104	164	$2,925	12% below the national average	$2,319	$13,189
Wooster Community HospitalWooster, OH · CCN 360036	42	$2,926	12% below the national average	$2,315	$10,161
Spectrum HealthGrand Rapids, MI · CCN 230038	195	$2,926	12% below the national average	$2,301	$13,632
Baptist Health Medical Center-Little RockLittle Rock, AR · CCN 040114	65	$2,926	12% below the national average	$2,319	$15,300
St Mary's Regional Medical CenterEnid, OK · CCN 370026	175	$2,927	12% below the national average	$2,325	$55,204
Mercy Hospital Northwest ArkansasRogers, AR · CCN 040010	115	$2,927	12% below the national average	$2,329	$11,700
Baptist Medical Center EastMontgomery, AL · CCN 010149	24	$2,927	12% below the national average	$2,332	$14,125
Boone Hospital CenterColumbia, MO · CCN 260068	176	$2,928	12% below the national average	$2,325	$14,219
Camden Clark Medical CenterParkersburg, WV · CCN 510058	88	$2,929	12% below the national average	$2,328	$13,484
Norman RegionalNorman, OK · CCN 370008	71	$2,929	12% below the national average	$2,319	$29,001
Baptist Health - Fort SmithFort Smith, AR · CCN 040055	132	$2,929	12% below the national average	$2,325	$15,862
St Bernards Medical CenterJonesboro, AR · CCN 040020	183	$2,930	12% below the national average	$2,328	$9,110
Freeman Health System - Freeman WestJoplin, MO · CCN 260137	67	$2,931	11% below the national average	$2,333	$25,204
University Hospitals Ahuja Medical CenterBeachwood, OH · CCN 360359	54	$2,932	11% below the national average	$2,327	$15,020
Emory Houston Hospital Warner RobinsWarner Robins, GA · CCN 110069	53	$2,932	11% below the national average	$2,327	$14,585
Methodist Hospitals Of MemphisMemphis, TN · CCN 440049	55	$2,933	11% below the national average	$2,330	$15,705
Baptist Beaumont HospitalBeaumont, TX · CCN 450346	27	$2,933	11% below the national average	$2,284	$20,487
Willis Knighton Medical CenterShreveport, LA · CCN 190111	133	$2,933	11% below the national average	$2,320	$26,449
Flowers HospitalDothan, AL · CCN 010055	76	$2,933	11% below the national average	$2,316	$64,727
Arkansas Surgical HospitalNo Little Rock, AR · CCN 040147	28	$2,935	11% below the national average	$2,338	$5,889
Integris Baptist Medical Center, IncOklahoma City, OK · CCN 370028	448	$2,935	11% below the national average	$2,328	$38,032
Fisher-Titus HospitalNorwalk, OH · CCN 360065	38	$2,935	11% below the national average	$2,338	$13,376
University Of Missouri Health CareColumbia, MO · CCN 260141	160	$2,935	11% below the national average	$2,333	$18,320
Bon Secours-St Francis Xavier HospitalCharleston, SC · CCN 420065	98	$2,936	11% below the national average	$2,323	$17,548
Southern Tennessee Regional Health System WinchestWinchester, TN · CCN 440058	30	$2,936	11% below the national average	$2,330	$45,135
Conway Medical CenterConway, SC · CCN 420049	186	$2,936	11% below the national average	$2,328	$26,186

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.