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 301–350. 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
Salina Surgical HospitalSalina, KS · CCN 170187	157	$2,961	11% below the national average	$2,356	$7,489
Ottumwa Regional Health CenterOttumwa, IA · CCN 160089	20	$2,963	11% below the national average	$2,309	$23,308
HCA Florida Putnam HospitalPalatka, FL · CCN 100232	13	$2,964	10% below the national average	$2,322	$30,990
Oviedo Medical CenterOviedo, FL · CCN 100329	13	$2,964	10% below the national average	$2,322	$80,770
West Boca Medical CenterBoca Raton, FL · CCN 100268	26	$2,964	10% below the national average	$2,322	$53,498
Baptist Health LouisvilleLouisville, KY · CCN 180130	212	$2,965	10% below the national average	$2,353	$27,853
Carilion Medical CenterRoanoke, VA · CCN 490024	106	$2,965	10% below the national average	$2,352	$22,473
Blue Ridge Healthcare Hospitals, IncMorganton, NC · CCN 340075	35	$2,965	10% below the national average	$2,348	$22,399
Hillcrest Hospital SouthTulsa, OK · CCN 370202	57	$2,965	10% below the national average	$2,348	$23,899
Riverside Doctors' Hospital Of WilliamsburgWilliamsburg, VA · CCN 490143	67	$2,966	10% below the national average	$2,354	$11,457
Insight Hospital And Medical Center TrumbullWarren, OH · CCN 360055	12	$2,966	10% below the national average	$2,364	$30,872
Firelands Regional Medical CenterSandusky, OH · CCN 360025	26	$2,966	10% below the national average	$2,364	$10,921
Holzer Medical CenterGallipolis, OH · CCN 360054	23	$2,966	10% below the national average	$2,364	$18,357
Mercer County Joint Township Community HospitalColdwater, OH · CCN 360058	54	$2,966	10% below the national average	$2,364	$10,974
MH St Elizabeth Youngstown HospitalYoungstown, OH · CCN 360064	32	$2,966	10% below the national average	$2,364	$18,700
Trinity Medical Center East &Trinity Medical Center WestSteubenville, OH · CCN 360211	21	$2,966	10% below the national average	$2,364	$12,248
University Hospitals Portage Medical CenterRavenna, OH · CCN 360078	19	$2,966	10% below the national average	$2,364	$13,296
Mercy Health - West HospitalCincinnati, OH · CCN 360234	37	$2,966	10% below the national average	$2,350	$21,159
Trihealth Clinton Regional HospitalWilmington, OH · CCN 360175	61	$2,967	10% below the national average	$2,359	$17,692
Salem Regional Medical CenterSalem, OH · CCN 360185	21	$2,967	10% below the national average	$2,355	$13,079
Tristar Greenview Regional HospitalBowling Green, KY · CCN 180124	56	$2,969	10% below the national average	$2,357	$25,386
The Medical Center (Bowling Green)Bowling Green, KY · CCN 180013	56	$2,969	10% below the national average	$2,356	$20,520
Mercy Hospital Oklahoma City, IncOklahoma City, OK · CCN 370013	210	$2,969	10% below the national average	$2,358	$11,669
St Marys Medical CenterHuntington, WV · CCN 510007	88	$2,970	10% below the national average	$2,365	$23,660
Scotland Memorial HospitalLaurinburg, NC · CCN 340008	38	$2,970	10% below the national average	$2,340	$22,935
AdventHealth HendersonvilleHendersonville, NC · CCN 340023	106	$2,970	10% below the national average	$2,352	$17,760
Christus Shreveport-Bossier Health SystemShreveport, LA · CCN 190041	45	$2,971	10% below the national average	$2,357	$27,310
University Of Kentucky HospitalLexington, KY · CCN 180067	151	$2,971	10% below the national average	$2,354	$19,744
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 670034	102	$2,973	10% below the national average	$2,348	$16,029
St Elizabeth Ft ThomasFort Thomas, KY · CCN 180001	41	$2,973	10% below the national average	$2,357	$10,808
Saint Joseph EastLexington, KY · CCN 180143	104	$2,973	10% below the national average	$2,353	$16,270
Ascension Saint Thomas HospitalNashville, TN · CCN 440082	100	$2,974	10% below the national average	$2,366	$23,022
St Elizabeth EdgewoodEdgewood, KY · CCN 180035	95	$2,974	10% below the national average	$2,364	$13,615
McLaren Lapeer RegionLapeer, MI · CCN 230193	37	$2,975	10% below the national average	$2,336	$13,631
Blanchard Valley HospitalFindlay, OH · CCN 360095	50	$2,975	10% below the national average	$2,370	$13,176
Wood County HospitalBowling Green, OH · CCN 360029	86	$2,975	10% below the national average	$2,370	$13,077
Fairview Park HospitalDublin, GA · CCN 110125	24	$2,975	10% below the national average	$2,350	$63,922
Marymount HospitalGarfield Heights, OH · CCN 360143	31	$2,976	10% below the national average	$2,371	$15,753
Lake HealthConcord, OH · CCN 360098	15	$2,976	10% below the national average	$2,371	$17,629
Mercy Regional Medical CenterLorain, OH · CCN 360172	11	$2,976	10% below the national average	$2,371	$12,072
UH St John Medical CenterWestlake, OH · CCN 360123	74	$2,976	10% below the national average	$2,371	$17,402
University Hospitals - Elyria Medical CenterElyria, OH · CCN 360145	63	$2,976	10% below the national average	$2,371	$18,558
Baylor Scott And White Surgical Hospital FortworthFort Worth, TX · CCN 450880	84	$2,976	10% below the national average	$2,348	$17,596
Southwest General Health CenterMiddleburg Heights, OH · CCN 360155	82	$2,976	10% below the national average	$2,365	$13,454
Kansas Spine & Specialty Hospital, LLCWichita, KS · CCN 170196	12	$2,976	10% below the national average	$2,371	$11,830
Ascension Via Christi Hospital Manhattan, IncManhattan, KS · CCN 170142	57	$2,976	10% below the national average	$2,368	$17,663
Ascension Via Christi Hospitals Wichita, Inc.Wichita, KS · CCN 170122	83	$2,976	10% below the national average	$2,368	$14,427
NMC HealthNewton, KS · CCN 170103	22	$2,976	10% below the national average	$2,368	$7,961
Kansas Surgery & Recovery CenterWichita, KS · CCN 170183	23	$2,976	10% below the national average	$2,367	$12,460
Frye Regional Medical CenterHickory, NC · CCN 340116	40	$2,976	10% below the national average	$2,342	$37,599

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.