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 351–400. 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
Plains Regional Medical CenterClovis, NM · CCN 320022	12	$2,977	10% below the national average	$2,372	$17,079
Riverside Regional Medical CenterNewport News, VA · CCN 490052	101	$2,978	10% below the national average	$2,363	$13,561
Ascension St Vincent's St Johns CountySt. Johns, FL · CCN 100361	28	$2,978	10% below the national average	$2,336	$36,742
Uofl Health - Jewish Hospital And Mary & Elizabeth HospitalLouisville, KY · CCN 180040	181	$2,979	10% below the national average	$2,367	$16,396
Sentara Williamsburg Regional Medical CenterWilliamsburg, VA · CCN 490066	104	$2,979	10% below the national average	$2,368	$18,709
Kell West Regional HospitalWichita Falls, TX · CCN 450827	152	$2,980	10% below the national average	$2,371	$6,875
Saint Joseph Mount SterlingMount Sterling, KY · CCN 180064	11	$2,981	10% below the national average	$2,375	$13,582
AllianceHealth DurantDurant, OK · CCN 370014	58	$2,981	About average	$2,367	$104,749
Community Hospital, LLCOklahoma City, OK · CCN 370203	107	$2,981	About average	$2,371	$31,780
Kettering Health TroyTroy, OH · CCN 360368	36	$2,981	About average	$2,375	$26,670
Mercy Health St Ritas Medical CenterLima, OH · CCN 360066	117	$2,981	About average	$2,370	$24,816
Trident Medical CenterCharleston, SC · CCN 420079	184	$2,982	About average	$2,370	$54,847
Mercy Health - Tiffin HospitalTiffin, OH · CCN 360089	24	$2,982	About average	$2,376	$17,692
Spencer Municipal HospitalSpencer, IA · CCN 160112	189	$2,982	About average	$2,375	$13,726
Finley HospitalDubuque, IA · CCN 160117	44	$2,982	About average	$2,375	$17,077
UnityPoint Health - Des Moines Iowa Methodist MediDes Moines, IA · CCN 160082	221	$2,983	About average	$2,374	$20,729
Lubbock Heart Hospital LpLubbock, TX · CCN 450876	116	$2,983	About average	$2,367	$12,292
Mercy Health Saint Mary'sGrand Rapids, MI · CCN 230059 · +$861 outlier payments per case	81	$2,984	About average	$2,365	$18,767
Oaklawn HospitalMarshall, MI · CCN 230217	42	$2,984	About average	$2,366	$29,267
University Health SystemSan Antonio, TX · CCN 450213	58	$2,984	About average	$2,355	$17,688
Lakeland Hospital, St JosephSt Joseph, MI · CCN 230021	91	$2,984	About average	$2,365	$11,017
Doctors Hosptal At RenaissanceEdinburg, TX · CCN 450869	60	$2,985	About average	$2,363	$28,532
Thedacare Regional Medical Center - NeenahNeenah, WI · CCN 520045	37	$2,985	About average	$2,346	$12,615
Carilion New River Valley Medical CenterChristiansburg, VA · CCN 490042	150	$2,985	About average	$2,375	$28,139
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009	344	$2,985	About average	$2,368	$14,388
Saint Thomas River Park HospitalMcminnville, TN · CCN 440151	26	$2,986	About average	$2,379	$28,663
Tidelands Waccamaw Community HospitalMurrells Inlet, SC · CCN 420098	31	$2,986	About average	$2,379	$24,889
Prisma Health Tuomey HospitalSumter, SC · CCN 420070	79	$2,986	About average	$2,376	$23,699
Grand Strand Regional Medical CenterMyrtle Beach, SC · CCN 420085	137	$2,986	About average	$2,374	$50,670
Good Samaritan HospitalCincinnati, OH · CCN 360134	53	$2,986	About average	$2,367	$14,895
Sentara Martha Jefferson HospitalCharlottesville, VA · CCN 490077	112	$2,988	About average	$2,372	$10,941
Conway Regional Medical Center, IncConway, AR · CCN 040029	117	$2,988	About average	$2,381	$14,716
Baptist Health Medical Center- ConwayConway, AR · CCN 040154	70	$2,988	About average	$2,379	$12,417
Bronson Methodist HospitalKalamazoo, MI · CCN 230017	117	$2,989	About average	$2,367	$8,651
Archbold Memorial HospitalThomasville, GA · CCN 110038	86	$2,989	About average	$2,376	$13,396
Woodland Heights Medical CenterLufkin, TX · CCN 450484	132	$2,990	About average	$2,372	$87,627
LDS HospitalSalt Lake City, UT · CCN 460006	56	$2,990	About average	$2,354	$12,974
Byrd Regional HospitalLeesville, LA · CCN 190164	19	$2,990	About average	$2,383	$30,476
Mercy Regional Medical CenterVille Platte, LA · CCN 190167	27	$2,990	About average	$2,383	$28,842
St Lukes Regional Medical CenterSioux City, IA · CCN 160146	15	$2,991	About average	$2,383	$14,937
Christ HospitalCincinnati, OH · CCN 360163	195	$2,991	About average	$2,374	$12,351
Northern Light A R Gould HospitalPresque Isle, ME · CCN 200018	39	$2,991	About average	$2,383	$17,159
Cary Medical CenterCaribou, ME · CCN 200031	28	$2,991	About average	$2,381	$12,044
Baylor Medical Center At Trophy ClubTrophy Club, TX · CCN 450883	26	$2,992	About average	$2,364	$15,144
Broadlawns Medical CenterDes Moines, IA · CCN 160101	70	$2,992	About average	$2,384	$12,910
Grinnell Regional Medical CenterGrinnell, IA · CCN 160147	15	$2,992	About average	$2,379	$15,116
Mount Carmel East & WestColumbus, OH · CCN 360035	72	$2,992	About average	$2,362	$22,160
Mary Greeley Medical CenterAmes, IA · CCN 160030	123	$2,994	About average	$2,384	$12,653
ProMedica Monroe Regional HospitalMonroe, MI · CCN 230099	40	$2,994	About average	$2,357	$11,357
Baylor St Lukes Medical CenterHouston, TX · CCN 450193	61	$2,995	About average	$2,343	$31,963

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.