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Outpatient procedure · APC 5375 · Surgery or procedure

Level 5 Urology and Related Services

In 2024, Medicare and patients paid an average of $4,934 per procedure at 1,921 hospitals. Half of hospitals averaged between $4,503 and $5,178.

Also known as: Urologic surgery, cystoscopy

National figures, 2024

Average payment per case
$4,934
Typical range (middle half of hospitals)
$4,503–$5,178
Medicare’s share
$3,91879% of the payment
Average billed charge
$32,752
Hospitals reporting
1,921151,461 procedures

Hospitals in Delaware

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.

Location
Delaware
Specific hospitals up to 10
Average payment across these 5 hospitals
$5,148National $4,934 · Delaware $5,148
Median hospital
$5,191
Lowest to highest
$5,120–$5,205
Medicare procedures
635

5 hospitals reported at least 11 Medicare procedures for this in 2024. Download as CSV

Medicare payments per case for Level 5 Urology and Related Services by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Beebe Medical CenterLewes, DE · CCN 080007174$5,120About average$4,062$19,284
Christiana HospitalNewark, DE · CCN 080001302$5,137About average$4,080$20,337
Bayhealth Hospital, Sussex CampusMilford, DE · CCN 08000954$5,191About average$4,136$27,453
Tidalhealth Nanticoke, Inc.Seaford, DE · CCN 08000621$5,191About average$4,136$14,769
Bayhealth Medical Center, Kent CampusDover, DE · CCN 08000484$5,205About average$4,147$27,458

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

  • Average payment
  • Average billed charge
2020: 126,025 procedures at 1,926 hospitals · 2021: 138,311 procedures at 1,953 hospitals · 2022: 139,656 procedures at 1,971 hospitals · 2023: 147,701 procedures at 1,938 hospitals · 2024: 151,461 procedures at 1,921 hospitals
View data as a table
National average payment and billed charge for Level 5 Urology and Related Services
Year of careAverage paymentAverage billed charge
2020$4,228$27K
2021$4,436$28K
2022$4,487$30K
2023$4,649$31K
2024$4,934$33K

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 5 Urology and Related Services, 2024
StateHospitalsCasesAverage paymentTypical range
Vermont6326$2,441$2,095–$2,806
Tennessee473,566$4,142$4,251–$4,439
Alabama331,962$4,224$4,114–$4,324
Louisiana372,036$4,232$4,242–$4,375
Mississippi251,177$4,314$4,214–$4,333
Ohio996,637$4,332$4,378–$4,544
Oklahoma302,338$4,391$4,344–$4,618
West Virginia141,221$4,392$4,266–$4,554
Arkansas201,829$4,397$4,330–$4,613
South Carolina334,113$4,411$4,343–$4,499
Kentucky332,096$4,489$4,384–$4,530
Kansas242,200$4,504$4,418–$4,705
Missouri423,216$4,506$4,426–$4,646
Iowa222,195$4,530$4,425–$4,686
Georgia584,635$4,574$4,452–$4,750
North Carolina625,526$4,595$4,503–$4,650
Michigan644,482$4,596$4,508–$4,626
Texas1348,897$4,599$4,490–$4,671
Virginia474,511$4,633$4,434–$4,786
Florida1269,977$4,635$4,613–$4,687
Utah231,807$4,654$4,593–$4,635
Nebraska171,311$4,663$4,631–$4,775
Indiana533,692$4,665$4,583–$4,715
New Mexico9844$4,701$4,489–$4,580
Idaho121,105$4,709$4,604–$4,871
Wisconsin453,310$4,756$4,630–$4,817
Pennsylvania977,111$4,765$4,622–$4,964
Maine13764$4,793$4,748–$4,819
Montana9944$4,844$4,851–$4,950
Illinois786,207$4,885$4,782–$4,972
North Dakota6678$4,911$4,851–$5,048
South Dakota101,286$4,936$4,837–$5,176
Colorado362,076$4,982$4,891–$5,013
New Hampshire121,064$5,033$4,922–$5,150
Arizona423,757$5,059$5,004–$5,046
Minnesota332,957$5,067$4,895–$5,159
Wyoming7364$5,142$5,095–$5,196
Delaware5635$5,148$5,137–$5,191
District of Columbia4550$5,207$5,158–$5,265
Rhode Island7479$5,229$5,240–$5,251
Washington403,262$5,292$5,154–$5,423
Nevada13852$5,496$5,442–$5,542
New Jersey494,422$5,525$5,402–$5,697
Massachusetts464,801$5,532$5,491–$5,557
Alaska6392$5,541$5,408–$5,694
Oregon251,666$5,559$5,288–$5,429
New York948,411$5,666$5,464–$5,822
Connecticut211,760$5,723$5,680–$5,772
Hawaii8360$5,985$5,857–$6,374
California14511,654$6,600$6,331–$6,723

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.