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Outpatient procedure · APC 5378 · Surgery or procedure

Level 8 Urology and Related Services

In 2024, Medicare and patients paid an average of $19,057 per procedure at 185 hospitals. Half of hospitals averaged between $17,193 and $20,102.

Also known as: Urologic surgery, cystoscopy

National figures, 2024

Average payment per case
$19,057
Typical range (middle half of hospitals)
$17,193–$20,102
Medicare’s share
$17,42891% of the payment
Average billed charge
$98,984
Hospitals reporting
1854,670 procedures

Compare hospitals

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
Specific hospitals up to 10

181 hospitals reported at least 11 Medicare procedures for this in 2024; showing 151–181. Download as CSV

Medicare payments per case for Level 8 Urology and Related Services by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Lenox Hill HospitalNew York, NY · CCN 33011986$21,58813% above the national average$19,954$88,310
Baystate Medical CenterSpringfield, MA · CCN 22007712$21,60813% above the national average$19,976$52,443
Brigham And Women's HospitalBoston, MA · CCN 22011035$21,60813% above the national average$19,976$78,484
Cape Cod HospitalHyannis, MA · CCN 22001239$21,60813% above the national average$19,976$34,031
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 22017162$21,60813% above the national average$19,976$42,049
Massachusetts General HospitalBoston, MA · CCN 22007115$21,60813% above the national average$19,976$90,663
Boston Medical CenterBoston, MA · CCN 22003120$21,60813% above the national average$19,972$37,150
Mount Sinai WestNew York, NY · CCN 33004620$21,68914% above the national average$20,094$64,700
Hartford HospitalHartford, CT · CCN 07002523$22,44318% above the national average$20,811$57,036
Montefiore St Luke's CornwallNewburgh, NY · CCN 33026413$22,44718% above the national average$20,815$49,173
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 33039312$22,47118% above the national average$20,839$61,123
Robert Wood Johnson University HospitalNew Brunswick, NJ · CCN 31003813$22,64119% above the national average$21,009$86,020
Yale-New Haven HospitalNew Haven, CT · CCN 07002212$22,64119% above the national average$21,009$79,701
Nyu Langone HospitalsNew York, NY · CCN 33021425$22,65719% above the national average$21,025$293,855
Hackensack University Medical CenterHackensack, NJ · CCN 31000112$22,89320% above the national average$21,261$74,529
New York-Presbyterian HospitalNew York, NY · CCN 33010117$22,89320% above the national average$21,261$76,250
Eisenhower Medical CenterRancho Mirage, CA · CCN 05057326$23,84325% above the national average$22,211$99,647
Santa Monica - UCLA Medical Center & Orthopaedic HospitalSanta Monica, CA · CCN 05011238$24,40628% above the national average$22,796$75,304
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 05062524$24,73230% above the national average$23,100$203,273
Ronald Reagan UCLA Medical CenterLos Angeles, CA · CCN 05026223$24,73230% above the national average$23,100$86,672
Scripps Green HospitalLa Jolla, CA · CCN 05042414$24,73230% above the national average$23,100$151,248
Uci Health-OrangeOrange, CA · CCN 05034821$24,73230% above the national average$23,100$86,643
Saint Agnes Medical CenterFresno, CA · CCN 05009318$24,73230% above the national average$23,098$69,623
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 05002537$24,73230% above the national average$23,096$98,795
USC Verdugo Hills HospitalGlendale, CA · CCN 05012421$24,73230% above the national average$23,095$108,759
Emanate Health Foothill Presbyterian HospitalGlendora, CA · CCN 05059718$24,73230% above the national average$23,087$91,290
Sutter Davis HospitalDavis, CA · CCN 05053716$25,69035% above the national average$24,058$101,585
Sutter Medical Center, SacramentoSacramento, CA · CCN 05010820$26,84241% above the national average$25,210$104,697
UCSF Medical CenterSan Francisco, CA · CCN 05045448$27,21543% above the national average$25,578$100,393
El Camino HealthMountain View, CA · CCN 05030838$28,32249% above the national average$26,690$158,645
Stanford Health CareStanford, CA · CCN 05044129$28,32249% above the national average$26,690$202,294

National trend

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

  • Average payment
  • Average billed charge
2021: 4,200 procedures at 182 hospitals · 2022: 4,352 procedures at 180 hospitals · 2023: 4,516 procedures at 181 hospitals · 2024: 4,670 procedures at 185 hospitals
View data as a table
National average payment and billed charge for Level 8 Urology and Related Services
Year of careAverage paymentAverage billed charge
2021$18K$84K
2022$18K$91K
2023$19K$97K
2024$19K$99K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 40 states
Average payment by state for Level 8 Urology and Related Services, 2024
StateHospitalsCasesAverage paymentTypical range
Arkansas369$14,167$14,075–$17,049
Alabama5110$15,318$15,254–$15,721
Tennessee5160$15,592$15,934–$17,036
West Virginia112$15,862$15,862–$15,862
Louisiana5126$15,939$16,092–$16,576
Mississippi238$16,450$15,813–$16,505
Iowa122$16,478$16,478–$16,478
South Carolina6129$16,729$16,217–$17,138
Oklahoma465$16,868$16,580–$17,248
Ohio7164$16,907$16,328–$17,160
Missouri597$17,086$16,661–$17,405
Kansas363$17,113$16,795–$17,399
Utah254$17,394$17,417–$17,825
North Carolina10239$17,520$17,358–$18,002
Indiana372$17,538$17,296–$17,794
Michigan347$17,766$16,880–$18,168
Texas15510$17,796$17,464–$17,895
Virginia371$17,941$17,659–$18,338
Kentucky365$17,943$17,351–$17,921
Florida17444$18,057$17,953–$18,230
Nebraska358$18,073$18,054–$18,135
Georgia8137$18,111$18,261–$18,677
Illinois5101$18,746$18,376–$19,572
Wisconsin120$18,786$18,786–$18,786
Montana122$18,868$18,868–$18,868
Colorado267$19,157$19,157–$19,157
New Hampshire115$19,196$19,196–$19,196
Pennsylvania6152$19,311$18,110–$20,092
Arizona5183$19,535$19,623–$19,623
Delaware111$20,189$20,189–$20,189
Washington590$20,204$20,102–$20,731
District of Columbia230$20,245$19,944–$20,373
Minnesota2201$20,431$19,324–$20,126
Oregon125$21,112$21,112–$21,112
Massachusetts7194$21,505$21,608–$21,608
Nevada117$21,548$21,548–$21,548
New York10253$21,965$21,396–$22,611
New Jersey342$22,075$21,853–$22,767
Connecticut235$22,511$22,493–$22,592
California16460$25,535$24,732–$25,978

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.