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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

Hospitals in Texas

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
Texas
Specific hospitals up to 10
Average payment across these 14 hospitals
$17,726National $19,057 · Texas $17,796
Median hospital
$17,680
Lowest to highest
$15,893–$18,661
Medicare procedures
444

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

Medicare payments per case for Level 8 Urology and Related Services by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Methodist HospitalSan Antonio, TX · CCN 45038820$15,89317% below the national average$14,236$145,933
Methodist Hospital Stone OakSan Antonio, TX · CCN 67005528$16,89911% below the national average$15,267$178,230
Baylor Scott And White All Saints Medical CenterFort Worth, TX · CCN 45013722$17,418About average$15,776$92,231
Christus Santa Rosa Medical CenterSan Antonio, TX · CCN 45023718$17,464About average$15,832$158,916
Lubbock Heart Hospital LpLubbock, TX · CCN 45087613$17,464About average$15,832$61,817
Houston Methodist Clear Lake HospitalNassau Bay, TX · CCN 45070911$17,475About average$15,843$184,741
HCA Houston Healthcare Medical CenterHouston, TX · CCN 45065967$17,645About average$15,989$260,868
St David's South Austin Medical CenterAustin, TX · CCN 45071323$17,715About average$16,079$305,383
Baylor Scott And White Surgical Hospital FortworthFort Worth, TX · CCN 45088016$17,817About average$16,185$44,683
USMD Hospital At Arlington L PArlington, TX · CCN 45087247$17,818About average$16,178$74,960
UT Of Texas Southwestern University Hospital - William P. Clements Jr.Dallas, TX · CCN 45004460$17,837About average$16,198$69,726
Baylor Scott And White Medical Center McKinneyMc Kinney, TX · CCN 67008257$17,953About average$16,323$78,227
Houston Methodist HospitalHouston, TX · CCN 45035840$18,661About average$17,029$208,662
Baylor St Lukes Medical CenterHouston, TX · CCN 450193 · +$650 outlier payments per case22$18,661About average$17,024$183,984

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.