Level 4 Urology and Related Services — what U.S. hospitals charge
APC 5374 · Hospital outpatient visit · 1,986 U.S. hospitals publish a price
Cheapest quarter
under $14,792
Typical charge
$20,644
Dearest quarter
over $28,832
Actually paid
$3,296
The middle U.S. hospital bills $20,644 for Level 4 Urology and Related Services. The dearest hospitals charge about 3.8x what the cheapest do for the same coded work. Medicare actually paid about $3,296 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Level 4 Urology and Related Services cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Rhode Island | 7 | $9,513 | $9,047 – $16,834 |
| Massachusetts | 47 | $10,566 | $5,886 – $43,068 |
| South Dakota | 12 | $12,097 | $7,148 – $17,774 |
| Idaho | 10 | $12,748 | $10,508 – $28,305 |
| Utah | 20 | $12,865 | $9,016 – $50,787 |
| North Dakota | 6 | $13,192 | $11,061 – $15,712 |
| Vermont | 6 | $13,611 | $9,346 – $21,804 |
| Arkansas | 21 | $14,062 | $5,889 – $38,928 |
| Delaware | 5 | $14,275 | $9,189 – $20,457 |
| Michigan | 67 | $14,390 | $8,389 – $40,873 |
| Hawaii | 8 | $14,466 | $11,530 – $23,856 |
| Maine | 14 | $14,554 | $10,981 – $26,761 |
| Montana | 10 | $14,649 | $6,280 – $24,448 |
| New York | 94 | $14,745 | $4,264 – $50,919 |
| Connecticut | 23 | $14,991 | $9,582 – $26,241 |
| Minnesota | 32 | $15,123 | $7,906 – $19,476 |
| Iowa | 22 | $15,628 | $9,832 – $28,575 |
| District of Columbia | 5 | $17,047 | $16,260 – $52,501 |
| Missouri | 45 | $17,060 | $9,163 – $54,844 |
| Kansas | 26 | $17,621 | $7,489 – $59,268 |
| Ohio | 98 | $17,968 | $10,161 – $32,557 |
| Oregon | 24 | $18,056 | $11,472 – $31,580 |
| West Virginia | 16 | $18,329 | $12,152 – $27,564 |
| Louisiana | 46 | $18,384 | $5,436 – $50,320 |
| Wisconsin | 46 | $18,387 | $7,361 – $31,511 |
| Mississippi | 26 | $18,513 | $7,953 – $71,945 |
| Alaska | 6 | $18,722 | $15,781 – $60,892 |
| Wyoming | 7 | $18,758 | $8,794 – $24,138 |
| North Carolina | 67 | $19,144 | $8,540 – $37,599 |
| New Hampshire | 12 | $19,177 | $10,741 – $37,996 |
| Virginia | 46 | $19,466 | $10,941 – $76,334 |
| Alabama | 35 | $19,623 | $7,525 – $84,567 |
| Nebraska | 19 | $19,853 | $7,503 – $35,432 |
| Tennessee | 46 | $19,994 | $8,009 – $69,710 |
| New Jersey | 51 | $20,230 | $11,488 – $64,387 |
| Kentucky | 37 | $20,290 | $10,808 – $35,209 |
| Pennsylvania | 102 | $20,372 | $7,044 – $52,590 |
| Illinois | 81 | $22,685 | $10,571 – $55,257 |
| Colorado | 32 | $23,495 | $8,620 – $90,321 |
| Washington | 41 | $23,883 | $8,400 – $48,815 |
| Indiana | 55 | $24,108 | $9,772 – $57,759 |
| Oklahoma | 34 | $24,188 | $5,638 – $104,749 |
| South Carolina | 33 | $25,257 | $15,636 – $63,372 |
| Texas | 145 | $27,325 | $6,875 – $87,627 |
| Arizona | 43 | $27,983 | $11,769 – $60,335 |
| Georgia | 62 | $28,285 | $8,900 – $86,907 |
| California | 145 | $29,043 | $8,948 – $136,595 |
| New Mexico | 11 | $29,467 | $12,506 – $40,206 |
| Florida | 127 | $36,880 | $13,843 – $111,264 |
| Nevada | 13 | $45,292 | $17,700 – $78,052 |
Where Level 4 Urology and Related Services is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Erie County Medical Center
Buffalo, NY |
$4,264 | $3,696 |
|
St John's Riverside Hospital
Yonkers, NY |
$4,448 | $3,967 |
|
Leonard J Chabert Medical Center
Houma, LA |
$5,436 | $2,898 |
|
Mcalester Regional Health Center
Mcalester, OK |
$5,638 | $3,171 |
|
South Shore Hospital
South Weymouth, MA |
$5,886 | $3,704 |
|
Arkansas Surgical Hospital
No Little Rock, AR |
$5,889 | $2,935 |
|
Beth Israel Deaconess Hospital - Milton
Milton, MA |
$6,014 | $3,744 |
|
Nicholas H Noyes Memorial Hospital
Dansville, NY |
$6,118 | $3,696 |
|
Olean General Hospital
Olean, NY |
$6,177 | $3,886 |
|
Mount Auburn Hospital
Cambridge, MA |
$6,265 | $3,653 |
|
Billings Clinic Hospital
Billings, MT |
$6,280 | $3,004 |
|
Northeast Hospital Corporation
Beverly, MA |
$6,394 | $3,705 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Northbay Medical Center
Fairfield, CA |
$136,595 | $5,016 |
|
Marion Communtiy Hospital
Ocala, FL |
$111,264 | $2,878 |
|
Hca Florida Fort Walton-Destin Hospital
Fort Walton Beach, FL |
$110,534 | $3,158 |
|
Palmdale Regional Medical Center
Palmdale, CA |
$105,015 | $4,154 |
|
Alliancehealth Durant
Durant, OK |
$104,749 | $2,981 |
|
Hca Florida North Florida Hospital
Gainesville, FL |
$103,005 | $3,158 |
|
Hca Florida St Petersburg Hospital
Saint Petersburg, FL |
$95,802 | $3,158 |
|
Hca Florida Englewood Hospital
Englewood, FL |
$93,402 | $3,131 |
|
Sky Ridge Medical Center
Lone Tree, CO |
$90,321 | $3,319 |
|
St Lucie Medical Center
Port Saint Lucie, FL |
$90,107 | $3,158 |
|
Hca Florida Fawcett Hospital
Port Charlotte, FL |
$89,762 | $3,158 |
|
Woodland Heights Medical Center
Lufkin, TX |
$87,627 | $2,990 |
Questions people ask
What do U.S. hospitals charge for Level 4 Urology and Related Services?
Across 1,986 U.S. hospitals, the middle charge for Level 4 Urology and Related Services is $20,644. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $14,792 and the dearest quarter over $28,832.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Level 4 Urology and Related Services, the hospitals in the dearest tenth charge about 3.8x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $3,296 is roughly what Medicare actually paid per case, against an average charge of $23,596. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as APC 5374: “Level 4 Urology and Related Services”. An APC covers one outpatient visit for that level of service — you go home the same day.