Outpatient / APC 5372
APC 5372 · 848 hospitals · 206,428 services
Level 2 Urology and Related Services
Hospital outpatient departments billed Medicare for 206,428 services in APC 5372 in 2024. They charged an average of $3,342; Medicare allowed $638 — a ratio of 5.2 to 1 — and paid $502 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $262 to $52,123 across hospitals.
- 1Average charge $3,342
- 2Medicare allowed $638
- 3Reporting hospitals 848
- 4Services 206,428
By state
The average charge for this service was highest in Nevada ($27,606) and lowest in Wyoming ($772). The allowed amount is set by Medicare's outpatient fee schedule, adjusted for local wages, so it varies much less.
| State | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Nevada | 49 | $27,606 | $711 |
| Tennessee | 2,284 | $8,522 | $538 |
| New Jersey | 1,961 | $8,057 | $733 |
| Iowa | 4,707 | $5,820 | $604 |
| Oklahoma | 1,134 | $4,959 | $349 |
| California | 18,895 | $4,853 | $855 |
| Mississippi | 1,034 | $4,776 | $561 |
| Georgia | 3,337 | $4,740 | $595 |
| Indiana | 2,912 | $4,596 | $605 |
| Pennsylvania | 10,787 | $4,364 | $570 |
| South Carolina | 2,867 | $4,262 | $602 |
| District of Columbia | 983 | $4,095 | $696 |
| Colorado | 1,911 | $4,079 | $656 |
| Illinois | 7,615 | $4,013 | $630 |
| Florida | 8,917 | $3,903 | $607 |
| Texas | 8,081 | $3,679 | $613 |
| New York | 18,831 | $3,429 | $724 |
| Arizona | 1,637 | $3,313 | $496 |
| Alabama | 1,655 | $3,245 | $549 |
| New Hampshire | 2,612 | $3,190 | $662 |
| Louisiana | 2,815 | $3,170 | $481 |
| Alaska | 202 | $3,135 | $754 |
| Kentucky | 2,581 | $3,127 | $587 |
| Ohio | 16,687 | $3,065 | $537 |
| Connecticut | 2,819 | $2,939 | $760 |
| Missouri | 1,815 | $2,933 | $601 |
| Nebraska | 1,127 | $2,783 | $590 |
| Delaware | 614 | $2,756 | $679 |
| Rhode Island | 659 | $2,685 | $690 |
| Virginia | 3,889 | $2,642 | $508 |
| West Virginia | 3,476 | $2,637 | $563 |
| Massachusetts | 7,792 | $2,606 | $736 |
| Arkansas | 1,207 | $2,592 | $588 |
| North Carolina | 7,121 | $2,536 | $593 |
| South Dakota | 3,249 | $2,357 | $662 |
| Kansas | 2,818 | $2,271 | $589 |
| Michigan | 7,791 | $2,258 | $558 |
| Wisconsin | 6,389 | $2,237 | $632 |
| Utah | 1,225 | $2,230 | $525 |
| Oregon | 1,531 | $1,954 | $671 |
| Washington | 7,359 | $1,884 | $700 |
| New Mexico | 1,948 | $1,809 | $639 |
| Hawaii | 983 | $1,583 | $773 |
| Minnesota | 4,280 | $1,551 | $652 |
| North Dakota | 3,093 | $1,482 | $650 |
| Maine | 3,198 | $1,404 | $628 |
| Vermont | 2,304 | $1,308 | $327 |
| Montana | 2,539 | $1,133 | $648 |
| Idaho | 2,383 | $883 | $616 |
| Wyoming | 324 | $772 | $686 |
Highest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Summerlin Hospital Medical Center Las Vegas, NV | $52,123 | $687 |
| HCA Florida St Lucie Hospital Port Saint Lucie, FL | $47,241 | $619 |
| Falmouth Hospital Falmouth, MA | $41,092 | $734 |
| The Hospitals of Providence Memorial Campus El Paso, TX | $39,152 | $593 |
| Good Samaritan Hospital of Suffern Suffern, NY | $37,598 | $776 |
| CHI St Lukes Health Memorial Lufkin Lufkin, TX | $35,961 | $593 |
| Temple University Hospital Philadelphia, PA | $31,124 | $663 |
| Cjw Medical Center Richmond, VA | $30,218 | $588 |
| Westchester Medical Center Valhalla, NY | $29,732 | $776 |
| Northwestern Memorial Hospital Chicago, IL | $28,649 | $664 |
Lowest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Northern Maine Medical Center Fort Kent, ME | $262 | $628 |
| Community Memorial Hospital - Ventura Ventura, CA | $267 | $840 |
| Campbell County Memorial Hospital Gillette, WY | $385 | $686 |
| Memorial Hospital Sweetwater County Rock Springs, WY | $405 | $686 |
| Sauk Prairie Hospital Prairie Du Sac, WI | $417 | $623 |
| Northwestern Medical Center Inc Saint Albans, VT | $429 | $263 |
| Banner - University Medical Center Tucson Campus Tucson, AZ | $446 | $276 |
| Winona Health Services Winona, MN | $459 | $681 |
| Middlesboro Appalachian Regional Healthcare Hospit Middlesboro, KY | $460 | $573 |
| Banner-University Medical Center South Campus Tucson, AZ | $467 | $569 |
An APC groups services of similar cost, so a hospital's average mixes the specific procedures it does most. Charges are list prices; the allowed amount is the fee-schedule total that Medicare and the patient together pay the hospital.
Source: CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Checked 2026-10-24. Methodology.