Outpatient / APC 5373
APC 5373 · 1,892 hospitals · 184,614 services
Level 3 Urology and Related Services
Hospital outpatient departments billed Medicare for 184,614 services in APC 5373 in 2024. They charged an average of $13,347; Medicare allowed $1,913 — a ratio of 7 to 1 — and paid $1,517 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $1,828 to $105,735 across hospitals.
- 1Average charge $13,347
- 2Medicare allowed $1,913
- 3Reporting hospitals 1,892
- 4Services 184,614
By state
The average charge for this service was highest in Nevada ($32,725) and lowest in Montana ($4,484). 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 | 471 | $32,725 | $2,169 |
| Florida | 9,752 | $23,471 | $1,818 |
| California | 14,836 | $17,793 | $2,555 |
| Texas | 8,341 | $17,781 | $1,807 |
| Georgia | 3,904 | $17,644 | $1,810 |
| District of Columbia | 623 | $16,973 | $2,050 |
| New Jersey | 4,559 | $16,966 | $2,155 |
| Pennsylvania | 10,840 | $16,557 | $1,827 |
| Oklahoma | 2,816 | $16,436 | $1,719 |
| South Carolina | 4,144 | $16,428 | $1,730 |
| Alabama | 2,277 | $16,135 | $1,664 |
| Arizona | 3,088 | $14,446 | $1,873 |
| Colorado | 2,102 | $14,140 | $1,936 |
| Tennessee | 3,588 | $14,067 | $1,606 |
| Indiana | 3,688 | $14,051 | $1,818 |
| Illinois | 8,213 | $13,661 | $1,907 |
| Alaska | 206 | $13,143 | $2,197 |
| Louisiana | 3,376 | $13,062 | $1,601 |
| New York | 11,041 | $13,044 | $2,175 |
| Mississippi | 1,479 | $12,951 | $1,693 |
| Kentucky | 2,475 | $12,733 | $1,756 |
| Virginia | 5,170 | $12,403 | $1,717 |
| Missouri | 3,389 | $11,923 | $1,761 |
| Kansas | 2,234 | $11,921 | $1,763 |
| Connecticut | 2,164 | $11,665 | $2,242 |
| Ohio | 11,529 | $11,228 | $1,675 |
| Delaware | 1,147 | $11,027 | $1,983 |
| North Carolina | 5,940 | $11,021 | $1,785 |
| Wyoming | 359 | $10,623 | $2,029 |
| Arkansas | 1,674 | $10,261 | $1,702 |
| Michigan | 6,283 | $10,114 | $1,739 |
| West Virginia | 2,510 | $10,017 | $1,673 |
| Oregon | 1,403 | $9,798 | $2,129 |
| New Hampshire | 1,646 | $9,710 | $1,980 |
| Nebraska | 1,380 | $9,531 | $1,798 |
| Iowa | 2,328 | $9,306 | $1,796 |
| Washington | 4,106 | $9,013 | $2,071 |
| Hawaii | 397 | $8,717 | $2,301 |
| New Mexico | 1,201 | $8,698 | $1,862 |
| Wisconsin | 4,803 | $8,646 | $1,866 |
| Utah | 1,161 | $7,855 | $1,753 |
| Minnesota | 3,893 | $7,743 | $1,959 |
| Massachusetts | 6,956 | $7,692 | $2,157 |
| Rhode Island | 886 | $7,502 | $2,051 |
| South Dakota | 2,757 | $7,172 | $1,936 |
| Maine | 1,564 | $6,802 | $1,862 |
| North Dakota | 1,714 | $5,633 | $1,889 |
| Vermont | 936 | $5,246 | $1,002 |
| Idaho | 1,475 | $4,503 | $1,812 |
| Montana | 1,790 | $4,484 | $1,905 |
Highest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| HCA Florida Fort Walton-Destin Hospital Fort Walton Beach, FL | $105,735 | $1,845 |
| HCA Florida St Petersburg Hospital Saint Petersburg, FL | $98,918 | $1,845 |
| HCA Florida Jfk Hospital Atlantis, FL | $95,353 | $1,845 |
| Capital Health Medical Center - Hopewell Pennington, NJ | $89,908 | $2,132 |
| Northbay Medical Center Fairfield, CA | $88,847 | $2,931 |
| Alliancehealth Durant Durant, OK | $86,036 | $1,766 |
| Adventhealth Port Charlotte Port Charlotte, FL | $85,565 | $923 |
| HCA Florida Trinity Hospital Trinity, FL | $82,245 | $1,790 |
| HCA Florida Orange Park Hospital Orange Park, FL | $77,307 | $1,845 |
| Doctors Hospital Augusta, GA | $74,578 | $1,661 |
Lowest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Avera St Mary's Hospital Pierre, SD | $1,828 | $2,045 |
| Vidant Roanoke Chowan Hospital Ahoskie, NC | $1,977 | $1,898 |
| St James Hospital Hornell, NY | $2,592 | $2,313 |
| Essentia Health Virginia Virginia, MN | $2,605 | $1,668 |
| Mayo Clinic Health System in La Crosse La Crosse, WI | $2,751 | $1,912 |
| Essentia Health Duluth Duluth, MN | $2,785 | $1,891 |
| San Luis Valley Health Alamosa, CO | $2,786 | $2,077 |
| North Carolina Specialty Hospital Durham, NC | $2,822 | $1,837 |
| Mary Imogene Bassett Hospital Cooperstown, NY | $2,844 | $2,294 |
| Banner-University Medical Center South Campus Tucson, AZ | $2,989 | $1,715 |
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.