Syed JS, Abello A, Nguyen J, et al. - The Vizient Database (Irving, Texas) from September 2014 to December 2017 was retrospectively reviewed by the experts in order to contrast the rate of hospital-based outcomes including costs, 30-day readmission, mortality, and length of stay in patients who underwent major urologic oncologic procedures in academic and community hospitals. A total of 37,628 cases were recognized. A total of 33,290 procedures were done in academic hospitals (AH) and 4,330 in community hospitals (CH). These comprised prostatectomy, radical nephrectomy (rNx), partial nephrectomy (pNx), radical cystectomy, radical nephroureterectomy, and partial cystectomy. No notable variations in 30-day readmission rates or mortality for any procedure between AH and CH was noted. For radical cystectomy and prostatectomy in AH and for rNx in CH, length of stay was significantly lower. In AH for rNx, pNx, rNu, and prostatectomy, the mean direct cost for index admission was significantly greater. Between the community and academic hospitals, case mix index was comparable. Hence, irrespective of academic and community hospitals having comparable case complexity, direct costs were lower in community hospitals without a correlated rise in readmission rates or deaths. Moreover, in academic centers, length of stay was shorter for cystectomy.