Outpatient procedure · APC 5414 · Surgery or procedure

Level 4 Gynecologic Procedures

In 2024, Medicare and patients paid an average of $3,013 per procedure at 1,170 hospitals. Half of hospitals averaged between $2,711 and $3,193.

Also known as: Gynecologic surgery, hysteroscopy

National figures, 2024

Average payment per case: $3,013
Typical range (middle half of hospitals): $2,711–$3,193
Medicare’s share: $2,38979% of the payment
Average billed charge: $21,077
Hospitals reporting: 1,17035,915 procedures

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1,162 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. Download as CSV

Medicare payments per case for Level 4 Gynecologic Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Rutland Regional Medical CenterRutland, VT · CCN 470005	20	$1,109	63% below the national average	$483	$11,384
Northwestern Medical Center IncSaint Albans, VT · CCN 470024	15	$1,321	56% below the national average	$725	$8,012
MetroHealth SystemCleveland, OH · CCN 360059	36	$1,369	55% below the national average	$827	$10,884
Marietta Memorial HospitalMarietta, OH · CCN 360147	31	$1,395	54% below the national average	$875	$12,161
Central Vermont Medical CenterBarre, VT · CCN 470001	14	$1,513	50% below the national average	$883	$11,384
University Of Vermont - Fletcher Allen Health CareBurlington, VT · CCN 470003	50	$1,552	48% below the national average	$929	$9,585
Southwestern Vermont Medical CenterBennington, VT · CCN 470012	31	$2,008	33% below the national average	$1,370	$8,948
St Joe Mercy Hospital System LivoniaLivonia, MI · CCN 230002	20	$2,093	31% below the national average	$1,667	$22,213
Ochsner LSU Health Shreveport-St Mary Medical CentShreveport, LA · CCN 190317	13	$2,100	30% below the national average	$1,633	$16,709
Henry Ford Health HospitalDetroit, MI · CCN 230053	32	$2,146	29% below the national average	$1,696	$8,458
Wellstar Cobb Medical CenterAustell, GA · CCN 110143	42	$2,229	26% below the national average	$1,761	$30,161
University Hospitals Portage Medical CenterRavenna, OH · CCN 360078	12	$2,307	23% below the national average	$1,761	$14,075
Forrest General HospitalHattiesburg, MS · CCN 250078	21	$2,359	22% below the national average	$1,840	$11,202
Thomas HospitalFairhope, AL · CCN 010100	18	$2,364	22% below the national average	$1,835	$8,973
Surgical Hospital Of OklahomaOklahoma City, OK · CCN 370201	13	$2,375	21% below the national average	$1,827	$11,286
USA Health Children's & Women's HospitalMobile, AL · CCN 013301	15	$2,387	21% below the national average	$1,846	$7,315
Spectrum HealthGrand Rapids, MI · CCN 230038	54	$2,390	21% below the national average	$1,826	$13,049
Baptist Memorial Hospital Jonesboro, Inc.Jonesboro, AR · CCN 040118	18	$2,392	21% below the national average	$1,846	$9,363
University Of Mississippi Medical Center- GrenadaGrenada, MS · CCN 250168	13	$2,397	20% below the national average	$1,878	$13,154
Trident Medical CenterCharleston, SC · CCN 420079	25	$2,398	20% below the national average	$1,842	$43,840
Columbus Regional Healthcare SystemWhiteville, NC · CCN 340068	14	$2,411	20% below the national average	$1,858	$16,011
Vanderbilt University Medical CenterNashville, TN · CCN 440039	72	$2,431	19% below the national average	$1,927	$24,444
University Of Mississippi Medical CenterJackson, MS · CCN 250001	34	$2,433	19% below the national average	$1,900	$15,010
Raleigh General HospitalBeckley, WV · CCN 510070	19	$2,435	19% below the national average	$1,895	$26,244
Camden Clark Medical CenterParkersburg, WV · CCN 510058	20	$2,445	19% below the national average	$1,907	$9,898
Methodist Hospitals Of MemphisMemphis, TN · CCN 440049	29	$2,447	19% below the national average	$1,905	$13,341
Physicians Regional Medical CenterPowell, TN · CCN 440120	16	$2,450	19% below the national average	$1,926	$21,778
Lake HealthConcord, OH · CCN 360098	22	$2,451	19% below the national average	$1,944	$14,335
Indian Path Community HospitalKingsport, TN · CCN 440176	15	$2,456	18% below the national average	$1,929	$21,272
Springhill Medical CenterMobile, AL · CCN 010144	13	$2,460	18% below the national average	$1,933	$14,093
Monroe Surgical HospitalMonroe, LA · CCN 190245	12	$2,460	18% below the national average	$1,932	$9,521
Novant Health Medical Park HospitalWinston-Salem, NC · CCN 340148	12	$2,471	18% below the national average	$1,892	$10,521
Surgical Hospital At SouthwoodsYoungstown, OH · CCN 360352	33	$2,473	18% below the national average	$1,932	$9,243
Mercy Hospital JoplinJoplin, MO · CCN 260001	12	$2,480	18% below the national average	$1,946	$12,131
HCA Florida West HospitalPensacola, FL · CCN 100231	13	$2,485	18% below the national average	$1,895	$76,690
Touro InfirmaryNew Orleans, LA · CCN 190046	13	$2,486	17% below the national average	$1,948	$18,793
Cleveland Clinic Indian River HospitalVero Beach, FL · CCN 100105	40	$2,492	17% below the national average	$1,986	$18,934
Avita OntarioOntario, OH · CCN 360365	12	$2,492	17% below the national average	$1,986	$12,891
Mercy Health Saint Mary'sGrand Rapids, MI · CCN 230059	28	$2,495	17% below the national average	$1,958	$14,030
Christus St Michael Health SystemTexarkana, TX · CCN 450801	11	$2,497	17% below the national average	$1,945	$20,845
Akron General Medical CenterAkron, OH · CCN 360027	13	$2,497	17% below the national average	$1,957	$15,406
Geisinger-Lewistown HospitalLewistown, PA · CCN 390048	23	$2,502	17% below the national average	$1,993	$15,956
McLeod Regional Medical Center-Pee DeeFlorence, SC · CCN 420051	24	$2,503	17% below the national average	$1,956	$23,538
Conway Medical CenterConway, SC · CCN 420049	17	$2,504	17% below the national average	$1,995	$13,494
Franklin Woods Community HospitalJohnson City, TN · CCN 440184	24	$2,506	17% below the national average	$1,980	$20,904
Doctors HospitalAugusta, GA · CCN 110177	11	$2,508	17% below the national average	$1,970	$56,294
Magee Womens Hospital Of UPMC Health SystemPittsburgh, PA · CCN 390114	100	$2,509	17% below the national average	$1,979	$22,521
Ascension St Vincent EvansvilleEvansville, IN · CCN 150100	29	$2,509	17% below the national average	$1,952	$24,122
St Francis HospitalMemphis, TN · CCN 440183	16	$2,510	17% below the national average	$1,958	$42,018
Fort Sanders Regional Medical CenterKnoxville, TN · CCN 440125	23	$2,512	17% below the national average	$1,988	$6,992

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

Average payment
Average billed charge

2020: 29,962 procedures at 1,100 hospitals · 2021: 34,500 procedures at 1,201 hospitals · 2022: 34,930 procedures at 1,190 hospitals · 2023: 35,603 procedures at 1,165 hospitals · 2024: 35,915 procedures at 1,170 hospitals

View data as a table

National average payment and billed charge for Level 4 Gynecologic Procedures
Year of care	Average payment	Average billed charge
2020	$2,511	$17K
2021	$2,652	$18K
2022	$2,687	$18K
2023	$2,819	$20K
2024	$3,013	$21K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 49 states

Average payment by state for Level 4 Gynecologic Procedures, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	5	130	$1,562	$1,321–$1,552
Mississippi	10	223	$2,559	$2,463–$2,617
Louisiana	14	319	$2,560	$2,517–$2,638
Alabama	12	294	$2,560	$2,519–$2,616
Tennessee	20	659	$2,585	$2,509–$2,672
West Virginia	10	280	$2,592	$2,543–$2,616
Ohio	50	1,504	$2,609	$2,606–$2,719
Kentucky	17	455	$2,647	$2,602–$2,707
Oklahoma	15	407	$2,652	$2,636–$2,694
Arkansas	17	378	$2,663	$2,602–$2,698
South Carolina	30	812	$2,684	$2,647–$2,697
Kansas	12	316	$2,700	$2,655–$2,730
Michigan	45	1,301	$2,711	$2,610–$2,792
Iowa	14	447	$2,727	$2,677–$2,717
Missouri	29	854	$2,732	$2,660–$2,805
New Mexico	6	162	$2,736	$2,694–$2,844
Georgia	31	853	$2,750	$2,644–$2,901
North Carolina	35	1,065	$2,760	$2,712–$2,809
Texas	53	1,250	$2,779	$2,713–$2,853
Virginia	36	1,184	$2,785	$2,692–$2,881
Nebraska	5	161	$2,786	$2,760–$2,817
Utah	4	91	$2,787	$2,733–$2,850
Florida	70	2,272	$2,794	$2,773–$2,832
Indiana	35	841	$2,800	$2,716–$2,849
Wisconsin	30	687	$2,861	$2,801–$2,920
Idaho	4	136	$2,866	$2,795–$2,985
Maine	7	161	$2,882	$2,887–$2,956
New Hampshire	9	308	$2,891	$2,925–$3,054
Pennsylvania	72	2,316	$2,894	$2,792–$3,016
Illinois	58	1,770	$2,917	$2,889–$2,968
South Dakota	8	229	$2,947	$2,924–$3,139
Montana	7	163	$2,953	$2,864–$3,035
Colorado	21	498	$2,993	$2,976–$2,977
North Dakota	5	128	$2,995	$2,931–$3,061
Arizona	22	628	$3,020	$2,980–$3,049
Minnesota	27	876	$3,044	$2,966–$3,094
Rhode Island	2	135	$3,079	$3,079–$3,093
Delaware	6	314	$3,109	$3,106–$3,137
District of Columbia	4	204	$3,163	$3,108–$3,179
Washington	26	654	$3,191	$3,100–$3,293
New Jersey	39	1,471	$3,290	$3,253–$3,358
Nevada	7	157	$3,319	$3,309–$3,349
Alaska	5	79	$3,334	$3,303–$3,456
Massachusetts	40	1,863	$3,335	$3,333–$3,358
Oregon	16	378	$3,348	$3,192–$3,308
Connecticut	16	485	$3,410	$3,360–$3,509
New York	72	3,172	$3,433	$3,315–$3,530
Hawaii	3	92	$3,505	$3,457–$3,685
California	89	2,753	$3,978	$3,844–$4,173

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.