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 601–650. 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
Anderson HospitalMaryville, IL · CCN 140289	28	$2,889	About average	$2,302	$11,718
Javon Bea HospitalRockford, IL · CCN 140239	11	$2,889	About average	$2,302	$16,335
Memorial HospitalBelleville, IL · CCN 140185	37	$2,889	About average	$2,302	$21,530
Saint Francis Medical CenterPeoria, IL · CCN 140067	34	$2,889	About average	$2,302	$35,457
St Johns HospitalSpringfield, IL · CCN 140053	16	$2,889	About average	$2,302	$22,987
Carle Bromenn Medical CenterNormal, IL · CCN 140127	17	$2,889	About average	$2,302	$7,719
Novant Health New Hanover Regional Medical CenterWilmington, NC · CCN 340141	92	$2,889	About average	$2,295	$14,964
Silver Cross Hospital And Medical CentersNew Lenox, IL · CCN 140213	30	$2,889	About average	$2,286	$12,018
Memorial Hospital Of CarbondaleCarbondale, IL · CCN 140164	15	$2,890	About average	$2,289	$27,448
Gettysburg HospitalGettysburg, PA · CCN 390065	29	$2,890	About average	$2,300	$19,936
Owensboro Health Regional HospitalOwensboro, KY · CCN 180038	11	$2,893	About average	$2,287	$13,059
Advocate Trinity HospitalChicago, IL · CCN 140048	30	$2,893	About average	$2,286	$22,045
Riddle Memorial HospitalMedia, PA · CCN 390222	31	$2,894	About average	$2,276	$14,450
Northwestern Lake Forest HospitalLake Forest, IL · CCN 140130	87	$2,899	About average	$2,297	$33,430
Houston Methodist The Woodlands HospitalThe Woodlands, TX · CCN 670122	24	$2,899	About average	$2,310	$35,558
Memorial Hermann Sugar Land HospitalSugar Land, TX · CCN 450848	22	$2,899	About average	$2,310	$23,785
Texas Childrens HospitalHouston, TX · CCN 453304	21	$2,899	About average	$2,310	$22,532
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 450018	24	$2,899	About average	$2,310	$18,914
Houston Methodist Sugarland HospitalSugar Land, TX · CCN 450820	35	$2,899	About average	$2,309	$35,422
Memorial Hermann Memorial City HospitalHouston, TX · CCN 450610	25	$2,899	About average	$2,309	$26,072
Houston Methodist Willowbrook HospitalHouston, TX · CCN 450844	33	$2,899	About average	$2,307	$37,613
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068	18	$2,899	About average	$2,299	$37,809
Mainehealth Maine Medical CenterPortland, ME · CCN 200009	63	$2,900	About average	$2,303	$13,209
Emory Decatur HospitalDecatur, GA · CCN 110076	15	$2,901	About average	$2,312	$16,623
Emory University HospitalAtlanta, GA · CCN 110010	31	$2,901	About average	$2,312	$20,434
Emory University Hospital MidtownAtlanta, GA · CCN 110078	16	$2,901	About average	$2,312	$20,071
Northside Hospital CherokeeCanton, GA · CCN 110008	31	$2,901	About average	$2,312	$27,311
Piedmont Henry HospitalStockbridge, GA · CCN 110191	14	$2,901	About average	$2,312	$38,504
Tanner Medical Center - CarrolltonCarrollton, GA · CCN 110011	18	$2,901	About average	$2,312	$11,645
Grady Memorial HospitalAtlanta, GA · CCN 110079	11	$2,901	About average	$2,310	$43,499
Piedmont Mountainside Hospital IncJasper, GA · CCN 110225	11	$2,901	About average	$2,309	$26,194
Northside Hospital GwinnettLawrenceville, GA · CCN 110087	26	$2,902	About average	$2,301	$23,233
Mayo Clinic Health System Eau Claire HospitalEau Claire, WI · CCN 520070	60	$2,902	About average	$2,304	$10,502
Banner Thunderbird Medical CenterGlendale, AZ · CCN 030089	38	$2,902	About average	$2,276	$20,687
Avera McKennan Hospital & University Health CenterSioux Falls, SD · CCN 430016	62	$2,903	About average	$2,312	$17,055
Shannon Medical CenterSan Angelo, TX · CCN 450571	24	$2,905	About average	$2,314	$17,062
Hendrick Medical Center BrownwoodBrownwood, TX · CCN 450587	13	$2,906	About average	$2,292	$17,052
M Health Fairview Southdale HospitalEdina, MN · CCN 240078	29	$2,906	About average	$2,299	$16,306
Aspirus Rhinelander HospitalRhinelander, WI · CCN 520019	17	$2,908	About average	$2,317	$14,694
Lancaster General HospitalLancaster, PA · CCN 390100	55	$2,908	About average	$2,317	$19,455
Park Nicollet Methodist HospitalSaint Louis Park, MN · CCN 240053	30	$2,909	About average	$2,302	$14,742
Elmhurst Memorial HospitalElmhurst, IL · CCN 140200	40	$2,909	About average	$2,302	$20,053
Essentia Health DuluthDuluth, MN · CCN 240019	28	$2,910	About average	$2,316	$8,968
Carolina East Medical CenterNew Bern, NC · CCN 340131	38	$2,914	About average	$2,322	$15,479
Advocate Christ Hospital & Medical CenterOak Lawn, IL · CCN 140208	46	$2,914	About average	$2,311	$18,471
Winchester Medical CenterWinchester, VA · CCN 490005	31	$2,916	About average	$2,287	$9,366
Munson Healthcare Cadillac HospitalCadillac, MI · CCN 230081	12	$2,917	About average	$2,324	$8,471
Munson Medical CenterTraverse City, MI · CCN 230097	22	$2,917	About average	$2,324	$10,321
Jefferson Abington HospitalAbington, PA · CCN 390231	95	$2,917	About average	$2,324	$11,513
United Regional Health Care SystemWichita Falls, TX · CCN 450010	15	$2,918	About average	$2,325	$11,325

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.