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 651–700. 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
UnityPoint Health - MeriterMadison, WI · CCN 520089	95	$2,918	About average	$2,323	$18,733
Mercy HospitalCoon Rapids, MN · CCN 240115	35	$2,920	About average	$2,313	$11,654
Aurora St Lukes Medical CenterMilwaukee, WI · CCN 520138	22	$2,921	About average	$2,323	$22,005
LmhLawrence, KS · CCN 170137	12	$2,924	About average	$2,330	$11,340
Northwestern Medicine Central Dupage HospitalWinfield, IL · CCN 140242	54	$2,924	About average	$2,321	$30,465
Concord HospitalConcord, NH · CCN 300001	42	$2,925	About average	$2,322	$13,879
University Of Colorado Hospital AuthorityAurora, CO · CCN 060024	50	$2,929	About average	$2,315	$22,106
Blessing HospitalQuincy, IL · CCN 140015	15	$2,930	About average	$2,301	$21,943
Avera St LukesAberdeen, SD · CCN 430014	17	$2,931	About average	$2,335	$17,097
Black Hills Surgical Hospital LLCRapid City, SD · CCN 430091	11	$2,931	About average	$2,335	$5,394
Essentia HealthFargo, ND · CCN 350070	17	$2,931	About average	$2,335	$10,581
Great Falls Clinic HospitalGreat Falls, MT · CCN 270086	13	$2,931	About average	$2,335	$18,549
Same Day Surgery Center LLCRapid City, SD · CCN 430093	21	$2,931	About average	$2,335	$8,410
Sanford Medical Center BismarckBismarck, ND · CCN 350015	23	$2,931	About average	$2,335	$10,261
St. Patrick HospitalMissoula, MT · CCN 270014	29	$2,931	About average	$2,335	$10,012
Sanford Medical Center FargoFargo, ND · CCN 350011	37	$2,931	About average	$2,333	$10,548
Community Medical CenterMissoula, MT · CCN 270023	11	$2,931	About average	$2,328	$14,777
Inova Alexandria HospitalAlexandria, VA · CCN 490040	27	$2,932	About average	$2,336	$14,201
Inova Loudoun HospitalLeesburg, VA · CCN 490043	19	$2,932	About average	$2,336	$11,790
Spartanburg Medical CenterSpartanburg, SC · CCN 420007	53	$2,932	About average	$2,327	$20,568
Jefferson Einstein Montgomery HospitalEast Norriton, PA · CCN 390329	34	$2,933	About average	$2,337	$13,210
Jefferson Lansdale HospitalLansdale, PA · CCN 390012	18	$2,933	About average	$2,337	$9,893
Advocate Lutheran General HospitalPark Ridge, IL · CCN 140223	63	$2,934	About average	$2,326	$14,224
Hendrick Medical CenterAbilene, TX · CCN 450229	17	$2,935	About average	$2,335	$46,396
Mymichigan Medical Center AlpenaAlpena, MI · CCN 230036	18	$2,936	About average	$2,328	$7,887
Ascension Genesys HospitalGrand Blanc, MI · CCN 230197	18	$2,937	About average	$2,340	$18,555
McLaren FlintFlint, MI · CCN 230141	28	$2,937	About average	$2,338	$11,656
Northern Light Mercy HospitalPortland, ME · CCN 200008	12	$2,937	About average	$2,340	$12,485
Mainehealth Mid Coast HospitalBrunswick, ME · CCN 200021	19	$2,937	About average	$2,338	$11,057
Mercy Gilbert Medical CenterGilbert, AZ · CCN 030119	16	$2,938	About average	$2,318	$25,654
Banner Desert Medical CenterMesa, AZ · CCN 030065	22	$2,938	About average	$2,314	$23,250
UCH-Memorial Health SystemColorado Springs, CO · CCN 060022	65	$2,940	About average	$2,335	$22,374
M Health Fairview University Of Mn Medical CenterMinneapolis, MN · CCN 240080	26	$2,940	About average	$2,342	$16,777
Aurora Lakeland Medical CenterElkhorn, WI · CCN 520102	15	$2,940	About average	$2,343	$22,344
Franciscan Health Crown PointCrown Point, IN · CCN 150126	16	$2,940	About average	$2,343	$22,614
Froedtert South Inc.Kenosha, WI · CCN 520021	11	$2,940	About average	$2,343	$17,550
Riverside Medical CenterKankakee, IL · CCN 140186	17	$2,940	About average	$2,342	$16,266
Community HospitalMunster, IN · CCN 150125	56	$2,940	About average	$2,341	$18,723
Franciscan Health DyerDyer, IN · CCN 150090	12	$2,941	About average	$2,328	$22,560
Mosaic Life Care At St JosephSaint Joseph, MO · CCN 260006	33	$2,941	About average	$2,343	$7,755
St Luke's Hospital - Grand View CampusSellersville, PA · CCN 390057	31	$2,941	About average	$2,328	$12,988
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 520177	36	$2,942	About average	$2,344	$25,195
Ascension All Saints HospitalRacine, WI · CCN 520096	12	$2,942	About average	$2,344	$19,088
UPMC HanoverHanover, PA · CCN 390233	15	$2,943	About average	$2,345	$15,976
Wellspan York HospitalYork, PA · CCN 390046	20	$2,943	About average	$2,345	$21,702
OSF Saint Elizabeth Mdl CenterPeru, IL · CCN 140110	25	$2,944	About average	$2,326	$20,672
Jefferson Health- NortheastPhiladelphia, PA · CCN 390115	28	$2,944	About average	$2,328	$13,410
Mayo Clinic Health System-Franciscan Medical Center IncLa Crosse, WI · CCN 520004	29	$2,945	About average	$2,347	$10,446
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	61	$2,946	About average	$2,333	$18,002
University Of Illinois Hospital And ClinicsChicago, IL · CCN 140150	26	$2,948	About average	$2,329	$19,838

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.