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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Year of care

1,162 hospitals reported at least 11 Medicare procedures for this in 2024; showing 701–750. 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
Bryn Mawr HospitalBryn Mawr, PA · CCN 390139	35	$2,948	About average	$2,334	$13,843
St Alexius Medical CenterHoffman Estates, IL · CCN 140290	26	$2,948	About average	$2,326	$21,226
Corewell Health Ludington HospitalLudington, MI · CCN 230110	13	$2,948	About average	$2,349	$13,964
Advocate Condell Medical CenterLibertyville, IL · CCN 140202	13	$2,950	About average	$2,351	$28,420
Advocate Good Shepherd HospitalBarrington, IL · CCN 140291	36	$2,950	About average	$2,341	$13,799
Presbyterian Santa Fe Medical CenterSanta Fe, NM · CCN 320090	16	$2,956	About average	$2,355	$13,308
Uva Health Prince William Medical CenterManassas, VA · CCN 490045	12	$2,956	About average	$2,355	$10,600
St Mary Medical CenterGalesburg, IL · CCN 140064	18	$2,957	About average	$2,328	$24,423
Reston Hospital CenterReston, VA · CCN 490107	16	$2,962	About average	$2,349	$29,027
Wellspan Good Samaritan HospitalLebanon, PA · CCN 390066	25	$2,965	About average	$2,359	$18,070
St Lukes HospitalDuluth, MN · CCN 240047	34	$2,966	About average	$2,363	$8,275
Mayo Clinic Health System In Red WingRed Wing, MN · CCN 240018	23	$2,966	About average	$2,363	$8,126
Essentia Health St Mary's Medical CenterDuluth, MN · CCN 240002	15	$2,966	About average	$2,359	$10,941
Providence Holy Family HospitalSpokane, WA · CCN 500077	14	$2,968	About average	$2,317	$15,722
Amita Health Resurrection Medical CenterChicago, IL · CCN 140117	21	$2,968	About average	$2,365	$28,935
John H Stroger Jr HospitalChicago, IL · CCN 140124 · +$4,065 outlier payments per case	18	$2,968	About average	$2,365	$16,259
Northwest Community Hospital 1Arlington Heights, IL · CCN 140252	11	$2,968	About average	$2,365	$18,609
Palos Community HospitalPalos Heights, IL · CCN 140062	45	$2,968	About average	$2,365	$25,153
Saint Joseph Medical CenterJoliet, IL · CCN 140007	12	$2,968	About average	$2,365	$21,871
Rush Oak Park HospitalOak Park, IL · CCN 140063	14	$2,968	About average	$2,361	$18,756
Uchicago Medicine AdventHealth HinsdaleHinsdale, IL · CCN 140122	37	$2,968	About average	$2,360	$20,436
Morris Hospital & Healthcare CentersMorris, IL · CCN 140101	20	$2,968	About average	$2,358	$8,712
Franciscan Health Olympia & Chicago HeightsOlympia Fields, IL · CCN 140172	16	$2,968	About average	$2,353	$22,419
Kingman Regional Medical CenterKingman, AZ · CCN 030055	31	$2,970	About average	$2,351	$30,618
Flagler HospitalSaint Augustine, FL · CCN 100090	39	$2,971	About average	$2,353	$17,800
Kootenai HealthCoeur D'Alene, ID · CCN 130049	39	$2,971	About average	$2,361	$13,786
Northern Light Maine Coast HospitalEllsworth, ME · CCN 200050	12	$2,975	About average	$2,370	$17,635
Sentara Halifax Regional HospitalSouth Boston, VA · CCN 490013	16	$2,975	About average	$2,370	$22,312
AdventHealth PorterDenver, CO · CCN 060064	18	$2,976	About average	$2,371	$20,493
Boulder Community HealthBoulder, CO · CCN 060027	25	$2,976	About average	$2,371	$37,348
Medical Center Of The RockiesLoveland, CO · CCN 060119	20	$2,976	About average	$2,371	$18,741
Sky Ridge Medical CenterLone Tree, CO · CCN 060112	19	$2,976	About average	$2,371	$97,523
Centura Health-Penrose St Francis Health ServicesColorado Springs, CO · CCN 060031	17	$2,976	About average	$2,371	$19,865
Community HospitalGrand Junction, CO · CCN 060054	13	$2,976	About average	$2,371	$17,764
Parkview Medical Center, IncPueblo, CO · CCN 060020	17	$2,976	About average	$2,371	$34,290
Saint Joseph HospitalDenver, CO · CCN 060028	12	$2,976	About average	$2,371	$24,722
Swedish Medical CenterEnglewood, CO · CCN 060034	26	$2,976	About average	$2,371	$44,634
UCHealth Highlands Ranch HospitalHighlands Ranch, CO · CCN 060132	28	$2,976	About average	$2,365	$22,933
AdventHealth LittletonLittleton, CO · CCN 060113	13	$2,977	About average	$2,349	$22,352
Hannibal Regional HospitalHannibal, MO · CCN 260025	14	$2,980	About average	$2,374	$34,719
Phelps County Regional Medical CenterRolla, MO · CCN 260017	20	$2,980	About average	$2,374	$21,860
St Lukes HospitalBethlehem, PA · CCN 390049	71	$2,981	About average	$2,361	$37,626
Memorial HospitalLogansport, IN · CCN 150072	14	$2,985	About average	$2,378	$16,787
Reid HealthRichmond, IN · CCN 150048	24	$2,985	About average	$2,378	$15,968
UCHealth Greeley HospitalGreeley, CO · CCN 060131	17	$2,988	About average	$2,380	$21,124
Allina United HospitalSaint Paul, MN · CCN 240038	40	$2,988	About average	$2,381	$12,060
Fairview Lakes Health ServicesWyoming, MN · CCN 240050	11	$2,988	About average	$2,381	$22,607
Maple Grove HospitalMaple Grove, MN · CCN 240214	33	$2,988	About average	$2,381	$8,075
M Health Fairview Ridges HospitalBurnsville, MN · CCN 240207	15	$2,988	About average	$2,381	$17,326
Regions HospitalSaint Paul, MN · CCN 240106	37	$2,988	About average	$2,381	$9,313

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.