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 751–800. 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
Ridgeview Medical CenterWaconia, MN · CCN 240056	15	$2,988	About average	$2,381	$9,454
Hennepin County Medical CenterMinneapolis, MN · CCN 240004	50	$2,988	About average	$2,379	$22,014
Abbott Northwestern HospitalMinneapolis, MN · CCN 240057	29	$2,989	About average	$2,376	$13,261
Lakeview Memorial HospitalStillwater, MN · CCN 240066	27	$2,989	About average	$2,374	$6,539
Northfield HospitalNorthfield, MN · CCN 240014	11	$2,989	About average	$2,364	$11,747
Penn Highlands DuboisDubois, PA · CCN 390086	17	$2,991	About average	$2,383	$7,558
UPMC Bedford MemorialEverett, PA · CCN 390117	13	$2,991	About average	$2,383	$9,506
UPMC AltoonaAltoona, PA · CCN 390073	28	$2,991	About average	$2,379	$23,691
Main Line Hospital LankenauWynnewood, PA · CCN 390195	101	$2,992	About average	$2,377	$12,931
Marshfield Medical CenterMarshfield, WI · CCN 520037	17	$2,996	About average	$2,387	$9,062
Mercy Medical CenterRoseburg, OR · CCN 380027	13	$2,997	About average	$2,303	$15,621
Wentworth-Douglass HospitalDover, NH · CCN 300018	43	$2,997	About average	$2,388	$15,347
Northwestern Memorial HospitalChicago, IL · CCN 140281	84	$2,999	About average	$2,378	$30,935
St. George Regional HospitalSt George, UT · CCN 460021	16	$3,000	About average	$2,385	$8,088
Wayne Memorial HospitalHonesdale, PA · CCN 390125	21	$3,000	About average	$2,390	$11,657
Olmsted Medical CenterRochester, MN · CCN 240006	13	$3,007	About average	$2,396	$11,709
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	60	$3,008	About average	$2,388	$23,363
The University Of Chicago Medical CenterChicago, IL · CCN 140088	73	$3,016	About average	$2,403	$35,512
Unity HospitalRochester, NY · CCN 330226	22	$3,016	About average	$2,358	$10,948
Doylestown HospitalDoylestown, PA · CCN 390203	22	$3,016	About average	$2,403	$26,440
Chester County HospitalWest Chester, PA · CCN 390179	62	$3,016	About average	$2,401	$19,289
Phoenixville HospitalPhoenixville, PA · CCN 390127	23	$3,016	About average	$2,400	$15,179
St Luke's Hospital - Upper Bucks CampusQuakertown, PA · CCN 390035	20	$3,016	About average	$2,398	$29,513
Paoli HospitalPaoli, PA · CCN 390153	39	$3,016	About average	$2,397	$13,531
Augusta HealthFishersville, VA · CCN 490018	38	$3,022	About average	$2,408	$21,029
Capital Medical CenterOlympia, WA · CCN 500139	13	$3,024	About average	$2,369	$23,291
Saint Alphonsus Regional Medical CenterBoise, ID · CCN 130007	25	$3,026	About average	$2,408	$10,549
MercyOne North Iowa Medical CenterMason City, IA · CCN 160064	27	$3,030	About average	$2,412	$28,101
Jefferson Einstein Philadelphia HospitalPhiladelphia, PA · CCN 390142	15	$3,037	About average	$2,420	$15,850
Temple Health - Chestnut Hill HospitalPhiladelphia, PA · CCN 390026	38	$3,037	About average	$2,415	$45,959
Mercy Catholic Medical Center- Mercy FitzgeraldDarby, PA · CCN 390156	21	$3,038	About average	$2,408	$21,381
Multicare Good Samaritan HospitalPuyallup, WA · CCN 500079	14	$3,038	About average	$2,383	$23,159
Loyola University Medical CenterMaywood, IL · CCN 140276	54	$3,041	About average	$2,423	$11,878
Beloit Health SystemBeloit, WI · CCN 520100	13	$3,041	About average	$2,423	$16,048
Northwestern Medicine Kishwaukee HospitalDekalb, IL · CCN 140286	11	$3,041	About average	$2,423	$29,437
OSF Little Company Of Mary Medical CenterEvergreen Park, IL · CCN 140179	11	$3,041	About average	$2,423	$26,100
Saint Francis Hospital-EvanstonEvanston, IL · CCN 140080	11	$3,041	About average	$2,423	$25,256
Rush University Medical CenterChicago, IL · CCN 140119	37	$3,041	About average	$2,422	$20,741
Uw HealthRockford, IL · CCN 140228	23	$3,041	About average	$2,420	$43,715
Saint Anthony Medical CenterRockford, IL · CCN 140233	12	$3,041	About average	$2,407	$15,899
Alexian Brothers Medical Center 1Elk Grove Village, IL · CCN 140258	12	$3,041	About average	$2,398	$24,937
Virginia Mason Medical CenterSeattle, WA · CCN 500005	56	$3,042	About average	$2,402	$11,686
Elliot HospitalManchester, NH · CCN 300012	28	$3,043	About average	$2,424	$16,868
Banner Gateway Medical CenterGilbert, AZ · CCN 030122	13	$3,049	About average	$2,429	$19,643
Banner - University Medical Center PhoenixPhoenix, AZ · CCN 030002	25	$3,049	About average	$2,429	$22,304
Chandler Regional Medical CenterChandler, AZ · CCN 030036	46	$3,049	About average	$2,429	$27,594
HonorHealth Deer Valley Medical CenterPhoenix, AZ · CCN 030092	15	$3,049	About average	$2,429	$38,564
Honor Health John C. Lincoln Medical CenterPhoenix, AZ · CCN 030014	21	$3,049	About average	$2,429	$36,424
Northwest Medical CenterTucson, AZ · CCN 030085	19	$3,049	About average	$2,429	$37,082
Banner-University Medical Center South CampusTucson, AZ · CCN 030111	12	$3,049	About average	$2,429	$13,578

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.