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 801–850. 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
St Joseph's HospitalTucson, AZ · CCN 030011	11	$3,049	About average	$2,429	$42,733
Tucson Medical CenterTucson, AZ · CCN 030006	51	$3,049	About average	$2,427	$11,256
Banner Estrella Medical CenterPhoenix, AZ · CCN 030115	34	$3,049	About average	$2,427	$19,102
HonorHealth Scottsdale Shea Medical CenterScottsdale, AZ · CCN 030087	84	$3,049	About average	$2,427	$36,529
Banner Del E. Webb Medical CenterSun City West, AZ · CCN 030093	15	$3,049	About average	$2,404	$21,929
Lehigh Valley Hospital - PoconoEast Stroudsburg, PA · CCN 390201	12	$3,049	About average	$2,430	$20,841
Lehigh Valley HospitalAllentown, PA · CCN 390133	75	$3,049	About average	$2,426	$22,572
Copley Memorial HospitalAurora, IL · CCN 140029	22	$3,052	About average	$2,431	$19,486
Southern NH Medical CenterNashua, NH · CCN 300020	27	$3,053	About average	$2,432	$16,271
St Joseph HospitalNashua, NH · CCN 300011	12	$3,054	About average	$2,397	$16,495
Advocate Sherman HospitalElgin, IL · CCN 140030	23	$3,054	About average	$2,433	$20,335
Northwestern Medicine Delnor Community HospitalGeneva, IL · CCN 140211	16	$3,054	About average	$2,433	$29,677
Altru HospitalGrand Forks, ND · CCN 350019	32	$3,061	About average	$2,418	$11,212
Missouri Delta Medical CenterSikeston, MO · CCN 260113	20	$3,063	About average	$2,438	$10,709
Kadlec Regional Medical CenterRichland, WA · CCN 500058	34	$3,064	About average	$2,426	$17,636
Valley Medical CenterRenton, WA · CCN 500088	20	$3,066	About average	$2,417	$20,074
Maine General Medical CenterAugusta, ME · CCN 200039	12	$3,070	About average	$2,446	$12,794
Centracare - St. Cloud HospitalSaint Cloud, MN · CCN 240036	24	$3,071	About average	$2,425	$14,067
Women & Infants Hospital Of Rhode IslandProvidence, RI · CCN 410010	100	$3,072	About average	$2,427	$8,052
Sentara RMH Medical CenterHarrisonburg, VA · CCN 490004	12	$3,074	About average	$2,450	$14,551
St Francis HospitalWilmington, DE · CCN 080003	27	$3,076	About average	$2,449	$23,807
Mount Nittany Medical CenterState College, PA · CCN 390268	20	$3,076	About average	$2,451	$18,860
UNC Health Care WayneGoldsboro, NC · CCN 340010	24	$3,080	About average	$2,431	$13,855
Asante Ashland Community HospitalAshland, OR · CCN 380005	13	$3,084	About average	$2,458	$9,010
Asante Three Rivers Medical CenterGrants Pass, OR · CCN 380002	15	$3,084	About average	$2,458	$10,927
Overlake Hospital Medical Center & ClinicsBellevue, WA · CCN 500051	24	$3,087	About average	$2,438	$22,463
Providence Alaska Medical CenterAnchorage, AK · CCN 020001	19	$3,092	About average	$2,436	$18,875
George Washington University HospitalWashington, DC · CCN 090001	24	$3,093	About average	$2,442	$48,502
Sarah Bush Lincoln Health CenterMattoon, IL · CCN 140189	12	$3,095	About average	$2,454	$15,664
Rhode Island HospitalProvidence, RI · CCN 410007	35	$3,101	About average	$2,456	$8,267
Christiana HospitalNewark, DE · CCN 080001	151	$3,105	About average	$2,452	$11,549
St Mary Medical CenterLanghorne, PA · CCN 390258	21	$3,107	About average	$2,476	$20,037
Beebe Medical CenterLewes, DE · CCN 080007	94	$3,110	About average	$2,472	$11,187
Portsmouth Regional HospitalPortsmouth, NH · CCN 300029	31	$3,112	About average	$2,475	$38,706
MedStar Georgetown University HospitalWashington, DC · CCN 090004	27	$3,113	About average	$2,463	$20,093
Brown University Health Morton HospitalTaunton, MA · CCN 220073	11	$3,114	About average	$2,432	$7,731
Alomere HealthAlexandria, MN · CCN 240030	18	$3,117	About average	$2,483	$16,126
Essentia Health St Joseph's Medical CenterBrainerd, MN · CCN 240075	11	$3,117	About average	$2,483	$10,175
Essentia Health St Marys - Detroit LakesDetroit Lakes, MN · CCN 240101	16	$3,117	About average	$2,483	$6,440
Sanford Bemidji Medical CenterBemidji, MN · CCN 240100	13	$3,117	About average	$2,483	$7,595
Wellspan Chambersburg HospitalChambersburg, PA · CCN 390151	17	$3,119	About average	$2,485	$17,434
Monmouth Medical CenterLong Branch, NJ · CCN 310075	56	$3,125	About average	$2,448	$13,354
Bayhealth Hospital, Sussex CampusMilford, DE · CCN 080009	12	$3,137	About average	$2,499	$14,625
Tidalhealth Nanticoke, Inc.Seaford, DE · CCN 080006	12	$3,137	About average	$2,494	$9,233
Multicare Valley HospitalSpokane Valley, WA · CCN 500119	11	$3,138	About average	$2,500	$19,809
Providence Sacred Heart Medical Center & Childrens HospitalSpokane, WA · CCN 500054	41	$3,138	About average	$2,500	$13,416
University Of Washington Medical CenterSeattle, WA · CCN 500008	61	$3,138	About average	$2,499	$14,134
Avera Sacred Heart HospitalYankton, SD · CCN 430012	15	$3,139	About average	$2,501	$16,531
Avera St Mary's HospitalPierre, SD · CCN 430015	12	$3,139	About average	$2,501	$18,518
Logan Health Medical CenterKalispell, MT · CCN 270051	30	$3,139	About average	$2,501	$11,605

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.