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 851–900. 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
Monument Health Spearfish HospitalSpearfish, SD · CCN 430048	19	$3,139	About average	$2,501	$13,087
Trinity HospitalsMinot, ND · CCN 350006	19	$3,139	About average	$2,501	$12,589
Sacred Heart Medical Center - RiverbendSpringfield, OR · CCN 380102	23	$3,139	About average	$2,478	$19,130
Bozeman Health Deaconess HospitalBozeman, MT · CCN 270057	32	$3,139	About average	$2,491	$12,413
Bayhealth Medical Center, Kent CampusDover, DE · CCN 080004	18	$3,145	About average	$2,506	$11,844
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 390223	16	$3,150	About average	$2,510	$31,074
Temple University HospitalPhiladelphia, PA · CCN 390027	38	$3,150	About average	$2,510	$47,763
Pennsylvania HospitalPhiladelphia, PA · CCN 390226	64	$3,150	About average	$2,507	$24,720
Mayo Clinic Hospital RochesterRochester, MN · CCN 240010	225	$3,154	About average	$2,503	$13,729
Mayo Clinic Health System - Albert Lea And AustinAlbert Lea, MN · CCN 240043	14	$3,154	About average	$2,513	$8,487
Southside HospitalBay Shore, NY · CCN 330043	54	$3,155	About average	$2,440	$16,835
Our Lady Of Lourdes Memorial Hospital, IncBinghamton, NY · CCN 330011	17	$3,159	About average	$2,486	$17,602
Island HospitalAnacortes, WA · CCN 500007	23	$3,161	About average	$2,518	$10,041
Providence St Peter HospitalOlympia, WA · CCN 500024	32	$3,161	About average	$2,518	$18,475
Cape Regional Medical Center IncCape May Court House, NJ · CCN 310011	15	$3,164	About average	$2,521	$8,418
Sibley Memorial HospitalWashington, DC · CCN 090005	96	$3,172	About average	$2,522	$15,483
Mercy Regional Medical CenterDurango, CO · CCN 060013	25	$3,187	About average	$2,540	$22,023
Valley View Hospital AssociationGlenwood Springs, CO · CCN 060075	11	$3,187	About average	$2,540	$20,097
Montrose Regional HealthMontrose, CO · CCN 060006	26	$3,187	About average	$2,538	$23,087
Intermountain Health St. Mary's Regional HospitalGrand Junction, CO · CCN 060023	34	$3,188	About average	$2,532	$17,028
Hackensack Meridian Mountainside MedicalMontclair, NJ · CCN 310054	16	$3,191	About average	$2,508	$16,671
Evergreenhealth Medical CenterKirkland, WA · CCN 500124	16	$3,193	About average	$2,544	$9,605
Providence Regional Medical Center EverettEverett, WA · CCN 500014	24	$3,193	About average	$2,544	$19,290
Swedish IssaquahIssaquah, WA · CCN 500152	17	$3,193	About average	$2,544	$18,041
Concord Hospital- LaconiaLaconia, NH · CCN 300005	12	$3,194	About average	$2,548	$11,704
Saratoga HospitalSaratoga Springs, NY · CCN 330222	22	$3,195	About average	$2,521	$11,338
Virtua Mount Holly HospitalMount Holly, NJ · CCN 310057	56	$3,197	About average	$2,530	$35,946
MedStar Washington Hospital CenterWashington, DC · CCN 090011	57	$3,199	About average	$2,549	$19,205
Mayo Clinic Health System - MankatoMankato, MN · CCN 240093	54	$3,205	About average	$2,551	$6,229
Shore Medical CenterSomers Point, NJ · CCN 310047	24	$3,205	About average	$2,553	$18,100
Legacy Good Samaritan Medical CenterPortland, OR · CCN 380017	37	$3,210	About average	$2,543	$17,266
Community Medical CenterToms River, NJ · CCN 310041	86	$3,212	About average	$2,547	$11,702
St Joseph Medical CenterTacoma, WA · CCN 500108	17	$3,221	About average	$2,566	$35,646
Tacoma General Allenmore HospitalTacoma, WA · CCN 500129	28	$3,221	About average	$2,566	$21,663
Huntington HospitalHuntington, NY · CCN 330045	46	$3,226	About average	$2,516	$16,158
Glens Falls HospitalGlens Falls, NY · CCN 330191	30	$3,227	About average	$2,553	$9,789
Baystate Medical CenterSpringfield, MA · CCN 220077	105	$3,230	About average	$2,548	$7,833
West Jersey HospitalVoorhees, NJ · CCN 310022	64	$3,232	About average	$2,563	$33,524
CentraState Medical CenterFreehold, NJ · CCN 310111	32	$3,233	About average	$2,559	$13,679
St Joseph's Hospital Health CenterSyracuse, NY · CCN 330140	33	$3,235	About average	$2,561	$15,016
Jersey Shore University Medical CenterNeptune, NJ · CCN 310073	74	$3,243	About average	$2,565	$12,738
Good Samaritan Regional Medical CenterCorvallis, OR · CCN 380014	11	$3,246	About average	$2,586	$10,393
PeaceHealth St Joseph Medical CenterBellingham, WA · CCN 500030	24	$3,249	About average	$2,566	$20,397
Strong Memorial HospitalRochester, NY · CCN 330285	30	$3,259	About average	$2,597	$12,625
John T Mather Memorial Hospital Of Port JeffersonPort Jefferson, NY · CCN 330185	12	$3,260	About average	$2,550	$19,799
Mountainview HospitalLas Vegas, NV · CCN 290039	25	$3,261	About average	$2,581	$32,720
Emerson Hospital -W Concord, MA · CCN 220084	46	$3,263	About average	$2,588	$7,209
Saint Clare's Hospital/ Denville CampusDenville, NJ · CCN 310050	11	$3,263	About average	$2,548	$21,424
Kaleida HealthBuffalo, NY · CCN 330005	52	$3,264	About average	$2,590	$11,273
Yuma Regional Medical CenterYuma, AZ · CCN 030013	29	$3,265	About average	$2,601	$13,147

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.