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 901–950. 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
Yavapai Regional Medical CenterPrescott, AZ · CCN 030012	18	$3,265	About average	$2,601	$7,604
Flagstaff Medical CenterFlagstaff, AZ · CCN 030023	20	$3,265	About average	$2,592	$12,575
St Vincent's Medical CenterBridgeport, CT · CCN 070028	11	$3,266	About average	$2,551	$14,999
Mount Auburn HospitalCambridge, MA · CCN 220002	48	$3,269	About average	$2,590	$4,545
Renown Regional Medical CenterReno, NV · CCN 290001	34	$3,270	About average	$2,587	$23,691
Hunterdon Medical CenterFlemington, NJ · CCN 310005	21	$3,273	About average	$2,608	$18,814
Newton Medical CenterNewton, NJ · CCN 310028	15	$3,273	About average	$2,608	$31,921
Capital Health Medical Center - HopewellPennington, NJ · CCN 310044	49	$3,273	About average	$2,608	$74,416
Inspira Medical Center Mullica HillElmer, NJ · CCN 310069	39	$3,273	About average	$2,608	$19,123
Jefferson Stratford HospitalStratford, NJ · CCN 310086	33	$3,273	About average	$2,608	$27,109
Ocean Medical CenterBrick, NJ · CCN 310052	22	$3,273	About average	$2,608	$12,749
Robert Wood Johnson University Hospital At HamiltonHamilton, NJ · CCN 310110	12	$3,273	About average	$2,608	$20,314
Inspira Medical Center VinelandVineland, NJ · CCN 310032	25	$3,273	About average	$2,606	$13,777
AtlantiCare Regional Medical Center - City CampusAtlantic City, NJ · CCN 310064	48	$3,273	About average	$2,600	$32,756
Southern Ocean Medical CenterManahawkin, NJ · CCN 310113	24	$3,273	About average	$2,599	$12,894
University Medical Center Of Princeton At PlainsboroPlainsboro, NJ · CCN 310010	60	$3,276	About average	$2,602	$19,147
Crouse HospitalSyracuse, NY · CCN 330203	44	$3,277	About average	$2,611	$7,934
MelroseWakefield HealthcareMelrose, MA · CCN 220070	31	$3,278	About average	$2,583	$9,190
PeaceHealth Southwest Medical CenteVancouver, WA · CCN 500050	19	$3,280	About average	$2,614	$20,117
Providence St Vincent Medical CenterPortland, OR · CCN 380004	21	$3,280	About average	$2,614	$14,948
OHSU Hospital And ClinicsPortland, OR · CCN 380009	36	$3,280	About average	$2,613	$13,495
Legacy Meridian Park Medical CenterTualatin, OR · CCN 380089	32	$3,280	About average	$2,611	$16,486
Providence Portland Medical CenterPortland, OR · CCN 380061	28	$3,281	About average	$2,607	$13,629
Hillsboro Medical CenterHillsboro, OR · CCN 380021	11	$3,281	About average	$2,593	$12,961
UPMC HamotErie, PA · CCN 390063	29	$3,295	About average	$2,624	$24,371
Saint Vincent HospitalErie, PA · CCN 390009	23	$3,295	About average	$2,618	$19,396
Swedish Medical CenterSeattle, WA · CCN 500027	51	$3,298	About average	$2,616	$19,438
Falmouth HospitalFalmouth, MA · CCN 220135	44	$3,298	About average	$2,614	$9,965
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	90	$3,298	About average	$2,612	$16,792
Central Peninsula General HospitalSoldotna, AK · CCN 020024	18	$3,303	About average	$2,601	$12,747
St Charles Medical Center - BendBend, OR · CCN 380047	40	$3,303	About average	$2,635	$21,027
Newton-Wellesley HospitalNewton, MA · CCN 220101	93	$3,306	About average	$2,617	$9,567
Riverview Medical CenterRed Bank, NJ · CCN 310034	34	$3,314	About average	$2,640	$13,686
Arnot Ogden Medical CenterElmira, NY · CCN 330090	15	$3,315	10% above the national average	$2,641	$11,005
Columbia Memorial HospitalHudson, NY · CCN 330094	13	$3,315	10% above the national average	$2,641	$11,787
F F Thompson HospitalCanandaigua, NY · CCN 330074	11	$3,315	10% above the national average	$2,641	$4,757
Mercy Hospital Of BuffaloBuffalo, NY · CCN 330279	11	$3,315	10% above the national average	$2,641	$11,137
Rochester General HospitalRochester, NY · CCN 330125	23	$3,315	10% above the national average	$2,641	$10,372
Sisters Of Charity HospitalBuffalo, NY · CCN 330078	27	$3,315	10% above the national average	$2,641	$10,030
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241	12	$3,315	10% above the national average	$2,641	$23,249
United Health Services Hospitals, IncBinghamton, NY · CCN 330394	29	$3,315	10% above the national average	$2,641	$8,536
Highland HospitalRochester, NY · CCN 330164	64	$3,315	10% above the national average	$2,641	$12,371
Albany Medical Center HospitalAlbany, NY · CCN 330013	24	$3,315	10% above the national average	$2,640	$7,911
Ellis HospitalSchenectady, NY · CCN 330153	37	$3,315	10% above the national average	$2,638	$11,808
St Peter's HospitalAlbany, NY · CCN 330057	41	$3,315	10% above the national average	$2,637	$14,269
Wynn HospitalUtica, NY · CCN 330044	18	$3,315	10% above the national average	$2,634	$13,918
Saint Peter's University HospitalNew Brunswick, NJ · CCN 310070	19	$3,317	10% above the national average	$2,643	$25,784
JFK University Medical CenterEdison, NJ · CCN 310108	19	$3,317	10% above the national average	$2,637	$15,738
St Mary's General HospitalPassaic, NJ · CCN 310006	12	$3,321	10% above the national average	$2,598	$32,752
Salem HospitalSalem, OR · CCN 380051	18	$3,322	10% above the national average	$2,616	$16,644

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.