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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1,162 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,001–1,050. 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
Confluence Health HospitalWenatchee, WA · CCN 500016	19	$3,385	12% above the national average	$2,697	$13,865
Northern Westchester HospitalMount Kisco, NY · CCN 330162	53	$3,386	12% above the national average	$2,660	$13,696
Staten Island University HospitalStaten Island, NY · CCN 330160	52	$3,394	13% above the national average	$2,671	$18,795
The Queens Medical CenterHonolulu, HI · CCN 120001	43	$3,396	13% above the national average	$2,659	$13,761
Overlook Medical CenterSummit, NJ · CCN 310051	47	$3,403	13% above the national average	$2,682	$18,240
St Joseph's University Medical Center IncPaterson, NJ · CCN 310019	19	$3,409	13% above the national average	$2,675	$12,833
Bay Area HospitalCoos Bay, OR · CCN 380090	20	$3,416	13% above the national average	$2,721	$17,449
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 330195	156	$3,418	13% above the national average	$2,701	$20,519
New York-Presbyterian/QueensFlushing, NY · CCN 330055	23	$3,434	14% above the national average	$2,704	$17,687
Montefiore Medical CenterBronx, NY · CCN 330059	38	$3,439	14% above the national average	$2,723	$32,860
Berkshire Medical CenterPittsfield, MA · CCN 220046	57	$3,446	14% above the national average	$2,736	$11,578
Stamford HospitalStamford, CT · CCN 070006	39	$3,450	14% above the national average	$2,731	$23,224
Providence Centralia HospitalCentralia, WA · CCN 500019	16	$3,450	14% above the national average	$2,749	$18,440
Fairbanks Memorial HospitalFairbanks, AK · CCN 020012	11	$3,456	15% above the national average	$2,754	$15,706
Mat-Su Regional Medical CenterPalmer, AK · CCN 020006	20	$3,456	15% above the national average	$2,754	$29,678
Bartlett Regional HospitalJuneau, AK · CCN 020008	11	$3,456	15% above the national average	$2,731	$10,954
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393	131	$3,471	15% above the national average	$2,760	$19,316
PeaceHealth St John Medical CenterLongview, WA · CCN 500041	12	$3,476	15% above the national average	$2,770	$19,299
Vassar Brothers Medical CenterPoughkeepsie, NY · CCN 330023	29	$3,480	15% above the national average	$2,765	$11,702
Plainview HospitalPlainview, NY · CCN 330331	30	$3,485	16% above the national average	$2,769	$15,937
Garnet Health Medical CenterMiddletown, NY · CCN 330126	31	$3,487	16% above the national average	$2,772	$19,590
John Dempsey Hospital Of The University Of ConnectFarmington, CT · CCN 070036	18	$3,488	16% above the national average	$2,779	$10,751
Lawrence & Memorial HospitalNew London, CT · CCN 070007	18	$3,488	16% above the national average	$2,779	$12,525
William W Backus HospitalNorwich, CT · CCN 070024	13	$3,488	16% above the national average	$2,779	$11,098
St Francis Hospital & Medical CenterHartford, CT · CCN 070002	31	$3,488	16% above the national average	$2,775	$24,030
Lenox Hill HospitalNew York, NY · CCN 330119	79	$3,488	16% above the national average	$2,769	$20,857
Nyu Langone HospitalsNew York, NY · CCN 330214	350	$3,489	16% above the national average	$2,776	$37,643
Long Island Community HospitalPatchogue, NY · CCN 330141	19	$3,492	16% above the national average	$2,782	$33,648
St Charles HospitalPort Jefferson, NY · CCN 330246	24	$3,492	16% above the national average	$2,782	$17,072
Good Samaritan Hospital Medical CenterWest Islip, NY · CCN 330286	85	$3,492	16% above the national average	$2,781	$15,299
Yale-New Haven HospitalNew Haven, CT · CCN 070022	99	$3,492	16% above the national average	$2,773	$12,275
Montefiore St Luke's CornwallNewburgh, NY · CCN 330264	13	$3,492	16% above the national average	$2,777	$17,765
Mount Sinai HospitalNew York, NY · CCN 330024	80	$3,493	16% above the national average	$2,767	$16,727
New York-Presbyterian HospitalNew York, NY · CCN 330101	285	$3,502	16% above the national average	$2,778	$24,683
Danbury HospitalDanbury, CT · CCN 070033	44	$3,506	16% above the national average	$2,790	$19,625
Richmond University Medical CenterStaten Island, NY · CCN 330028	57	$3,508	16% above the national average	$2,785	$14,217
Valley HospitalParamus, NJ · CCN 310012	98	$3,511	17% above the national average	$2,788	$17,702
Kapiolani Medical Center For Women & ChildrenHonolulu, HI · CCN 123300	37	$3,518	17% above the national average	$2,786	$13,604
Chilton Medical CenterPompton Plains, NJ · CCN 310017	25	$3,518	17% above the national average	$2,803	$19,556
Norwalk HospitalNorwalk, CT · CCN 070034	13	$3,518	17% above the national average	$2,803	$21,739
St Anthony Community HospitalWarwick, NY · CCN 330205	26	$3,518	17% above the national average	$2,803	$47,905
Robert Wood Johnson University HospitalNew Brunswick, NJ · CCN 310038	39	$3,518	17% above the national average	$2,801	$20,087
Mount Sinai Beth IsraelNew York, NY · CCN 330169	16	$3,521	17% above the national average	$2,806	$14,711
Bridgeport HospitalBridgeport, CT · CCN 070010	33	$3,521	17% above the national average	$2,806	$12,901
Middlesex HospitalMiddletown, CT · CCN 070020	31	$3,521	17% above the national average	$2,806	$10,722
The Hospital Of Central ConnecticutNew Britain, CT · CCN 070035	25	$3,522	17% above the national average	$2,805	$12,096
Mount Sinai WestNew York, NY · CCN 330046	63	$3,522	17% above the national average	$2,803	$17,014
Mercy Medical CenterRockville Centre, NY · CCN 330259	19	$3,523	17% above the national average	$2,807	$17,243
Mount Sinai South NassauOceanside, NY · CCN 330198	68	$3,523	17% above the national average	$2,807	$22,830
Northwell Hospital Glen CoveGlen Cove, NY · CCN 330181	12	$3,523	17% above the national average	$2,807	$15,102

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.