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 1,051–1,100. 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
Adirondack Medical Center - Saranac LakeSaranac Lake, NY · CCN 330079	12	$3,550	18% above the national average	$2,828	$12,488
Aurelia Osborn Fox Memorial HospitalOneonta, NY · CCN 330085	14	$3,550	18% above the national average	$2,828	$7,236
Bassett HealthcareCooperstown, NY · CCN 330136	13	$3,550	18% above the national average	$2,828	$11,529
Olean General HospitalOlean, NY · CCN 330103	17	$3,550	18% above the national average	$2,828	$4,322
The University Of Vermont Health Network - ChamplPlattsburgh, NY · CCN 330250	16	$3,550	18% above the national average	$2,828	$6,308
Cayuga Medical Center At IthacaIthaca, NY · CCN 330307	19	$3,550	18% above the national average	$2,828	$6,725
Canton-Potsdam HospitalPotsdam, NY · CCN 330197	12	$3,550	18% above the national average	$2,827	$8,625
Samaritan Medical CenterWatertown, NY · CCN 330157	11	$3,550	18% above the national average	$2,826	$9,633
Westchester Medical CenterValhalla, NY · CCN 330234	19	$3,551	18% above the national average	$2,830	$39,189
Englewood Hospital And Medical CenterEnglewood, NJ · CCN 310045	34	$3,558	18% above the national average	$2,834	$38,211
Holy Name Medical CenterTeaneck, NJ · CCN 310008	33	$3,558	18% above the national average	$2,834	$16,200
White Plains Hospital CenterWhite Plains, NY · CCN 330304	37	$3,558	18% above the national average	$2,834	$22,823
Good Samaritan Hospital Of SuffernSuffern, NY · CCN 330158	17	$3,558	18% above the national average	$2,834	$49,699
Hudson Valley Hospital CenterCortlandt Manor, NY · CCN 330267	17	$3,558	18% above the national average	$2,834	$18,971
Phelps HospitalSleepy Hollow, NY · CCN 330261	13	$3,558	18% above the national average	$2,834	$27,743
Hackensack University Medical CenterHackensack, NJ · CCN 310001	47	$3,558	18% above the national average	$2,833	$16,149
Maimonides Medical CenterBrooklyn, NY · CCN 330194	56	$3,558	18% above the national average	$2,832	$22,904
Hackensack Meridian Health Pascack Valley MedicalWestwood, NJ · CCN 310130	11	$3,558	18% above the national average	$2,828	$24,560
Brooklyn Hospital Center - Downtown CampusBrooklyn, NY · CCN 330056	24	$3,558	18% above the national average	$2,825	$20,221
Nyack HospitalNyack, NY · CCN 330104	17	$3,558	18% above the national average	$2,823	$24,117
Jacobi Medical CenterBronx, NY · CCN 330127	12	$3,559	18% above the national average	$2,784	$8,288
St Johns Regional Medical CenterOxnard, CA · CCN 050082	13	$3,608	20% above the national average	$2,821	$26,085
Memorial Medical CenterModesto, CA · CCN 050557	34	$3,664	22% above the national average	$2,881	$21,773
Emanate Health Foothill Presbyterian HospitalGlendora, CA · CCN 050597	11	$3,669	22% above the national average	$2,923	$22,237
Antelope Valley HospitalLancaster, CA · CCN 050056	17	$3,672	22% above the national average	$2,888	$21,504
Providence Holy Cross Medical CenterMission Hills, CA · CCN 050278	15	$3,709	23% above the national average	$2,927	$31,705
Lac/Harbor-UCLA Medical CenterTorrance, CA · CCN 050376	16	$3,724	24% above the national average	$2,948	$10,492
Fresno Surgical HospitalFresno, CA · CCN 050708	19	$3,724	24% above the national average	$2,933	$15,013
Community Regional Medical CenterFresno, CA · CCN 050060	33	$3,753	25% above the national average	$2,971	$25,780
Enloe HealthChico, CA · CCN 050039	36	$3,760	25% above the national average	$2,977	$35,763
Saint John's Health CenterSanta Monica, CA · CCN 050290	39	$3,765	25% above the national average	$2,984	$11,630
Torrance Memorial Medical CenterTorrance, CA · CCN 050351	45	$3,777	25% above the national average	$2,994	$20,943
Uci Health-OrangeOrange, CA · CCN 050348	41	$3,787	26% above the national average	$3,018	$24,950
Adventist Health SonoraSonora, CA · CCN 050335	23	$3,795	26% above the national average	$2,994	$17,771
Providence Medford Medical CenterMedford, OR · CCN 380075	39	$3,796	26% above the national average	$3,022	$15,580
Clovis Community Medical CenterClovis, CA · CCN 050492	59	$3,805	26% above the national average	$3,017	$17,265
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 050324	79	$3,805	26% above the national average	$3,024	$24,030
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 050625	51	$3,844	28% above the national average	$3,062	$59,792
Los Robles Hospital & Medical CenterThousand Oaks, CA · CCN 050549	30	$3,844	28% above the national average	$3,062	$66,841
Providence Little Company Of Mary Medical Center TorranceTorrance, CA · CCN 050353	32	$3,844	28% above the national average	$3,062	$23,765
Providence Saint Joseph Medical CenterBurbank, CA · CCN 050235	39	$3,844	28% above the national average	$3,062	$24,704
Ronald Reagan UCLA Medical CenterLos Angeles, CA · CCN 050262	48	$3,844	28% above the national average	$3,062	$20,244
Saint Agnes Medical CenterFresno, CA · CCN 050093	42	$3,844	28% above the national average	$3,062	$24,842
Santa Monica - UCLA Medical Center & Orthopaedic HospitalSanta Monica, CA · CCN 050112	34	$3,844	28% above the national average	$3,062	$17,106
Adventist Health HanfordHanford, CA · CCN 050121	11	$3,844	28% above the national average	$3,062	$16,370
Adventist Health Sierra VistaSan Luis Obispo, CA · CCN 050506	11	$3,844	28% above the national average	$3,062	$32,455
Alhambra Hospital Medical CenterAlhambra, CA · CCN 050281	11	$3,844	28% above the national average	$3,062	$18,553
Eisenhower Medical CenterRancho Mirage, CA · CCN 050573	172	$3,844	28% above the national average	$3,062	$15,700
Mercy Medical CenterMerced, CA · CCN 050444	14	$3,844	28% above the national average	$3,062	$24,843
Northridge Hospital Medical CenterNorthridge, CA · CCN 050116	11	$3,844	28% above the national average	$3,062	$34,370

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.