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 1,101–1,150. 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
PIH Health Hospital-WhittierWhittier, CA · CCN 050169	15	$3,844	28% above the national average	$3,062	$24,839
Pomona Valley Hospital Medical CenterPomona, CA · CCN 050231	14	$3,844	28% above the national average	$3,062	$33,408
Providence St Joseph HospitalEureka, CA · CCN 050006	23	$3,844	28% above the national average	$3,062	$35,555
San Antonio Regional HospitalUpland, CA · CCN 050099	12	$3,844	28% above the national average	$3,062	$32,923
Sharp Chula Vista Medical CenterChula Vista, CA · CCN 050222	14	$3,844	28% above the national average	$3,062	$26,917
Loma Linda University Medical CenterLoma Linda, CA · CCN 050327	34	$3,844	28% above the national average	$3,061	$42,304
Hoag Memorial Hospital PresbyterianNewport Beach, CA · CCN 050224	68	$3,844	28% above the national average	$3,060	$17,237
Keck Hospital Of USCLos Angeles, CA · CCN 050696	38	$3,844	28% above the national average	$3,060	$20,066
Los Angeles General Medical CenterLos Angeles, CA · CCN 050373	15	$3,844	28% above the national average	$3,059	$28,180
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025	57	$3,844	28% above the national average	$3,059	$25,023
French Hospital Medical CenterSan Luis Obispo, CA · CCN 050232	16	$3,844	28% above the national average	$3,059	$26,624
Mercy Medical Center ReddingRedding, CA · CCN 050280	29	$3,844	28% above the national average	$3,058	$20,234
Glendale Adventist Medical CenterGlendale, CA · CCN 050239	28	$3,844	28% above the national average	$3,058	$37,876
Scripps Memorial Hospital - EncinitasEncinitas, CA · CCN 050503	25	$3,844	28% above the national average	$3,058	$36,914
Providence Cedars Sinai Tarzana Medical CenterTarzana, CA · CCN 050761	25	$3,844	28% above the national average	$3,058	$25,874
Community Memorial Hospital - VenturaVentura, CA · CCN 050394	49	$3,844	28% above the national average	$3,057	$17,319
Sharp Memorial HospitalSan Diego, CA · CCN 050100	67	$3,844	28% above the national average	$3,056	$36,613
Bakersfield Memorial HospitalBakersfield, CA · CCN 050036	13	$3,844	28% above the national average	$3,055	$24,543
MemorialCare Long Beach Medical CenterLong Beach, CA · CCN 050485	18	$3,844	28% above the national average	$3,055	$30,743
Hollywood Presbyterian Medical CenterLos Angeles, CA · CCN 050063	24	$3,844	28% above the national average	$3,055	$24,817
Providence St. Jude Medical CenterFullerton, CA · CCN 050168	16	$3,844	28% above the national average	$3,052	$21,660
Doctors Medical CenterModesto, CA · CCN 050464	11	$3,844	28% above the national average	$3,050	$44,757
Marian Regional Medical CenterSanta Maria, CA · CCN 050107	24	$3,844	28% above the national average	$3,048	$23,832
Uci Health - Los AlamitosLos Alamitos, CA · CCN 050551	12	$3,844	28% above the national average	$3,047	$58,834
Scripps Mercy HospitalSan Diego, CA · CCN 050077	14	$3,844	28% above the national average	$3,041	$36,216
Lac/Olive View-UCLA Medical CenterSylmar, CA · CCN 050040	15	$3,844	28% above the national average	$3,028	$20,804
Hilo Benioff Medical CenterHilo, HI · CCN 120005	12	$3,851	28% above the national average	$3,068	$9,278
Marshall Medical CenterPlacerville, CA · CCN 050254	17	$3,876	29% above the national average	$3,077	$22,741
Sutter Roseville Medical CenterRoseville, CA · CCN 050309	32	$3,894	29% above the national average	$3,071	$20,211
University Of California Davis Medical CenterSacramento, CA · CCN 050599	82	$3,897	29% above the national average	$3,105	$40,850
Adventist Health Lodi MemorialLodi, CA · CCN 050336	14	$3,926	30% above the national average	$3,128	$36,787
Adventist Health Ukiah ValleyUkiah, CA · CCN 050301	20	$3,953	31% above the national average	$3,116	$26,949
Mercy General HospitalSacramento, CA · CCN 050017	31	$3,993	33% above the national average	$3,181	$26,082
Mercy San Juan Medical CenterCarmichael, CA · CCN 050516	11	$3,993	33% above the national average	$3,181	$33,121
Sierra Nevada Memorial HospitalGrass Valley, CA · CCN 050150	11	$3,993	33% above the national average	$3,181	$27,486
Sutter Davis HospitalDavis, CA · CCN 050537	12	$3,993	33% above the national average	$3,181	$24,794
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 050396	50	$4,051	34% above the national average	$3,214	$25,386
Sky Lakes Medical CenterKlamath Falls, OR · CCN 380050	21	$4,066	35% above the national average	$3,230	$12,386
Dominican HospitalSanta Cruz, CA · CCN 050242	18	$4,096	36% above the national average	$3,264	$31,582
Sutter Santa Rosa Regional HospitalSanta Rosa, CA · CCN 050291	39	$4,173	39% above the national average	$3,325	$26,281
Sutter Maternity & Surgery Center Of Santa CruzSanta Cruz, CA · CCN 050714	45	$4,177	39% above the national average	$3,328	$22,133
NorthBay Medical CenterFairfield, CA · CCN 050367 · +$3,962 outlier payments per case	15	$4,259	41% above the national average	$3,345	$143,554
Alta Bates Summit Medical Center - Alta Bates CampBerkeley, CA · CCN 050305	55	$4,282	42% above the national average	$3,396	$25,065
California Pacific Medical Center- Van Ness CampusSan Francisco, CA · CCN 050047	46	$4,314	43% above the national average	$3,406	$24,178
Alta Bates Summit Medical CenterOakland, CA · CCN 050043	23	$4,341	44% above the national average	$3,459	$25,625
Eden Medical CenterCastro Valley, CA · CCN 050488	19	$4,341	44% above the national average	$3,459	$28,417
Contra Costa Regional Medical CenterMartinez, CA · CCN 050276 · +$4,912 outlier payments per case	16	$4,353	44% above the national average	$3,468	$16,192
John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA · CCN 050180	19	$4,353	44% above the national average	$3,464	$61,556
Zuckerberg San Francisco General Hospital & Trauma CenterSan Francisco, CA · CCN 050228	21	$4,362	45% above the national average	$3,476	$35,141
MarinHealth Medical CenterGreenbrae, CA · CCN 050360	68	$4,366	45% above the national average	$3,478	$62,777

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.