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 101–150. 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
Ochsner Lafayette General Medical CenterLafayette, LA · CCN 190002	12	$2,599	14% below the national average	$2,071	$14,470
Grandview Medical CenterBirmingham, AL · CCN 010104	27	$2,601	14% below the national average	$2,072	$80,648
Baptist Health Medical Center-Little RockLittle Rock, AR · CCN 040114	50	$2,602	14% below the national average	$2,055	$16,690
Mary Immaculate HospitalNewport News, VA · CCN 490041	24	$2,602	14% below the national average	$2,055	$20,985
King's Daughters' Medical CenterAshland, KY · CCN 180009	35	$2,602	14% below the national average	$2,061	$15,761
Saint Francis Hospital, IncTulsa, OK · CCN 370091	26	$2,604	14% below the national average	$2,073	$13,722
Corewell Health Trenton HospitalTrenton, MI · CCN 230176	15	$2,604	14% below the national average	$2,033	$22,767
West Chester HospitalWest Chester, OH · CCN 360354	19	$2,605	14% below the national average	$2,052	$22,500
Henry Ford Allegiance HealthJackson, MI · CCN 230092	21	$2,606	14% below the national average	$2,054	$13,757
Dch Regional Medical CenterTuscaloosa, AL · CCN 010092	15	$2,606	14% below the national average	$2,025	$12,620
Pardee Hospital Henderson CountyHendersonville, NC · CCN 340017	19	$2,607	13% below the national average	$2,044	$14,691
Oakleaf Surgical HospitalAltoona, WI · CCN 520196	11	$2,607	13% below the national average	$2,018	$16,555
Grove City Medical CenterGrove City, PA · CCN 390266	12	$2,607	13% below the national average	$2,024	$10,144
Cabell Huntington Hospital, IncHuntington, WV · CCN 510055	38	$2,607	13% below the national average	$2,062	$16,728
University Of Cincinnati Medical Center, LLCCincinnati, OH · CCN 360003	19	$2,609	13% below the national average	$2,064	$22,517
Borgess Medical CenterKalamazoo, MI · CCN 230117	19	$2,609	13% below the national average	$2,056	$14,698
Baptist Health Brookwood HospitalBirmingham, AL · CCN 010139	21	$2,610	13% below the national average	$2,079	$38,495
Lakeland Hospital, St JosephSt Joseph, MI · CCN 230021	19	$2,610	13% below the national average	$2,056	$13,394
Lutheran HospitalCleveland, OH · CCN 360087	18	$2,612	13% below the national average	$2,069	$13,588
University Of Kansas Health System Olathe HospitalOlathe, KS · CCN 170049	14	$2,612	13% below the national average	$2,057	$12,837
Swedish HospitalChicago, IL · CCN 140114	15	$2,612	13% below the national average	$2,081	$12,225
University Of Missouri Health CareColumbia, MO · CCN 260141	46	$2,613	13% below the national average	$2,073	$18,858
Lexington Medical CenterWest Columbia, SC · CCN 420073	74	$2,613	13% below the national average	$2,063	$23,221
Sentara Leigh HospitalNorfolk, VA · CCN 490046	60	$2,613	13% below the national average	$2,057	$18,667
Weirton Medical Center, IncWeirton, WV · CCN 510023	16	$2,616	13% below the national average	$2,084	$17,936
Wheeling Hospital, IncWheeling, WV · CCN 510050	11	$2,616	13% below the national average	$2,084	$13,812
Mississippi Baptist Medical CenterJackson, MS · CCN 250102	44	$2,617	13% below the national average	$2,082	$20,413
St Dominic-Jackson Memorial HospitalJackson, MS · CCN 250048	12	$2,618	13% below the national average	$2,070	$11,165
Baptist Memorial Hospital North MsOxford, MS · CCN 250034	19	$2,618	13% below the national average	$2,086	$13,169
Texas Health Harris Methodist Hospital Southwest FFort Worth, TX · CCN 450779	22	$2,618	13% below the national average	$2,044	$15,956
Tristar Centennial Medical CenterNashville, TN · CCN 440161	42	$2,622	13% below the national average	$2,072	$33,563
Fairview HospitalCleveland, OH · CCN 360077	46	$2,623	13% below the national average	$2,079	$11,779
St David's South Austin Medical CenterAustin, TX · CCN 450713	17	$2,623	13% below the national average	$2,061	$46,991
Murray-Calloway County HospitalMurray, KY · CCN 180027	22	$2,623	13% below the national average	$2,090	$13,305
Cleveland ClinicCleveland, OH · CCN 360180	141	$2,624	13% below the national average	$2,085	$11,895
Baptist HospitalPensacola, FL · CCN 100093	11	$2,627	13% below the national average	$2,051	$45,900
Hillcrest HospitalMayfield Heights, OH · CCN 360230	51	$2,627	13% below the national average	$2,085	$11,465
Baptist Health LouisvilleLouisville, KY · CCN 180130	31	$2,627	13% below the national average	$2,074	$23,551
Norton Hospitals, IncLouisville, KY · CCN 180088	90	$2,628	13% below the national average	$2,080	$15,913
Mercy Hospital SpringfieldSpringfield, MO · CCN 260065	36	$2,629	13% below the national average	$2,094	$17,485
Cox Medical CentersSpringfield, MO · CCN 260040	41	$2,629	13% below the national average	$2,094	$20,802
Freeman Health System - Freeman WestJoplin, MO · CCN 260137	16	$2,629	13% below the national average	$2,090	$19,956
Sovah Health DanvilleDanville, VA · CCN 490075	15	$2,630	13% below the national average	$2,064	$37,566
Banner - University Medical Center Tucson CampusTucson, AZ · CCN 030064	37	$2,630	13% below the national average	$2,083	$12,885
St Lukes Hospital Of Kansas CityKansas City, MO · CCN 260138	22	$2,631	13% below the national average	$2,076	$33,080
Mercy Hospital Oklahoma City, IncOklahoma City, OK · CCN 370013	69	$2,633	13% below the national average	$2,081	$11,457
Willis Knighton Medical CenterShreveport, LA · CCN 190111	47	$2,635	13% below the national average	$2,089	$27,886
Ascension St Vincent FishersFishers, IN · CCN 150181	12	$2,636	13% below the national average	$2,062	$27,084
Crestwood Medical CenterHuntsville, AL · CCN 010131	16	$2,637	12% below the national average	$2,101	$57,248
Arkansas Methodist Medical CenterParagould, AR · CCN 040039	11	$2,637	12% below the national average	$2,101	$11,341

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.