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 301–350. 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
Tallahassee Memorial HealthcareTallahassee, FL · CCN 100135	19	$2,713	About average	$2,138	$25,284
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 450054	49	$2,714	About average	$2,134	$14,841
St Mark's HospitalSalt Lake City, UT · CCN 460047	26	$2,715	About average	$2,139	$24,023
Bon Secours St Francis Medical CenterMidlothian, VA · CCN 490136	29	$2,716	About average	$2,164	$22,690
Blount Memorial HospitalMaryville, TN · CCN 440011	13	$2,716	About average	$2,162	$17,312
Atrium Medical CenterFranklin, OH · CCN 360076	11	$2,716	About average	$2,164	$18,092
Presbyterian HospitalAlbuquerque, NM · CCN 320021	33	$2,717	About average	$2,160	$13,424
Sentara Martha Jefferson HospitalCharlottesville, VA · CCN 490077	24	$2,718	About average	$2,160	$12,053
Bethesda Hospital EastBoynton Beach, FL · CCN 100002	16	$2,718	About average	$2,139	$28,552
University Of Iowa Hospital & ClinicsIowa City, IA · CCN 160058	105	$2,719	About average	$2,157	$16,230
The Jewish Hospital-Mercy HealthCincinnati, OH · CCN 360016	11	$2,719	About average	$2,166	$24,166
Bethesda NorthCincinnati, OH · CCN 360179	50	$2,719	About average	$2,166	$13,621
Good Samaritan HospitalCincinnati, OH · CCN 360134	31	$2,719	About average	$2,164	$13,830
Mercy Health - West HospitalCincinnati, OH · CCN 360234	13	$2,719	About average	$2,159	$24,022
St Elizabeth Ft ThomasFort Thomas, KY · CCN 180001	23	$2,719	About average	$2,158	$10,292
Fauquier HospitalWarrenton, VA · CCN 490023	11	$2,719	About average	$2,123	$21,903
Bon Secours Southside Medical CenterPetersburg, VA · CCN 490067	13	$2,720	About average	$2,167	$42,750
Sentara Princess Anne HospitalVirginia Beach, VA · CCN 490119	25	$2,720	About average	$2,167	$22,344
Sentara Virginia Beach General HospitalVirginia Beach, VA · CCN 490057	31	$2,720	About average	$2,167	$18,507
Chesapeake General HospitalChesapeake, VA · CCN 490120	36	$2,720	About average	$2,157	$16,136
AdventHealth HendersonvilleHendersonville, NC · CCN 340023	28	$2,721	About average	$2,168	$15,692
Blue Ridge Healthcare Hospitals, IncMorganton, NC · CCN 340075	15	$2,721	About average	$2,168	$23,017
Novant Health Brunswick Medical CenterSupply, NC · CCN 340158	14	$2,721	About average	$2,168	$12,084
Mercy Hospital St LouisSaint Louis, MO · CCN 260020	64	$2,722	About average	$2,157	$11,863
Goshen HospitalGoshen, IN · CCN 150026	14	$2,723	About average	$2,136	$19,459
Lovelace Women's HospitalAlbuquerque, NM · CCN 320017	52	$2,725	About average	$2,162	$39,578
Baylor Scott And White All Saints Medical CenterFort Worth, TX · CCN 450137	46	$2,725	About average	$2,143	$22,029
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130	66	$2,727	About average	$2,154	$19,623
Memorial Hospital Of South BendSouth Bend, IN · CCN 150058	24	$2,728	About average	$2,154	$13,937
Oaklawn HospitalMarshall, MI · CCN 230217	15	$2,728	About average	$2,159	$15,108
Robert Packer HospitalSayre, PA · CCN 390079	16	$2,729	About average	$2,145	$13,248
HCA Florida Blake HospitalBradenton, FL · CCN 100213	22	$2,729	About average	$2,154	$52,388
Milton S Hershey Medical CenterHershey, PA · CCN 390256	33	$2,730	About average	$2,129	$27,767
Liberty HospitalLiberty, MO · CCN 260177	21	$2,730	About average	$2,175	$14,898
Nkc HealthNorth Kansas City, MO · CCN 260096	20	$2,730	About average	$2,175	$17,027
Lee's Summit Medical CenterLees Summit, MO · CCN 260190	12	$2,730	About average	$2,174	$29,607
AdventHealth Shawnee MissionShawnee Mission, KS · CCN 170104	46	$2,730	About average	$2,174	$36,806
University Of Kansas Health System - St Francis CampusTopeka, KS · CCN 170016	14	$2,730	About average	$2,174	$19,741
Stormont Vail HospitalTopeka, KS · CCN 170086	48	$2,730	About average	$2,171	$13,324
Overland Park Regional Medical CenterOverland Park, KS · CCN 170176	13	$2,731	About average	$2,161	$40,361
Atrium Health PinevilleCharlotte, NC · CCN 340098	29	$2,732	About average	$2,161	$29,696
Missouri Baptist Medical CenterSaint Louis, MO · CCN 260108	77	$2,733	About average	$2,177	$12,003
SSM Health DePaul Hospital St LouisBridgeton, MO · CCN 260104	16	$2,733	About average	$2,176	$12,393
Piedmont Athens Regional Medical CenterAthens, GA · CCN 110074	29	$2,733	About average	$2,160	$32,703
Riverside Methodist HospitalColumbus, OH · CCN 360006	72	$2,734	About average	$2,164	$27,061
Baptist Health PaducahPaducah, KY · CCN 180104	25	$2,735	About average	$2,154	$22,426
Cleveland Clinic HospitalWeston, FL · CCN 100289	38	$2,735	About average	$2,167	$17,009
Penn State Health St. JosephReading, PA · CCN 390096	20	$2,737	About average	$2,158	$25,937
Bronson Battle Creek HospitalBattle Creek, MI · CCN 230075	14	$2,737	About average	$2,181	$7,772
Mymichigan Medical Center AlmaAlma, MI · CCN 230030	12	$2,737	About average	$2,181	$10,802

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.