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 401–450. 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
Mercy Hospital WashingtonWashington, MO · CCN 260052	11	$2,782	About average	$2,217	$8,776
Beaumont Hospital, TroyTroy, MI · CCN 230269	81	$2,786	About average	$2,220	$21,046
Huron Valley-Sinai HospitalCommerce Township, MI · CCN 230277	30	$2,786	About average	$2,218	$33,772
The Nebraska Methodist HospitalOmaha, NE · CCN 280040	73	$2,786	About average	$2,213	$15,780
Ascension Providence Rochester HospitalRochester, MI · CCN 230254	12	$2,786	About average	$2,217	$19,796
Trinity Health Oakland HospitalPontiac, MI · CCN 230029	41	$2,787	About average	$2,211	$22,390
Franciscan Health Michigan CityMichigan City, IN · CCN 150015	22	$2,787	About average	$2,220	$21,128
Norton Clark HospitalJeffersonville, IN · CCN 150009	13	$2,787	About average	$2,220	$20,585
Physicians' Medical Center LLCNew Albany, IN · CCN 150172	18	$2,787	About average	$2,220	$11,382
The Women's HospitalNewburgh, IN · CCN 150149	54	$2,787	About average	$2,217	$12,947
Memorial Hospital And Health Care CenterJasper, IN · CCN 150115	26	$2,787	About average	$2,211	$17,120
Indiana University Health Arnett HospitalLafayette, IN · CCN 150173	22	$2,787	About average	$2,221	$17,540
Mymichigan Medical Center MidlandMidland, MI · CCN 230222	26	$2,789	About average	$2,204	$8,712
Baptist Health Medical Center - JacksonvilleJacksonville, FL · CCN 100088	90	$2,791	About average	$2,214	$24,521
Mercy St Vincent Medical CenterToledo, OH · CCN 360112	33	$2,792	About average	$2,224	$31,420
McLaren Greater LansingLansing, MI · CCN 230167	11	$2,792	About average	$2,224	$10,406
ProMedica Monroe Regional HospitalMonroe, MI · CCN 230099	12	$2,792	About average	$2,224	$8,669
Wyandotte Hospital And Medical CenterWyandotte, MI · CCN 230146	27	$2,792	About average	$2,224	$9,310
Beaumont Hospital - DearbornDearborn, MI · CCN 230020	34	$2,792	About average	$2,220	$23,716
Henry Ford Health West Bloomfield HospitalW Bloomfield, MI · CCN 230302	36	$2,792	About average	$2,219	$10,201
Ascension Providence Hospital, Southfield And NoviSouthfield, MI · CCN 230019	62	$2,792	About average	$2,216	$16,664
Sinai-Grace HospitalDetroit, MI · CCN 230024	20	$2,792	About average	$2,215	$33,575
Memorial Hermann Hospital SystemHouston, TX · CCN 450184	34	$2,792	About average	$2,199	$25,036
Forbes HospitalMonroeville, PA · CCN 390267	18	$2,792	About average	$2,225	$12,519
Lehigh Valley Hospital - Dickson CityDickson City, PA · CCN 390338	13	$2,792	About average	$2,225	$12,164
St Clair HospitalPittsburgh, PA · CCN 390228	20	$2,792	About average	$2,225	$11,634
UPMC EastMonroeville, PA · CCN 390328	13	$2,792	About average	$2,225	$32,064
UPMC NorthwestSeneca, PA · CCN 390091	13	$2,792	About average	$2,225	$8,275
UPMC PassavantPittsburgh, PA · CCN 390107	21	$2,792	About average	$2,225	$24,439
UPMC WilliamsportWilliamsport, PA · CCN 390045	17	$2,792	About average	$2,225	$29,216
Wellspan Evangelical Community HospitalLewisburg, PA · CCN 390013	13	$2,792	About average	$2,225	$28,788
Regional Hospital Of ScrantonScranton, PA · CCN 390237	64	$2,792	About average	$2,224	$36,996
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	20	$2,793	About average	$2,218	$46,295
Geisinger-Bloomsburg HospitalBloomsburg, PA · CCN 390003	26	$2,793	About average	$2,218	$16,439
Jefferson HospitalJefferson Hills, PA · CCN 390265	18	$2,793	About average	$2,214	$15,803
Geisinger Medical CenterDanville, PA · CCN 390006	18	$2,793	About average	$2,220	$48,778
UPMC HorizonGreenville, PA · CCN 390178	13	$2,793	About average	$2,202	$25,741
St Josephs HospitalTampa, FL · CCN 100075	53	$2,793	About average	$2,210	$23,654
Atrium Health Navicent The Medical CenterMacon, GA · CCN 110107	40	$2,795	About average	$2,216	$17,916
Dublin Methodist HospitalDublin, OH · CCN 360348	12	$2,796	About average	$2,227	$22,032
Licking Memorial HospitalNewark, OH · CCN 360218	21	$2,796	About average	$2,227	$16,883
Mount Carmel St Ann'sWesterville, OH · CCN 360012	16	$2,796	About average	$2,227	$27,820
Fairfield Medical CenterLancaster, OH · CCN 360072	13	$2,796	About average	$2,227	$22,632
Grant Medical CenterColumbus, OH · CCN 360017	21	$2,796	About average	$2,222	$27,051
Mount Carmel East & WestColumbus, OH · CCN 360035	20	$2,796	About average	$2,221	$27,958
Schuylkill Medical Center - South Jackson StreetPottsville, PA · CCN 390030	18	$2,796	About average	$2,228	$15,798
CHI-St Vincent InfirmaryLittle Rock, AR · CCN 040007	17	$2,797	About average	$2,209	$20,741
Intermountain Health St Vincent Regional HospitalBillings, MT · CCN 270049	17	$2,797	About average	$2,192	$11,929
Gulf Coast Medical Center Lee HealthFort Myers, FL · CCN 100220	65	$2,797	About average	$2,219	$23,060
Aspirus Wausau HospitalWausau, WI · CCN 520030	12	$2,797	About average	$2,229	$11,478

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.