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Outpatient procedure · APC 5416 · Surgery or procedure

Level 6 Gynecologic Procedures

In 2024, Medicare and patients paid an average of $7,292 per procedure at 255 hospitals. Half of hospitals averaged between $6,602 and $7,765.

Also known as: Gynecologic surgery, hysteroscopy

National figures, 2024

Average payment per case
$7,292
Typical range (middle half of hospitals)
$6,602–$7,765
Medicare’s share
$5,83680% of the payment
Average billed charge
$49,175
Hospitals reporting
2555,966 procedures

Hospitals in Maine

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
Maine
Specific hospitals up to 10
Average payment (1 hospital)
$7,100National $7,292 · Maine $7,100
Too few hospitals to compare
An average across fewer than 3 hospitals says little about the area. Widen the distance or pick more hospitals.
Medicare procedures
13

1 hospital reported at least 11 Medicare procedures for this in 2024. Download as CSV

Medicare payments per case for Level 6 Gynecologic Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Mainehealth Maine Medical CenterPortland, ME · CCN 20000913$7,100About average$5,657$34,356

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

  • Average payment
  • Average billed charge
2020: 4,319 procedures at 202 hospitals · 2021: 4,708 procedures at 207 hospitals · 2022: 5,526 procedures at 243 hospitals · 2023: 5,596 procedures at 244 hospitals · 2024: 5,966 procedures at 255 hospitals
View data as a table
National average payment and billed charge for Level 6 Gynecologic Procedures
Year of careAverage paymentAverage billed charge
2020$6,715$41K
2021$6,842$42K
2022$6,928$44K
2023$6,931$48K
2024$7,292$49K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 44 states
Average payment by state for Level 6 Gynecologic Procedures, 2024
StateHospitalsCasesAverage paymentTypical range
Ohio13260$6,138$5,917–$6,615
Alabama6126$6,309$6,278–$6,308
Tennessee10212$6,379$6,235–$6,510
Louisiana111$6,389$6,389–$6,389
Kentucky244$6,402$6,251–$6,417
Kansas4111$6,426$6,357–$6,494
Oklahoma346$6,466$6,464–$6,511
Arkansas3101$6,508$6,477–$6,533
South Carolina9174$6,509$6,472–$6,518
Iowa4108$6,512$6,323–$6,534
Missouri7195$6,631$6,599–$6,665
Michigan476$6,648$6,562–$6,686
Utah253$6,667$6,647–$6,728
Texas16424$6,671$6,646–$6,800
Virginia10228$6,701$6,510–$6,919
Montana162$6,742$6,742–$6,742
Mississippi115$6,776$6,776–$6,776
North Carolina5150$6,786$6,790–$6,888
Georgia8176$6,787$6,729–$7,013
West Virginia227$6,794$6,605–$7,014
Florida17394$6,803$6,845–$6,845
Nebraska134$6,809$6,809–$6,809
South Dakota281$6,925$6,899–$6,931
Wisconsin6125$6,940$6,772–$7,011
Indiana348$7,022$6,843–$7,038
Illinois9175$7,083$7,082–$7,175
Maine113$7,100$7,100–$7,100
Pennsylvania14306$7,146$6,903–$7,350
Colorado116$7,194$7,194–$7,194
Arizona8262$7,324$7,352–$7,369
Minnesota3100$7,516$7,390–$7,765
Delaware170$7,582$7,582–$7,582
Washington7162$7,621$7,576–$7,651
District of Columbia257$7,623$7,402–$7,622
Rhode Island145$7,669$7,669–$7,669
New Hampshire130$7,720$7,720–$7,720
New Jersey14288$8,002$7,911–$8,015
Massachusetts6128$8,014$8,115–$8,115
Nevada343$8,093$8,093–$8,093
Hawaii225$8,124$8,081–$8,150
Oregon460$8,230$7,774–$8,239
New York9223$8,393$8,012–$8,513
Connecticut5112$8,424$8,428–$8,510
California24570$9,707$9,285–$10,415

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.