Level 4 Gynecologic Procedures
What 2,400 hospitals in the U.S. charged and were paid for level 4 gynecologic procedures (APC 5414), from 2024 Medicare claims.
Average charge
$21,077
Hospital list price billed
Average allowed
$3,013
Medicare's payment + patient's share
Medicare paid
$2,389
Average per service
Volume
35,915
Medicare services
Hospitals in the U.S. billed an average of $21,077 for level 4 gynecologic procedures, about 7.0 times the average medicare-allowed amount of $3,013.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Lowest and highest allowed amounts
Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Rutland Regional Medical CenterRutland, VT | $1,109 |
|---|---|
| Metrohealth SystemCleveland, OH | $1,369 |
| Marietta Memorial HospitalMarietta, OH | $1,395 |
| Fletcher Allen Hospital of VermontBurlington, VT | $1,552 |
| Southwestern Vermont Medical CenterBennington, VT | $2,008 |
| St Mary Mercy HospitalLivonia, MI | $2,093 |
| Henry Ford HospitalDetroit, MI | $2,146 |
| Wellstar Cobb HospitalAustell, GA | $2,229 |
| Forrest General HospitalHattiesburg, MS | $2,359 |
| Spectrum Health - Butterworth CampusGrand Rapids, MI | $2,390 |
Highest
| Peninsula Medical CenterBurlingame, CA | $4,469 |
|---|---|
| California Pacific Medical Ctr - St. Luke's CampusSan Francisco, CA | $4,469 |
| Stanford HospitalPalo Alto, CA | $4,402 |
| Community Hospital of the Monterey PeninsulaMonterey, CA | $4,402 |
| Stanford Health Care Tri-ValleyPleasanton, CA | $4,402 |
| El Camino HospitalMountain View, CA | $4,402 |
| UCSF Medical CenterSan Francisco, CA | $4,402 |
| Sutter General HospitalSacramento, CA | $4,379 |
| Marinhealth Medical CenterGreenbrae, CA | $4,366 |
| San Francisco General HospitalSan Francisco, CA | $4,362 |
Level 4 Gynecologic Procedures cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 45 | $28,076 | $2,560 | $2,364 – $2,766 |
| Alaska | 6 | $18,669 | $3,334 | $3,092 – $3,456 |
| Arizona | 41 | $23,822 | $3,020 | $2,630 – $3,265 |
| Arkansas | 32 | $14,303 | $2,663 | $2,392 – $2,872 |
| California | 224 | $30,120 | $3,978 | $3,608 – $4,469 |
| Colorado | 42 | $28,460 | $2,993 | $2,807 – $3,188 |
| Connecticut | 25 | $15,135 | $3,410 | $2,820 – $3,522 |
| Delaware | 6 | $12,541 | $3,109 | $3,076 – $3,145 |
| Florida | 134 | $32,931 | $2,794 | $2,485 – $2,971 |
| Georgia | 78 | $24,960 | $2,750 | $2,229 – $2,902 |
| Hawaii | 12 | $13,113 | $3,505 | $3,396 – $3,851 |
| Idaho | 13 | $10,998 | $2,866 | $2,738 – $3,026 |
| Illinois | 98 | $21,365 | $2,917 | $2,612 – $3,095 |
| Indiana | 68 | $22,697 | $2,800 | $2,509 – $2,985 |
| Iowa | 28 | $15,097 | $2,727 | $2,573 – $3,030 |
| Kansas | 31 | $21,465 | $2,700 | $2,527 – $2,924 |
| Kentucky | 46 | $17,353 | $2,647 | $2,532 – $2,893 |
| Louisiana | 50 | $27,298 | $2,560 | $2,100 – $2,707 |
| Maine | 15 | $14,476 | $2,882 | $2,646 – $3,070 |
| Massachusetts | 51 | $10,522 | $3,335 | $3,114 – $3,446 |
| Michigan | 78 | $16,821 | $2,711 | $2,093 – $2,948 |
| Minnesota | 45 | $12,346 | $3,044 | $2,906 – $3,205 |
| Mississippi | 34 | $15,099 | $2,559 | $2,359 – $2,700 |
| Missouri | 53 | $16,380 | $2,732 | $2,480 – $3,063 |
| Montana | 10 | $11,176 | $2,953 | $2,704 – $3,139 |
| Nebraska | 20 | $15,302 | $2,786 | $2,694 – $2,885 |
| Nevada | 17 | $41,789 | $3,319 | $3,261 – $3,357 |
| New Hampshire | 13 | $16,647 | $2,891 | $2,645 – $3,194 |
| New Jersey | 53 | $21,134 | $3,290 | $2,639 – $3,558 |
| New Mexico | 18 | $21,954 | $2,736 | $2,563 – $2,956 |
| New York | 113 | $20,193 | $3,433 | $3,016 – $3,559 |
| North Carolina | 74 | $17,841 | $2,760 | $2,411 – $3,080 |
| North Dakota | 6 | $10,970 | $2,995 | $2,931 – $3,139 |
| Ohio | 104 | $17,010 | $2,609 | $1,369 – $2,849 |
| Oklahoma | 43 | $21,547 | $2,652 | $2,375 – $2,885 |
| Oregon | 30 | $15,572 | $3,348 | $2,997 – $4,066 |
| Pennsylvania | 111 | $21,921 | $2,894 | $2,502 – $3,295 |
| Rhode Island | 8 | $8,108 | $3,079 | $3,072 – $3,101 |
| South Carolina | 41 | $24,232 | $2,684 | $2,398 – $2,932 |
| South Dakota | 13 | $14,940 | $2,947 | $2,874 – $3,139 |
| Tennessee | 57 | $16,824 | $2,585 | $2,431 – $2,868 |
| Texas | 189 | $28,303 | $2,779 | $2,497 – $2,935 |
| Utah | 28 | $13,476 | $2,787 | $2,715 – $3,000 |
| Vermont | 6 | $9,722 | $1,562 | $1,109 – $2,008 |
| Virginia | 58 | $25,062 | $2,785 | $2,570 – $3,074 |
| Washington | 43 | $17,410 | $3,191 | $2,968 – $3,476 |
| West Virginia | 20 | $16,005 | $2,592 | $2,435 – $2,861 |
| Wisconsin | 56 | $16,892 | $2,861 | $2,607 – $3,041 |
| Wyoming | 9 | – | – | – – – |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| NYU Hospitals CenterNew York, NY | 350 | $37,643 | $3,489 |
| New York-Presbyterian HospitalNew York, NY | 285 | $24,683 | $3,502 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 225 | $13,729 | $3,154 |
| Evanston HospitalEvanston, IL | 177 | $13,900 | $2,838 |
| Eisenhower Memorial HospitalRancho Mirage, CA | 172 | $15,700 | $3,844 |
| North Shore University HospitalManhasset, NY | 158 | $21,429 | $3,342 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | 156 | $20,519 | $3,418 |
| Christiana Care Health Services, INC.Newark, DE | 151 | $11,549 | $3,105 |
| Sarasota Memorial HospitalSarasota, FL | 145 | $29,952 | $2,832 |
| Mem Sloan-Kettering Cancer CtrNew York, NY | 145 | $18,765 | $3,558 |
| Cleveland Clinic - Main CampusCleveland, OH | 141 | $11,895 | $2,624 |
| Adventhealth OrlandoOrlando, FL | 132 | $32,559 | $2,832 |
| Inova Fairfax HospitalFalls Church, VA | 132 | $12,951 | $2,861 |
| University HospitalStony Brook, NY | 131 | $19,316 | $3,471 |
| Massachusetts General HospitalBoston, MA | 115 | $19,687 | $3,334 |
Questions
How much does level 4 gynecologic procedures cost in the U.S.?
In 2024 Medicare data, level 4 gynecologic procedures (APC 5414) at 2,400 hospitals in the U.S. was billed at $21,077 on average, while the average medicare-allowed amount was $3,013, of which Medicare paid $2,389. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 4 gynecologic procedures?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($3,978), Hawaii ($3,505), New York ($3,433) and lowest in Vermont ($1,562), Mississippi ($2,559), Louisiana ($2,560).
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in the U.S., average charges were 7.0 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.