What 12 hospitals in Hawaii charged and were paid for level 4 gynecologic procedures (APC 5414), from 2024 Medicare claims.
Hospitals in Hawaii billed an average of $13,113 for level 4 gynecologic procedures, about 3.7 times the average medicare-allowed amount of $3,505. That payment is 16% above the U.S. average 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.
About 27¢ was paid for every $1 hospitals in Hawaii billed for this service.
Every Hawaii hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| The Queens Medical CenterHonolulu | 43 | $13,761 | $3,396 | $2,659 |
| Kapiolani Med Ctr for WomenHonolulu | 37 | $13,604 | $3,518 | $2,786 |
| Hilo Medical CenterHilo | 12 | $9,278 | $3,851 | $3,068 |
| Maui Memorial Medical CenterWailuku | – | – | – | – |
| Castle Medical CenterKailua | – | – | – | – |
| Kuakini Medical CenterHonolulu | – | – | – | – |
| Kaiser Foundation HospitalHonolulu | – | – | – | – |
| Wilcox Memorial HospitalLihue | – | – | – | – |
| Kona Community HospitalKealakekua | – | – | – | – |
| Straub Clinic and HospitalHonolulu | – | – | – | – |
| Pali Momi Medical CenterAiea | – | – | – | – |
| North Hawaii Community HospitalKamuela | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| The Queens Medical CenterHonolulu, HI | $3,396 |
|---|---|
| Kapiolani Med Ctr for WomenHonolulu, HI | $3,518 |
| Hilo Medical CenterHilo, HI | $3,851 |
| Hilo Medical CenterHilo, HI | $3,851 |
|---|---|
| Kapiolani Med Ctr for WomenHonolulu, HI | $3,518 |
| The Queens Medical CenterHonolulu, HI | $3,396 |
In 2024 Medicare data, level 4 gynecologic procedures (APC 5414) at 12 hospitals in Hawaii was billed at $13,113 on average, while the average medicare-allowed amount was $3,505, of which Medicare paid $2,763. Your own cost depends on your insurance, deductible and the hospital.
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 Hawaii, average charges were 3.7 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.