facebook tracking Level 4 Gynecologic Procedures cost in Iowa: 28 hospitals compared (APC 5414)

Level 4 Gynecologic Procedures in Iowa

What 28 hospitals in Iowa charged and were paid for level 4 gynecologic procedures (APC 5414), from 2024 Medicare claims.

APC 5414 Outpatient 2024 Medicare data
Average charge $15,097 Hospital list price billed
Average allowed $2,727 Medicare's payment + patient's share
Medicare paid $2,168 Average per service
State rank #14 of 48 1 = lowest average payment

Hospitals in Iowa billed an average of $15,097 for level 4 gynecologic procedures, about 5.5 times the average medicare-allowed amount of $2,727. That payment is 9% below 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.

Paid $2,727Billed $15,097

About 18¢ was paid for every $1 hospitals in Iowa billed for this service.

Iowa hospitals: level 4 gynecologic procedures

Every Iowa hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
University of Iowa Hospital & ClinicsIowa City 105 $16,230 $2,719 $2,157
Iowa Methodist Medical CenterDes Moines 51 $15,569 $2,685 $2,139
Genesis Medical Center-DavenportDavenport 48 $9,306 $2,696 $2,147
Mary Greeley Medical CenterAmes 38 $10,620 $2,685 $2,139
Mercy Medical Center-North IowaMason City 27 $28,101 $3,030 $2,412
St Lukes HospitalCedar Rapids 26 $15,497 $2,696 $2,141
Mercy Medical Center-DubuqueDubuque 24 $14,841 $2,851 $2,271
Mercy Medical Center - Cedar RapidsCedar Rapids 23 $15,986 $2,696 $2,148
Spencer Municipal HospitalSpencer 21 $8,691 $2,573 $2,029
Mercy Medical Center-Des MoinesDes Moines 18 $17,131 $2,674 $2,131
Southeast Iowa Regional Medical CenterWest Burlington 17 $7,963 $2,887 $2,301
Mercyone Waterloo Medical CenterWaterloo 17 $32,435 $2,674 $2,131
Allen Memorial HospitalWaterloo 17 $10,527 $2,674 $2,131
Jennie Edmundson HospitalCouncil Bluffs 15 $10,528 $2,710 $2,138
St Anthony Regional Hospital & Nursing HomeCarroll – – – –
Trinity Regional Medical CenterFort Dodge – – – –
Alegent Health Mercy HospitalCouncil Bluffs – – – –
Mercy HospitalIowa City – – – –
Mercyone Newton Medical CenterNewton – – – –
Mercy Medical Center-ClintonClinton – – – –
Ottumwa Regional Health CenterOttumwa – – – –
Broadlawns Medical CenterDes Moines – – – –
Trinity Medical CenterDavenport – – – –
The Finley HospitalDubuque – – – –
Lakes Regional HealthcareSpirit Lake – – – –
St Lukes Regional Medical CenterSioux City – – – –
Grinnell Regional Medical CenterGrinnell – – – –
Mercyone Siouxland Medical CenterSioux City – – – –
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Lowest and highest allowed amounts in Iowa

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Highest

Mercy Medical Center-North IowaMason City, IA$3,030
Southeast Iowa Regional Medical CenterWest Burlington, IA$2,887
Mercy Medical Center-DubuqueDubuque, IA$2,851
University of Iowa Hospital & ClinicsIowa City, IA$2,719
Jennie Edmundson HospitalCouncil Bluffs, IA$2,710

Level 4 Gynecologic Procedures in other states

Questions

How much does level 4 gynecologic procedures cost in Iowa?

In 2024 Medicare data, level 4 gynecologic procedures (APC 5414) at 28 hospitals in Iowa was billed at $15,097 on average, while the average medicare-allowed amount was $2,727, of which Medicare paid $2,168. Your own cost depends on your insurance, deductible and the hospital.

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 Iowa, average charges were 5.5 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.