facebook tracking Level 4 Gynecologic Procedures cost in Virginia: 58 hospitals compared (APC 5414)

Level 4 Gynecologic Procedures in Virginia

What 58 hospitals in Virginia charged and were paid for level 4 gynecologic procedures (APC 5414), from 2024 Medicare claims.

APC 5414 Outpatient 2024 Medicare data
Average charge $25,062 Hospital list price billed
Average allowed $2,785 Medicare's payment + patient's share
Medicare paid $2,210 Average per service
State rank #20 of 48 1 = lowest average payment

Hospitals in Virginia billed an average of $25,062 for level 4 gynecologic procedures, about 9.0 times the average medicare-allowed amount of $2,785. That payment is 8% 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 $2,785Billed $25,062

About 11¢ was paid for every $1 hospitals in Virginia billed for this service.

Virginia hospitals: level 4 gynecologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Inova Fairfax HospitalFalls Church 132 $12,951 $2,861 $2,261
University of Virginia Medical CenterCharlottesville 84 $12,453 $2,871 $2,286
Henrico Doctors' HospitalRichmond 82 $79,776 $2,688 $2,136
Sentara Leigh HospitalNorfolk 60 $18,667 $2,613 $2,057
Riverside Regional Medical CenterNewport News 54 $13,640 $2,692 $2,132
Virginia Hospital Center - ArlingtonArlington 52 $17,275 $2,867 $2,276
Cjw Medical CenterRichmond 50 $79,274 $2,649 $2,102
Bon Secours - St Marys Hospital of RichmondRichmond 49 $23,269 $2,871 $2,285
Carilion Medical CenterRoanoke 40 $20,660 $2,570 $2,043
Augusta HealthFishersville 38 $21,029 $3,022 $2,408
Chesapeake General HospitalChesapeake 36 $16,136 $2,720 $2,157
Bon Secours - Memorial Regional MedicalMechanicsville 33 $23,055 $2,801 $2,216
Winchester Medical Center INCWinchester 31 $9,366 $2,916 $2,287
Sentara Virginia Beach General HospitalVirginia Beach 31 $18,507 $2,720 $2,167
Inova Fair Oaks HospitalFairfax 29 $10,480 $2,881 $2,295
Bon Secours - St Francis Medical CenterMidlothian 29 $22,690 $2,716 $2,164
Centra Health - Lynchburg Gen HospitalLynchburg 28 $20,372 $2,882 $2,297
Inova Alexandria HospitalAlexandria 27 $14,201 $2,932 $2,336
Sentara Northern Virginia Medical CenterWoodbridge 26 $17,772 $2,842 $2,246
Sentara Bayside HospitalVirginia Beach 25 $22,344 $2,720 $2,167
Medical College of Virginia HospitalsRichmond 24 $23,734 $2,695 $2,147
Mary Immaculate HospitalNewport News 24 $20,985 $2,602 $2,055
Martha Jefferson HospitalCharlottesville 24 $12,053 $2,718 $2,160
Inova Loudoun HospitalLeesburg 19 $11,790 $2,932 $2,336
Halifax Regional HospitalSouth Boston 16 $22,312 $2,975 $2,370
Reston Hospital CenterReston 16 $29,027 $2,962 $2,349
Danville Regional Medical CenterDanville 15 $37,566 $2,630 $2,064
Carilion New River Vly Med CtrChristiansburg 14 $23,042 $2,691 $2,144
Lewisgale Medical CenterSalem 13 $51,718 $2,692 $2,136
Sentara Williamsburg Regional Medical CenterWilliamsburg 13 $16,738 $2,692 $2,145
Southside Regional Medical CenterPetersburg 13 $42,750 $2,720 $2,167
Sentara Rmh Medical CenterHarrisonburg 12 $14,551 $3,074 $2,450
Prince William HospitalManassas 12 $10,600 $2,956 $2,355
The Fauquier Hospital, INCWarrenton 11 $21,903 $2,719 $2,123
Sentara Obici HospitalSuffolk 11 $19,373 $2,692 $2,145
Carilion Franklin Memorial HospitalRocky Mount 11 $23,081 $2,691 $2,144
Sentara Norfolk General HospitalNorfolk – – – –
Culpeper Regional HospitalCulpeper – – – –
Mary Washington Hospital, INCFredericksburg – – – –
Warren Memorial HospitalFront Royal – – – –
Riverside Shore Memorial HospitalNassawadox – – – –
Johnston Memorial HospitalAbingdon – – – –
Clinch Valley Medical CenterRichlands – – – –
Southside Community Hospital, INCFarmville – – – –
Sentara Careplex HospitalHampton – – – –
Community Memorial Healthcenter, INCSouth Hill – – – –
Montgomery Regional HospitalBlacksburg – – – –
Wythe County Community HospitalWytheville – – – –
Wellmont Lonesome Pine HospitalBig Stone Gap – – – –
Twin County Regional HospitalGalax – – – –
Inova Mount Vernon HospitalAlexandria – – – –
Alleghany Regional HospitalJackson River – – – –
Riverside Walter Reed HospitalGloucester – – – –
Stafford Hospital CenterStafford – – – –
Spotsylvania Regional Medical CenterFredericksburg – – – –
Riverside Doctors' Hospital of WilliamsburgWilliamsburg – – – –
UVA Health Haymarket Medical CenterHaymarket – – – –
Stonesprings Hospital CenterDulles – – – –
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Lowest and highest allowed amounts in Virginia

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

Carilion Medical CenterRoanoke, VA$2,570
Mary Immaculate HospitalNewport News, VA$2,602
Sentara Leigh HospitalNorfolk, VA$2,613
Danville Regional Medical CenterDanville, VA$2,630
Cjw Medical CenterRichmond, VA$2,649

Highest

Sentara Rmh Medical CenterHarrisonburg, VA$3,074
Augusta HealthFishersville, VA$3,022
Halifax Regional HospitalSouth Boston, VA$2,975
Reston Hospital CenterReston, VA$2,962
Prince William HospitalManassas, VA$2,956

Level 4 Gynecologic Procedures in other states

Questions

How much does level 4 gynecologic procedures cost in Virginia?

In 2024 Medicare data, level 4 gynecologic procedures (APC 5414) at 58 hospitals in Virginia was billed at $25,062 on average, while the average medicare-allowed amount was $2,785, of which Medicare paid $2,210. 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 Virginia, average charges were 9.0 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.