Level 4 Gynecologic Procedures in Wisconsin
What 56 hospitals in Wisconsin charged and were paid for level 4 gynecologic procedures (APC 5414), from 2024 Medicare claims.
Average charge
$16,892
Hospital list price billed
Average allowed
$2,861
Medicare's payment + patient's share
Medicare paid
$2,271
Average per service
State rank
#25 of 48
1 = lowest average payment
Hospitals in Wisconsin billed an average of $16,892 for level 4 gynecologic procedures, about 5.9 times the average medicare-allowed amount of $2,861. That payment is 5% 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 $2,861Billed $16,892
About 17¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Wisconsin hospitals: level 4 gynecologic procedures
Every Wisconsin hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Meriter HsptlMadison | 95 | $18,733 | $2,918 | $2,323 |
| Luther Hospital Mayo Health SystemEau Claire | 60 | $10,502 | $2,902 | $2,304 |
| Gundersen Luth Med CtrLa Crosse | 50 | $15,514 | $2,863 | $2,272 |
| Froedtert Mem Lutheran HsptlMilwaukee | 36 | $25,195 | $2,942 | $2,344 |
| Waukesha Memorial HospitalWaukesha | 30 | $15,797 | $2,772 | $2,194 |
| Aurora West Allis Medical CenterWest Allis | 30 | $30,142 | $2,837 | $2,258 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | 29 | $10,446 | $2,945 | $2,347 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 27 | $24,964 | $2,874 | $2,269 |
| Bellin Memorial HsptlGreen Bay | 22 | $13,167 | $2,705 | $2,128 |
| Aurora St Lukes Medical CenterMilwaukee | 22 | $22,005 | $2,921 | $2,323 |
| Aurora Baycare Med CtrGreen Bay | 21 | $18,460 | $2,815 | $2,243 |
| Thedacare Regional Med Ctr - NeenahNeenah | 20 | $9,992 | $2,686 | $2,117 |
| St Vincent HsptlGreen Bay | 18 | $17,888 | $2,815 | $2,243 |
| Aspirus Rhinelander HospitalRhinelander | 17 | $14,694 | $2,908 | $2,317 |
| Marshfield Medical CenterMarshfield | 17 | $9,062 | $2,996 | $2,387 |
| University of Wi Hospitals & Clinics AuthorityMadison | 16 | $14,325 | $2,809 | $2,234 |
| Aurora Lakeland Med CtrElkhorn | 15 | $22,344 | $2,940 | $2,343 |
| Marshfield Medical Center - MinocquaMinocqua | 15 | $9,367 | $2,798 | $2,208 |
| Ascension SE Wisconsin HospitalMilwaukee | 14 | $15,064 | $2,848 | $2,269 |
| Appleton Med CtrAppleton | 14 | $10,598 | $2,657 | $2,084 |
| Oconomowoc Mem HsptlOconomowoc | 13 | $16,648 | $2,848 | $2,255 |
| Mercy Hlth Sys CorpJanesville | 13 | $19,749 | $2,848 | $2,269 |
| Beloit Mem HsptlBeloit | 13 | $16,048 | $3,041 | $2,423 |
| Aspirus Wausau HospitalWausau | 12 | $11,478 | $2,797 | $2,229 |
| St Josephs Com Hsptl West BendWest Bend | 12 | $17,999 | $2,848 | $2,269 |
| Wheaton Franciscan Healthcare- All SaintsRacine | 12 | $19,088 | $2,942 | $2,344 |
| St Elizabeth HsptlAppleton | 11 | $12,760 | $2,818 | $2,245 |
| Froedtert SouthKenosha | 11 | $17,550 | $2,940 | $2,343 |
| Oakleaf Surgical HospitalEau Claire | 11 | $16,555 | $2,607 | $2,018 |
| Aurora Medical CenterSummit | 11 | $20,511 | $2,644 | $2,065 |
| Ministry St Michaels Hospital of Stevens PointStevens Point | – | – | – | – |
| Marshfield Medical Center - Rice LakeRice Lake | – | – | – | – |
| Monroe ClinicMonroe | – | – | – | – |
| Aspirus Riverview Hospital & ClinicsWisconsin Rapids | – | – | – | – |
| Aurora Med Ctr Manitowoc CtyTwo Rivers | – | – | – | – |
| Aurora Sheboygan Mem Med CtrSheboygan | – | – | – | – |
| Aurora Med Center-Washington CountyHartford | – | – | – | – |
| Divine Savior HlthcarePortage | – | – | – | – |
| St Nicholas HospitalSheboygan | – | – | – | – |
| Aurora Memorial Hsptl BurlingtonBurlington | – | – | – | – |
| Fort HealthcareFort Atkinson | – | – | – | – |
| Beaver Dam Com HsptlBeaver Dam | – | – | – | – |
| St Mary's HospitalMadison | – | – | – | – |
| St Agnes HsptlFond du Lac | – | – | – | – |
| Sauk Prairie Mem HsptlPrairie du Sac | – | – | – | – |
| Community Mem HsptlMenomonee Falls | – | – | – | – |
| Holy Family Memorial INCManitowoc | – | – | – | – |
| Mile Bluff Medical Center, INCMauston | – | – | – | – |
| Bay Area Med CtrMarinette | – | – | – | – |
| UW Hlth Partners - Watertown Regional Medical CtrWatertown | – | – | – | – |
| Aurora Med Ctr KenoshaKenosha | – | – | – | – |
| Aurora Med Ctr OshkoshOshkosh | – | – | – | – |
| St Clare's Hospital of Weston INCWeston | – | – | – | – |
| Aurora Medical CenterGrafton | – | – | – | – |
| SSM Health St Mary's Hospital - JanesvilleJanesville | – | – | – | – |
| Marshfield Medical Center - Eau ClaireEau Claire | – | – | – | – |
Lowest and highest allowed amounts in Wisconsin
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
| Oakleaf Surgical HospitalEau Claire, WI | $2,607 |
|---|---|
| Aurora Medical CenterSummit, WI | $2,644 |
| Appleton Med CtrAppleton, WI | $2,657 |
| Thedacare Regional Med Ctr - NeenahNeenah, WI | $2,686 |
| Bellin Memorial HsptlGreen Bay, WI | $2,705 |
Highest
| Beloit Mem HsptlBeloit, WI | $3,041 |
|---|---|
| Marshfield Medical CenterMarshfield, WI | $2,996 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse, WI | $2,945 |
| Wheaton Franciscan Healthcare- All SaintsRacine, WI | $2,942 |
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $2,942 |
Level 4 Gynecologic Procedures in other states
Questions
How much does level 4 gynecologic procedures cost in Wisconsin?
In 2024 Medicare data, level 4 gynecologic procedures (APC 5414) at 56 hospitals in Wisconsin was billed at $16,892 on average, while the average medicare-allowed amount was $2,861, of which Medicare paid $2,271. 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 Wisconsin, average charges were 5.9 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.