Level 5 Gynecologic Procedures
What 2,039 hospitals in the U.S. charged and were paid for level 5 gynecologic procedures (APC 5415), from 2024 Medicare claims.
Average charge
$34,819
Hospital list price billed
Average allowed
$4,779
Medicare's payment + patient's share
Medicare paid
$3,792
Average per service
Volume
14,585
Medicare services
Hospitals in the U.S. billed an average of $34,819 for level 5 gynecologic procedures, about 7.3 times the average medicare-allowed amount of $4,779.
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
| Fletcher Allen Hospital of VermontBurlington, VT | $3,119 |
|---|---|
| Wellstar Kennestone HospitalMarietta, GA | $3,370 |
| Lewistown HospitalLewistown, PA | $3,566 |
| Vanderbilt University HospitalNashville, TN | $3,763 |
| Brookwood Medical CenterBirmingham, AL | $3,821 |
| Grandview Medical CenterBirmingham, AL | $3,838 |
| Sentara Virginia Beach General HospitalVirginia Beach, VA | $3,874 |
| Huntsville HospitalHuntsville, AL | $3,883 |
| Raleigh General HospitalBeckley, WV | $3,919 |
| Forrest General HospitalHattiesburg, MS | $3,927 |
Highest
| El Camino HospitalMountain View, CA | $7,004 |
|---|---|
| Salinas Valley Memorial HospitalSalinas, CA | $7,004 |
| UCSF Medical CenterSan Francisco, CA | $7,004 |
| Sutter General HospitalSacramento, CA | $6,966 |
| Stanford HospitalPalo Alto, CA | $6,933 |
| John Muir Medical Center - Concord CampusConcord, CA | $6,926 |
| Alta Bates Summit Medical CenterOakland, CA | $6,907 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $6,883 |
| Marinhealth Medical CenterGreenbrae, CA | $6,855 |
| Sutter Roseville Medical CenterRoseville, CA | $6,352 |
Level 5 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 | 34 | $37,189 | $4,021 | $3,793 – $4,367 |
| Alaska | 6 | $22,596 | $5,255 | $5,134 – $5,426 |
| Arizona | 39 | $44,442 | $4,782 | $3,747 – $5,195 |
| Arkansas | 27 | $23,551 | $4,293 | $3,990 – $4,569 |
| California | 185 | $54,479 | $6,340 | $5,770 – $7,004 |
| Colorado | 34 | $35,532 | $4,776 | $4,735 – $5,071 |
| Connecticut | 20 | $24,052 | $5,499 | $5,221 – $5,603 |
| Delaware | 5 | $18,121 | $4,990 | $4,990 – $4,990 |
| Florida | 119 | $51,420 | $4,462 | $4,021 – $4,506 |
| Georgia | 69 | $34,804 | $4,311 | $2,232 – $4,616 |
| Hawaii | 8 | $26,791 | $5,444 | $5,306 – $5,721 |
| Idaho | 13 | $17,977 | $4,576 | $4,476 – $4,794 |
| Illinois | 78 | $34,558 | $4,626 | $4,139 – $4,859 |
| Indiana | 55 | $29,125 | $4,492 | $4,346 – $4,748 |
| Iowa | 26 | $28,043 | $4,332 | $4,255 – $4,668 |
| Kansas | 26 | $34,590 | $4,342 | $4,246 – $4,548 |
| Kentucky | 39 | $26,146 | $4,255 | $4,077 – $4,444 |
| Louisiana | 46 | $36,591 | $3,978 | $2,683 – $4,311 |
| Maine | 14 | $21,593 | $4,552 | $4,334 – $4,607 |
| Massachusetts | 42 | $19,931 | $5,306 | $4,972 – $5,610 |
| Michigan | 68 | $26,616 | $4,417 | $4,066 – $4,690 |
| Minnesota | 40 | $21,104 | $4,952 | $4,719 – $5,124 |
| Mississippi | 28 | $36,602 | $4,113 | $3,927 – $4,460 |
| Missouri | 43 | $34,486 | $4,331 | $3,812 – $4,741 |
| Montana | 8 | $17,262 | $4,639 | $4,359 – $4,995 |
| Nebraska | 14 | $24,723 | $4,434 | $4,286 – $4,482 |
| Nevada | 13 | $46,678 | $5,329 | $5,327 – $5,341 |
| New Hampshire | 10 | $43,220 | $4,915 | $4,769 – $5,081 |
| New Jersey | 48 | $30,596 | $5,221 | $4,561 – $5,660 |
| New Mexico | 16 | $31,222 | $4,402 | $4,402 – $4,402 |
| New York | 94 | $34,129 | $5,472 | $5,026 – $5,660 |
| North Carolina | 63 | $27,181 | $4,375 | $3,947 – $4,642 |
| North Dakota | 6 | $21,031 | $4,663 | $4,663 – $4,664 |
| Ohio | 96 | $30,267 | $4,230 | $3,042 – $4,448 |
| Oklahoma | 38 | $32,763 | $4,199 | $3,964 – $4,590 |
| Oregon | 24 | $26,370 | $5,364 | $4,841 – $5,939 |
| Pennsylvania | 96 | $37,095 | $4,630 | $3,566 – $5,242 |
| Rhode Island | 5 | $12,968 | $5,048 | $5,048 – $5,048 |
| South Carolina | 37 | $38,326 | $4,244 | $4,007 – $4,737 |
| South Dakota | 12 | $20,192 | $4,588 | $4,502 – $4,663 |
| Tennessee | 47 | $29,321 | $4,191 | $3,763 – $4,563 |
| Texas | 164 | $39,834 | $4,445 | $4,202 – $4,669 |
| Utah | 24 | $16,232 | $4,457 | $4,133 – $4,614 |
| Vermont | 4 | $16,531 | $3,119 | $3,119 – $3,119 |
| Virginia | 46 | $43,742 | $4,331 | $3,874 – $4,747 |
| Washington | 37 | $29,533 | $5,073 | $4,900 – $5,386 |
| West Virginia | 16 | $34,930 | $4,130 | $3,840 – $4,567 |
| Wisconsin | 44 | $25,637 | $4,608 | $4,451 – $4,767 |
| Wyoming | 8 | – | – | – – – |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Scottsdale Healthcare-Shea Medical CenterScottsdale, AZ | 118 | $57,564 | $4,819 |
| University of Wi Hospitals & Clinics AuthorityMadison, WI | 114 | $23,052 | $4,643 |
| Massachusetts General HospitalBoston, MA | 97 | $32,191 | $5,298 |
| Lakeside Women's HospitalOklahoma City, OK | 92 | $37,141 | $4,285 |
| Christiana Care Health Services, INC.Newark, DE | 88 | $17,026 | $4,990 |
| University of Virginia Medical CenterCharlottesville, VA | 86 | $23,251 | $4,486 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 85 | $22,523 | $5,124 |
| Adventhealth OrlandoOrlando, FL | 82 | $48,212 | $4,505 |
| Newton-Wellesley HospitalNewton Lower Falls, MA | 82 | $20,598 | $5,342 |
| Duke University Medical CenterDurham, NC | 82 | $20,478 | $4,356 |
| Sanford Usd Medical CenterSioux Falls, SD | 81 | $16,773 | $4,573 |
| Norton Healthcare PavilionLouisville, KY | 80 | $20,439 | $4,277 |
| New York-Presbyterian HospitalNew York, NY | 80 | $35,547 | $5,625 |
| Stanford HospitalPalo Alto, CA | 78 | $119,923 | $6,933 |
| Jersey Shore University Medical CenterNeptune City, NJ | 78 | $24,755 | $5,232 |
Questions
How much does level 5 gynecologic procedures cost in the U.S.?
In 2024 Medicare data, level 5 gynecologic procedures (APC 5415) at 2,039 hospitals in the U.S. was billed at $34,819 on average, while the average medicare-allowed amount was $4,779, of which Medicare paid $3,792. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 5 gynecologic procedures?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($6,340), Connecticut ($5,499), New York ($5,472) and lowest in Vermont ($3,119), Louisiana ($3,978), Alabama ($4,021).
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 7.3 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.