Level 5 Gynecologic Procedures in Missouri
What 43 hospitals in Missouri charged and were paid for level 5 gynecologic procedures (APC 5415), from 2024 Medicare claims.
Average charge
$34,486
Hospital list price billed
Average allowed
$4,331
Medicare's payment + patient's share
Medicare paid
$3,438
Average per service
State rank
#13 of 48
1 = lowest average payment
Hospitals in Missouri billed an average of $34,486 for level 5 gynecologic procedures, about 8.0 times the average medicare-allowed amount of $4,331. That payment is 9% below the U.S. average 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.
Paid $4,331Billed $34,486
About 13¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 5 gynecologic procedures
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| St John's Mercy Medical CenterSt Louis | 62 | $19,360 | $4,313 | $3,413 |
| Barnes Jewish HospitalSt Louis | 51 | $44,443 | $4,427 | $3,527 |
| University Hospitals & ClinicsColumbia | 47 | $28,616 | $4,158 | $3,299 |
| SSM St Mary's Health CenterSt Louis | 31 | $25,680 | $4,348 | $3,464 |
| Nkc HealthNorth Kansas City | 28 | $27,260 | $4,344 | $3,461 |
| Missouri Baptist Medical CenterTown and Country | 22 | $26,298 | $4,348 | $3,455 |
| Research Medical CenterKansas City | 20 | $101,132 | $4,344 | $3,461 |
| Mercy Hospital SpringfieldSpringfield | 18 | $20,538 | $3,812 | $2,962 |
| St Francis Medical CenterCape Girardeau | 17 | $23,332 | $4,551 | $3,626 |
| Lester E Cox Medical CentersSpringfield | 16 | $25,791 | $4,183 | $3,319 |
| Hannibal Regional HospitalHannibal | 15 | $43,814 | $4,741 | $3,777 |
| St Lukes Hospital of Kansas CityKansas City | 13 | $38,876 | $4,078 | $3,195 |
| Mosaic Life Care at St JosephSt Joseph | 12 | $16,740 | $4,679 | $3,728 |
| SSM St Joseph Hosp of KirkwoodSt Louis | 12 | $21,270 | $4,348 | $3,464 |
| Poplar Bluff Regional Medical CenterPoplar Bluff | 12 | $103,487 | $4,480 | $3,537 |
| Ozarks Medical CenterWest Plains | 11 | $24,856 | $4,479 | $3,569 |
| Lee's Summit HospitalLee's Summit | 11 | $40,001 | $4,344 | $3,461 |
| Mercy Hospital JoplinJoplin | – | – | – | – |
| Bothwell Regional Health CenterSedalia | – | – | – | – |
| St Marys Health CenterJefferson City | – | – | – | – |
| Northeast Regional Medical CenterKirksville | – | – | – | – |
| Texas County Memorial HospitalHouston | – | – | – | – |
| Truman Medical Center Hospital HillKansas City | – | – | – | – |
| St Johns Mercy HospitalWashington | – | – | – | – |
| Boone Hospital CenterColumbia | – | – | – | – |
| Pemiscot Memorial HospitalHayti | – | – | – | – |
| Moberly Regional Medical CenterMoberly | – | – | – | – |
| Mercy Hospital SouthSt Louis | – | – | – | – |
| Centerpoint Medical CenterIndependence | – | – | – | – |
| Western Missouri Medical CenterWarrensburg | – | – | – | – |
| Truman Medical Center LakewoodKansas City | – | – | – | – |
| SSM Depaul Health CenterBridgeton | – | – | – | – |
| Freeman Health System - Freeman WestJoplin | – | – | – | – |
| Barnes-Jewish West County HospitalSt Louis | – | – | – | – |
| St Luke's Des Peres HospitalSaint Louis | – | – | – | – |
| Liberty HospitalLiberty | – | – | – | – |
| St Lukes HospitalChesterfield | – | – | – | – |
| Lake Regional Health SystemOsage Beach | – | – | – | – |
| Barnes-Jewish St Peters HospitalSt Peters | – | – | – | – |
| Citizens Memorial HospitalBolivar | – | – | – | – |
| SSM St Joseph Hospital WestLake St Louis | – | – | – | – |
| Saint Luke's East Lee's Summit HospitalLee's Summit | – | – | – | – |
| Progress West Healthcare CenterO'fallon | – | – | – | – |
Lowest and highest allowed amounts in Missouri
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
| Mercy Hospital SpringfieldSpringfield, MO | $3,812 |
|---|---|
| St Lukes Hospital of Kansas CityKansas City, MO | $4,078 |
| University Hospitals & ClinicsColumbia, MO | $4,158 |
| Lester E Cox Medical CentersSpringfield, MO | $4,183 |
| St John's Mercy Medical CenterSt Louis, MO | $4,313 |
Highest
| Hannibal Regional HospitalHannibal, MO | $4,741 |
|---|---|
| Mosaic Life Care at St JosephSt Joseph, MO | $4,679 |
| St Francis Medical CenterCape Girardeau, MO | $4,551 |
| Poplar Bluff Regional Medical CenterPoplar Bluff, MO | $4,480 |
| Ozarks Medical CenterWest Plains, MO | $4,479 |
Level 5 Gynecologic Procedures in other states
Questions
How much does level 5 gynecologic procedures cost in Missouri?
In 2024 Medicare data, level 5 gynecologic procedures (APC 5415) at 43 hospitals in Missouri was billed at $34,486 on average, while the average medicare-allowed amount was $4,331, of which Medicare paid $3,438. 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 Missouri, average charges were 8.0 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.