Level 5 Gynecologic Procedures in Wisconsin
What 44 hospitals in Wisconsin charged and were paid for level 5 gynecologic procedures (APC 5415), from 2024 Medicare claims.
Average charge
$25,637
Hospital list price billed
Average allowed
$4,608
Medicare's payment + patient's share
Medicare paid
$3,671
Average per service
State rank
#28 of 48
1 = lowest average payment
Hospitals in Wisconsin billed an average of $25,637 for level 5 gynecologic procedures, about 5.6 times the average medicare-allowed amount of $4,608. That payment is 4% 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 $4,608Billed $25,637
About 18¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Wisconsin hospitals: level 5 gynecologic procedures
Every Wisconsin hospital that billed Medicare for this service at least 11 times. Click a column to sort.
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
| St Clare's Hospital of Weston INCWeston, WI | $4,451 |
|---|---|
| Gundersen Luth Med CtrLa Crosse, WI | $4,470 |
| Aurora Baycare Med CtrGreen Bay, WI | $4,478 |
| Aurora West Allis Medical CenterWest Allis, WI | $4,511 |
| Community Mem HsptlMenomonee Falls, WI | $4,531 |
Highest
| Marshfield Medical CenterMarshfield, WI | $4,767 |
|---|---|
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $4,680 |
| Meriter HsptlMadison, WI | $4,643 |
| St Mary's HospitalMadison, WI | $4,643 |
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $4,643 |
Level 5 Gynecologic Procedures in other states
Questions
How much does level 5 gynecologic procedures cost in Wisconsin?
In 2024 Medicare data, level 5 gynecologic procedures (APC 5415) at 44 hospitals in Wisconsin was billed at $25,637 on average, while the average medicare-allowed amount was $4,608, of which Medicare paid $3,671. 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 5.6 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.