facebook tracking Level 6 Gynecologic Procedures cost: hospital prices by state (APC 5416)

Level 6 Gynecologic Procedures

What 1,192 hospitals in the U.S. charged and were paid for level 6 gynecologic procedures (APC 5416), from 2024 Medicare claims.

APC 5416 Outpatient 2024 Medicare data
Average charge $49,175 Hospital list price billed
Average allowed $7,292 Medicare's payment + patient's share
Medicare paid $5,836 Average per service
Volume 5,966 Medicare services

Hospitals in the U.S. billed an average of $49,175 for level 6 gynecologic procedures, about 6.7 times the average medicare-allowed amount of $7,292.

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.

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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

Cleveland Clinic - Main CampusCleveland, OH$5,808
Iowa Methodist Medical CenterDes Moines, IA$6,020
Vanderbilt University HospitalNashville, TN$6,120
Christ HospitalCincinnati, OH$6,227
KershawhealthCamden, SC$6,235
Baptist Memorial HospitalMemphis, TN$6,243
University of Alabama HospitalBirmingham, AL$6,308
Wesley Medical CenterWichita, KS$6,316
Methodist Healthcare-MemphisMemphis, TN$6,367
Overland Park Regional CenterShawnee Mission, KS$6,371

Highest

El Camino HospitalMountain View, CA$10,630
Stanford HospitalPalo Alto, CA$10,630
Sutter General HospitalSacramento, CA$10,382
Alta Bates Summit Medical CenterOakland, CA$10,041
Sutter Roseville Medical CenterRoseville, CA$9,644
University of California San Diego Medical CenterSan Diego, CA$9,285
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica, CA$9,285
City of Hope Natl Medical CtrDuarte, CA$9,285
Hoag Memorial Hospital PresbyterianNewport Beach, CA$9,285
UCLA Medical CenterLos Angeles, CA$9,285

Level 6 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 22 $49,379 $6,309 $6,265 – $6,425
Alaska 3 – – – – –
Arizona 27 $60,078 $7,324 $7,229 – $7,369
Arkansas 13 $30,116 $6,508 $6,477 – $6,589
California 113 $74,002 $9,707 $8,364 – $10,630
Colorado 19 $54,510 $7,194 $7,194 – $7,194
Connecticut 15 $36,866 $8,424 $8,143 – $8,510
Delaware 2 $20,301 $7,582 $7,582 – $7,582
Florida 77 $76,462 $6,803 $5,853 – $6,845
Georgia 36 $50,815 $6,787 $6,387 – $7,013
Hawaii 7 $31,938 $8,124 $8,047 – $8,184
Idaho 6 – – – – –
Illinois 49 $46,395 $7,083 $6,751 – $7,350
Indiana 31 $43,699 $7,022 $6,825 – $7,214
Iowa 13 $34,560 $6,512 $6,020 – $6,744
Kansas 13 $70,286 $6,426 $6,316 – $6,623
Kentucky 15 $28,265 $6,402 $6,169 – $6,499
Louisiana 22 $18,593 $6,389 $6,389 – $6,389
Maine 4 $34,356 $7,100 $7,100 – $7,100
Massachusetts 30 $25,127 $8,014 $7,734 – $8,115
Michigan 37 $41,700 $6,648 $6,497 – $6,784
Minnesota 27 $29,697 $7,516 $7,034 – $7,784
Mississippi 12 $26,830 $6,776 $6,776 – $6,776
Missouri 29 $41,264 $6,631 $6,430 – $6,725
Montana 6 $16,571 $6,742 $6,742 – $6,742
Nebraska 8 $28,041 $6,809 $6,809 – $6,809
Nevada 9 $85,889 $8,093 $8,093 – $8,093
New Hampshire 6 $72,664 $7,720 $7,720 – $7,720
New Jersey 29 $44,473 $8,002 $7,561 – $8,596
New Mexico 7 – – – – –
New York 56 $48,550 $8,393 $7,431 – $8,596
North Carolina 37 $33,272 $6,786 $6,735 – $6,888
North Dakota 5 – – – – –
Ohio 54 $44,448 $6,138 $3,309 – $6,782
Oklahoma 18 $55,537 $6,466 $6,417 – $6,511
Oregon 14 $34,011 $8,230 $7,518 – $9,170
Pennsylvania 58 $57,806 $7,146 $6,749 – $7,964
Rhode Island 1 $22,974 $7,669 –
South Carolina 22 $52,085 $6,509 $6,235 – $7,196
South Dakota 4 $37,618 $6,925 $6,883 – $6,947
Tennessee 25 $36,420 $6,379 $5,886 – $6,932
Texas 87 $39,526 $6,671 $6,208 – $7,007
Utah 10 $18,982 $6,667 $6,606 – $6,769
Vermont 3 – – – – –
Virginia 30 $64,844 $6,701 $6,073 – $7,431
Washington 27 $41,536 $7,621 $7,524 – $7,717
West Virginia 12 $43,145 $6,794 $6,400 – $7,219
Wisconsin 34 $36,081 $6,940 $6,646 – $7,054
Wyoming 3 – – – – –

Hospitals that treat the most Medicare patients for this

HospitalServicesAvg chargeAvg allowed
Baylor University Medical CenterDallas, TX123$30,870$6,552
Scottsdale Healthcare-Shea Medical CenterScottsdale, AZ88$71,809$7,302
Christiana Care Health Services, INC.Newark, DE70$20,301$7,582
Duke University Medical CenterDurham, NC67$25,418$6,735
Chandler Regional Medical CenterChandler, AZ62$53,382$7,369
Baptist Health Medical Center-Little RockLittle Rock, AR62$27,418$6,477
Billings Clinic HospitalBillings, MT62$16,571$6,742
St Luke's Hospital BethlehemBethlehem, PA61$76,008$7,370
Stanford HospitalPalo Alto, CA57$133,938$10,630
Colquitt Reg Medical CenterMoultrie, GA57$30,129$6,649
University of Iowa Hospital & ClinicsIowa City, IA56$32,415$6,744
Sanford Usd Medical CenterSioux Falls, SD53$35,919$6,947
Usmd Hospital at Arlington L PArlington, TX52$37,967$6,717
Mayo Clinic - Saint Marys HospitalRochester, MN51$36,366$7,784
Adventhealth Daytona BeachDaytona Beach, FL49$37,819$6,845

Questions

How much does level 6 gynecologic procedures cost in the U.S.?

In 2024 Medicare data, level 6 gynecologic procedures (APC 5416) at 1,192 hospitals in the U.S. was billed at $49,175 on average, while the average medicare-allowed amount was $7,292, of which Medicare paid $5,836. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for level 6 gynecologic procedures?

Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($9,707), Connecticut ($8,424), New York ($8,393) and lowest in Ohio ($6,138), Alabama ($6,309), Tennessee ($6,379).

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 6.7 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.