facebook tracking Level 6 Gynecologic Procedures cost in Delaware: 2 hospitals compared (APC 5416)

Level 6 Gynecologic Procedures in Delaware

What 2 hospitals in Delaware charged and were paid for level 6 gynecologic procedures (APC 5416), from 2024 Medicare claims.

APC 5416 Outpatient 2024 Medicare data
Average charge $20,301 Hospital list price billed
Average allowed $7,582 Medicare's payment + patient's share
Medicare paid $6,040 Average per service
Volume 70 Medicare services

Hospitals in Delaware billed an average of $20,301 for level 6 gynecologic procedures, about 2.7 times the average medicare-allowed amount of $7,582. That payment is 4% above the U.S. average 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.

Paid $7,582Billed $20,301

About 37¢ was paid for every $1 hospitals in Delaware billed for this service.

Delaware hospitals: level 6 gynecologic procedures

Every Delaware hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Christiana Care Health Services, INC.Newark 70 $20,301 $7,582 $6,040
Bayhealth Hospital, Sussex CampusMilford – – – –
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Level 6 Gynecologic Procedures in other states

Questions

How much does level 6 gynecologic procedures cost in Delaware?

In 2024 Medicare data, level 6 gynecologic procedures (APC 5416) at 2 hospitals in Delaware was billed at $20,301 on average, while the average medicare-allowed amount was $7,582, of which Medicare paid $6,040. 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 Delaware, average charges were 2.7 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.