facebook tracking Level 6 Gynecologic Procedures cost in Georgia: 36 hospitals compared (APC 5416)

Level 6 Gynecologic Procedures in Georgia

What 36 hospitals in Georgia charged and were paid for level 6 gynecologic procedures (APC 5416), from 2024 Medicare claims.

APC 5416 Outpatient 2024 Medicare data
Average charge $50,815 Hospital list price billed
Average allowed $6,787 Medicare's payment + patient's share
Medicare paid $5,386 Average per service
State rank #19 of 41 1 = lowest average payment

Hospitals in Georgia billed an average of $50,815 for level 6 gynecologic procedures, about 7.5 times the average medicare-allowed amount of $6,787. That payment is 7% below 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 $6,787Billed $50,815

About 13¢ was paid for every $1 hospitals in Georgia billed for this service.

Georgia hospitals: level 6 gynecologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Colquitt Reg Medical CenterMoultrie 57 $30,129 $6,649 $5,259
Henry Medical Center, INCStockbridge 24 $79,925 $7,013 $5,587
Northside HospitalAtlanta 21 $63,187 $6,763 $5,320
Wellstar Paulding HospitalDallas 19 $75,122 $7,013 $5,587
Atrium Health Navicent the Medical CenterMacon 19 $49,971 $6,756 $5,383
Emory University Hospital MidtownAtlanta 13 $42,505 $7,013 $5,587
Candler HospitalSavannah 12 $31,655 $6,387 $5,089
Northeast Georgia Medical Center, INCGainesville 11 $61,074 $6,890 $5,472
Hamilton Medical CenterDalton – – – –
Northside Hospital ForsythCumming – – – –
Phoebe Putney Memorial HospitalAlbany – – – –
Northside Hospital CherokeeCanton – – – –
Emory University HospitalAtlanta – – – –
Gordon HospitalCalhoun – – – –
Piedmont Augusta HospitalAugusta – – – –
Cartersville Medical CenterCartersville – – – –
Medical College of Ga Hospitals and ClinicsAugusta – – – –
Wellstar Kennestone HospitalMarietta – – – –
Habersham County Med CenterDemorest – – – –
Union General HospitalBlairsville – – – –
Floyd Medical CenterRome – – – –
Athens Regional Medical CenterAthens – – – –
Emory Decatur HospitalDecatur – – – –
Saint Joseph's Hosp of AtlantaAtlanta – – – –
Piedmont HospitalAtlanta – – – –
Gwinnett Medical CenterLawrenceville – – – –
Rockdale Medical CenterConyers – – – –
Crisp Regional HospitalCordele – – – –
Sgmc HealthValdosta – – – –
St Francis Hospital, INCColumbus – – – –
Coliseum Medical CenterMacon – – – –
Doctors HospitalAugusta – – – –
North Fulton Regional HospitalRoswell – – – –
Piedmont Fayette HospitalFayetteville – – – –
Piedmont Newnan Hospital, INCNewnan – – – –
Northeast Georgia Medical Center LumpkinDahlonega – – – –
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Lowest and highest allowed amounts in Georgia

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

Highest

Wellstar Paulding HospitalDallas, GA$7,013
Emory University Hospital MidtownAtlanta, GA$7,013
Henry Medical Center, INCStockbridge, GA$7,013
Northeast Georgia Medical Center, INCGainesville, GA$6,890
Northside HospitalAtlanta, GA$6,763

Level 6 Gynecologic Procedures in other states

Questions

How much does level 6 gynecologic procedures cost in Georgia?

In 2024 Medicare data, level 6 gynecologic procedures (APC 5416) at 36 hospitals in Georgia was billed at $50,815 on average, while the average medicare-allowed amount was $6,787, of which Medicare paid $5,386. 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 Georgia, average charges were 7.5 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.