Level 6 Gynecologic Procedures in Illinois
What 49 hospitals in Illinois charged and were paid for level 6 gynecologic procedures (APC 5416), from 2024 Medicare claims.
Average charge
$46,395
Hospital list price billed
Average allowed
$7,083
Medicare's payment + patient's share
Medicare paid
$5,615
Average per service
State rank
#26 of 41
1 = lowest average payment
Hospitals in Illinois billed an average of $46,395 for level 6 gynecologic procedures, about 6.5 times the average medicare-allowed amount of $7,083. That payment is 3% 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 $7,083Billed $46,395
About 15¢ was paid for every $1 hospitals in Illinois billed for this service.
Illinois hospitals: level 6 gynecologic procedures
Every Illinois hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Illinois
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
| Advocate Lutheran General HospitalPark Ridge, IL | $6,751 |
|---|---|
| St Alexius Medical CenterSchaumburg, IL | $6,931 |
| Evanston HospitalEvanston, IL | $7,082 |
| Swedish American HospitalRockford, IL | $7,083 |
| Edward HospitalNaperville, IL | $7,174 |
Highest
| The University of Chicago Medical CenterChicago, IL | $7,350 |
|---|---|
| Northwestern Memorial HospitalChicago, IL | $7,349 |
| Elmhurst Memorial HospitalElmhurst, IL | $7,175 |
| Edward HospitalNaperville, IL | $7,174 |
| Northwest Community HospitalArlington Heights, IL | $7,174 |
Level 6 Gynecologic Procedures in other states
Questions
How much does level 6 gynecologic procedures cost in Illinois?
In 2024 Medicare data, level 6 gynecologic procedures (APC 5416) at 49 hospitals in Illinois was billed at $46,395 on average, while the average medicare-allowed amount was $7,083, of which Medicare paid $5,615. 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 Illinois, average charges were 6.5 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.