facebook tracking Level 6 Gynecologic Procedures cost in Iowa: 13 hospitals compared (APC 5416)

Level 6 Gynecologic Procedures in Iowa

What 13 hospitals in Iowa charged and were paid for level 6 gynecologic procedures (APC 5416), from 2024 Medicare claims.

APC 5416 Outpatient 2024 Medicare data
Average charge $34,560 Hospital list price billed
Average allowed $6,512 Medicare's payment + patient's share
Medicare paid $5,152 Average per service
State rank #10 of 41 1 = lowest average payment

Hospitals in Iowa billed an average of $34,560 for level 6 gynecologic procedures, about 5.3 times the average medicare-allowed amount of $6,512. That payment is 11% 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 $6,512Billed $34,560

About 19¢ was paid for every $1 hospitals in Iowa billed for this service.

Iowa hospitals: level 6 gynecologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
University of Iowa Hospital & ClinicsIowa City 56 $32,415 $6,744 $5,373
Iowa Methodist Medical CenterDes Moines 22 $38,148 $6,020 $4,702
Mercy Medical Center-DubuqueDubuque 19 $27,353 $6,424 $5,020
Mercy Medical Center-Des MoinesDes Moines 11 $50,756 $6,464 $5,150
Trinity Regional Medical CenterFort Dodge – – – –
Mercy HospitalIowa City – – – –
Mary Greeley Medical CenterAmes – – – –
St Lukes HospitalCedar Rapids – – – –
Mercy Medical Center-North IowaMason City – – – –
Mercyone Waterloo Medical CenterWaterloo – – – –
Mercy Medical Center - Cedar RapidsCedar Rapids – – – –
Broadlawns Medical CenterDes Moines – – – –
The Finley HospitalDubuque – – – –
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Lowest and highest allowed amounts in Iowa

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

Level 6 Gynecologic Procedures in other states

Questions

How much does level 6 gynecologic procedures cost in Iowa?

In 2024 Medicare data, level 6 gynecologic procedures (APC 5416) at 13 hospitals in Iowa was billed at $34,560 on average, while the average medicare-allowed amount was $6,512, of which Medicare paid $5,152. 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 Iowa, average charges were 5.3 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.