Level 6 Gynecologic Procedures in Kentucky
What 15 hospitals in Kentucky charged and were paid for level 6 gynecologic procedures (APC 5416), from 2024 Medicare claims.
Average charge
$28,265
Hospital list price billed
Average allowed
$6,402
Medicare's payment + patient's share
Medicare paid
$5,076
Average per service
State rank
#5 of 41
1 = lowest average payment
Hospitals in Kentucky billed an average of $28,265 for level 6 gynecologic procedures, about 4.4 times the average medicare-allowed amount of $6,402. That payment is 12% 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 $6,402Billed $28,265
About 23¢ was paid for every $1 hospitals in Kentucky billed for this service.
Kentucky hospitals: level 6 gynecologic procedures
Every Kentucky hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Norton Healthcare PavilionLouisville | 31 | $26,967 | $6,499 | $5,178 |
| St Elizabeth Ft ThomasFort Thomas | 13 | $31,359 | $6,169 | $4,832 |
| King's Daughters' Medical CenterAshland | – | – | – | – |
| Saint Joseph LondonLondon | – | – | – | – |
| The Medical Center at Bowling GreenBowling Green | – | – | – | – |
| T J Samson Community HospitalGlasgow | – | – | – | – |
| Owensboro Medical Health SystemOwensboro | – | – | – | – |
| Jewish HospitalLouisville | – | – | – | – |
| Ephraim McDowell Regional Medical CenterDanville | – | – | – | – |
| University of Kentucky HospLexington | – | – | – | – |
| Baptist Regional Medical CtrCorbin | – | – | – | – |
| Greenview Regional HospitalBowling Green | – | – | – | – |
| Three Rivers Medical CenterLouisa | – | – | – | – |
| Baptist Hospital EastLouisville | – | – | – | – |
| University of Louisville HospitalLouisville | – | – | – | – |
Level 6 Gynecologic Procedures in other states
Questions
How much does level 6 gynecologic procedures cost in Kentucky?
In 2024 Medicare data, level 6 gynecologic procedures (APC 5416) at 15 hospitals in Kentucky was billed at $28,265 on average, while the average medicare-allowed amount was $6,402, of which Medicare paid $5,076. 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 Kentucky, average charges were 4.4 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.