What 22 hospitals in Louisiana charged and were paid for level 6 gynecologic procedures (APC 5416), from 2024 Medicare claims.
Hospitals in Louisiana billed an average of $18,593 for level 6 gynecologic procedures, about 2.9 times the average medicare-allowed amount of $6,389. 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.
About 34¢ was paid for every $1 hospitals in Louisiana billed for this service.
Every Louisiana hospital that billed Medicare for this service at least 11 times. Click a column to sort.
In 2024 Medicare data, level 6 gynecologic procedures (APC 5416) at 22 hospitals in Louisiana was billed at $18,593 on average, while the average medicare-allowed amount was $6,389, of which Medicare paid $5,091. Your own cost depends on your insurance, deductible and the hospital.
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 Louisiana, average charges were 2.9 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.