facebook tracking Level 6 Gynecologic Procedures cost in Michigan: 37 hospitals compared (APC 5416)

Level 6 Gynecologic Procedures in Michigan

What 37 hospitals in Michigan charged and were paid for level 6 gynecologic procedures (APC 5416), from 2024 Medicare claims.

APC 5416 Outpatient 2024 Medicare data
Average charge $41,700 Hospital list price billed
Average allowed $6,648 Medicare's payment + patient's share
Medicare paid $5,268 Average per service
State rank #12 of 41 1 = lowest average payment

Hospitals in Michigan billed an average of $41,700 for level 6 gynecologic procedures, about 6.3 times the average medicare-allowed amount of $6,648. That payment is 9% 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 $6,648Billed $41,700

About 16¢ was paid for every $1 hospitals in Michigan billed for this service.

Michigan hospitals: level 6 gynecologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Univ of Michigan HospitalsAnn Arbor 27 $39,749 $6,784 $5,362
Beaumont Hospital - DearbornDearborn 20 $59,527 $6,497 $5,126
Spectrum Health - Butterworth CampusGrand Rapids 18 $33,163 $6,653 $5,301
Edward W Sparrow HospitalLansing 11 $28,045 $6,583 $5,245
St Mary Mercy HospitalLivonia – – – –
Bronson Methodist HospitalKalamazoo – – – –
Providence Hospital and Medical CentersSouthfield – – – –
Lakeland Hospital, St JosephSt Joseph – – – –
St Joseph Mercy OaklandPontiac – – – –
Alpena Regional Medical CenterAlpena – – – –
Bay Regional Medical CenterBay City – – – –
Henry Ford Macomb HospitalClinton Twp – – – –
Mercy Hospital - GraylingGrayling – – – –
Saint Mary's Health CareGrand Rapids – – – –
Trinity Health Muskegon HospitalMuskegon – – – –
Covenant Medical Center, INCSaginaw – – – –
Beaumont Hospital, Grosse PointeGrosse Pointe – – – –
Munson Medical CenterTraverse City – – – –
Promedica Monroe Regional HospitalMonroe – – – –
Harper University HospitalDetroit – – – –
William Beaumont HospitalRoyal Oak – – – –
Otsego Memorial HospitalGaylord – – – –
McLaren Regional Medical CenterFlint – – – –
Henry Ford Wyandotte HospitalWyandotte – – – –
Beaumont Hospital - Farmington HillsFarmington Hls – – – –
Trinity Health Ann Arbor HospitalAnn Arbor – – – –
St John Hospital and Medical CenterDetroit – – – –
McLaren Greater LansingLansing – – – –
Henry Ford Health Warren HospitalWarren – – – –
Genesys Regional Medical Center - Health ParkGrand Blanc – – – –
Midmichigan Medical Center-MidlandMidland – – – –
McLaren MacombMt Clemens – – – –
University of Michigan Health - WestWyoming – – – –
Chelsea Community HospitalChelsea – – – –
Huron Valley-Sinai HospitalCommerce Twp – – – –
Karmanos Cancer CenterDetroit – – – –
Henry Ford West Bloomfield HospitalWest Bloomfield Twp – – – –
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Lowest and highest allowed amounts in Michigan

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

Beaumont Hospital - DearbornDearborn, MI$6,497
Edward W Sparrow HospitalLansing, MI$6,583
Spectrum Health - Butterworth CampusGrand Rapids, MI$6,653
Univ of Michigan HospitalsAnn Arbor, MI$6,784

Highest

Univ of Michigan HospitalsAnn Arbor, MI$6,784
Spectrum Health - Butterworth CampusGrand Rapids, MI$6,653
Edward W Sparrow HospitalLansing, MI$6,583
Beaumont Hospital - DearbornDearborn, MI$6,497

Level 6 Gynecologic Procedures in other states

Questions

How much does level 6 gynecologic procedures cost in Michigan?

In 2024 Medicare data, level 6 gynecologic procedures (APC 5416) at 37 hospitals in Michigan was billed at $41,700 on average, while the average medicare-allowed amount was $6,648, of which Medicare paid $5,268. 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 Michigan, average charges were 6.3 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.