facebook tracking Level 6 Gynecologic Procedures cost in Ohio: 54 hospitals compared (APC 5416)

Level 6 Gynecologic Procedures in Ohio

What 54 hospitals in Ohio charged and were paid for level 6 gynecologic procedures (APC 5416), from 2024 Medicare claims.

APC 5416 Outpatient 2024 Medicare data
Average charge $44,448 Hospital list price billed
Average allowed $6,138 Medicare's payment + patient's share
Medicare paid $4,811 Average per service
State rank #1 of 41 1 = lowest average payment

Hospitals in Ohio billed an average of $44,448 for level 6 gynecologic procedures, about 7.2 times the average medicare-allowed amount of $6,138. That payment is 16% 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 $6,138Billed $44,448

About 14¢ was paid for every $1 hospitals in Ohio billed for this service.

Ohio hospitals: level 6 gynecologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Cleveland Clinic - Main CampusCleveland 32 $38,035 $5,808 $4,494
Christ HospitalCincinnati 31 $27,237 $6,227 $4,883
Hillcrest HospitalCleveland 26 $38,304 $6,451 $5,140
Riverside Methodist HospitalColumbus 23 $68,045 $6,757 $5,384
Ohio State University HospitalsColumbus 22 $77,373 $6,782 $5,404
Summa Western Reserve HospitalCuyahoga Falls 21 $56,378 $6,430 $5,123
Metrohealth SystemCleveland 18 $22,897 $3,309 $1,994
Cleveland Clinic - Akron GeneralAkron 16 $40,788 $6,430 $5,123
Bethesda North HospitalCincinnati 16 $24,982 $5,917 $4,581
Genesis Healthcare SystemZanesville 15 $30,423 $5,901 $4,701
Kettering Health DaytonDayton 15 $60,901 $6,615 $5,257
Summa Health System - Akron CampusAkron 13 $37,944 $6,430 $5,123
Mount Carmel HealthColumbus 12 $60,020 $6,757 $5,384
Samaritan Hospital - Peoples HospitalAshland – – – –
Southern Ohio Medical CenterPortsmouth – – – –
Union HospitalDover – – – –
Jewish Hospital, LLCCincinnati – – – –
Grant Medical CenterColumbus – – – –
Parma Community General HospitalParma – – – –
University of Toledo Medical CenterToledo – – – –
Miami Valley HospitalDayton – – – –
Holzer Medical CenterGallipolis – – – –
Mercy Hospital FairfieldFairfield – – – –
Mercer County Joint Township Community HospitalColdwater – – – –
Fisher Titus Memorial HospitalNorwalk – – – –
St Rita's Medical CenterLima – – – –
Toledo Hospital theToledo – – – –
Van Wert County HospitalVan Wert – – – –
UH Regional HospitalsRichmond Heights – – – –
Fairview HospitalCleveland – – – –
University Hospitals Portage Medical CenterRavenna – – – –
Kettering Medical CenterKettering – – – –
Aultman HospitalCanton – – – –
Mercy Hospital of TiffinTiffin – – – –
Medina HospitalMedina – – – –
Lake Hospital SystemPainesville – – – –
Mercy St Vincent Medical CenterToledo – – – –
Community Hospitals and Wellness CentersBryan – – – –
St John Medical CenterWestlake – – – –
Good Samaritan HospitalCincinnati – – – –
University Hospitals of ClevelandCleveland – – – –
South Pointe HospitalWarrensville Heights – – – –
Marietta Memorial HospitalMarietta – – – –
Southwest General Health CenterMiddleburg Heights – – – –
Mercy Regional Medical CenterLorain – – – –
Licking Memorial HospitalNewark – – – –
Mercy Franciscan Hospital - Mt AiryCincinnati – – – –
St Elizabeth Boardman Health CenterYoungstown – – – –
West Chester Medical CenterWest Chester – – – –
University Hospitals Ahuja Medical CenterBeachwood – – – –
Soin Medical CenterBeaver Creek – – – –
Cleveland Clinic Avon HospitalAvon – – – –
Avita OntarioOntario – – – –
Kettering Health TroyTroy – – – –
Advertisement

Lowest and highest allowed amounts in Ohio

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

Metrohealth SystemCleveland, OH$3,309
Cleveland Clinic - Main CampusCleveland, OH$5,808
Genesis Healthcare SystemZanesville, OH$5,901
Bethesda North HospitalCincinnati, OH$5,917
Christ HospitalCincinnati, OH$6,227

Highest

Ohio State University HospitalsColumbus, OH$6,782
Riverside Methodist HospitalColumbus, OH$6,757
Mount Carmel HealthColumbus, OH$6,757
Kettering Health DaytonDayton, OH$6,615
Hillcrest HospitalCleveland, OH$6,451

Level 6 Gynecologic Procedures in other states

Questions

How much does level 6 gynecologic procedures cost in Ohio?

In 2024 Medicare data, level 6 gynecologic procedures (APC 5416) at 54 hospitals in Ohio was billed at $44,448 on average, while the average medicare-allowed amount was $6,138, of which Medicare paid $4,811. 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 Ohio, average charges were 7.2 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.