Level 6 Gynecologic Procedures in Virginia
What 30 hospitals in Virginia charged and were paid for level 6 gynecologic procedures (APC 5416), from 2024 Medicare claims.
Average charge
$64,844
Hospital list price billed
Average allowed
$6,701
Medicare's payment + patient's share
Medicare paid
$5,328
Average per service
State rank
#15 of 41
1 = lowest average payment
Hospitals in Virginia billed an average of $64,844 for level 6 gynecologic procedures, about 9.7 times the average medicare-allowed amount of $6,701. That payment is 8% 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 $6,701Billed $64,844
About 10¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: level 6 gynecologic procedures
Every Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Virginia
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
| Carilion New River Vly Med CtrChristiansburg, VA | $6,073 |
|---|---|
| Carilion Medical CenterRoanoke, VA | $6,505 |
| Cjw Medical CenterRichmond, VA | $6,508 |
| Medical College of Virginia HospitalsRichmond, VA | $6,517 |
| Sentara Virginia Beach General HospitalVirginia Beach, VA | $6,575 |
Highest
| Winchester Medical Center INCWinchester, VA | $7,431 |
|---|---|
| Centra Health - Lynchburg Gen HospitalLynchburg, VA | $6,967 |
| University of Virginia Medical CenterCharlottesville, VA | $6,938 |
| Inova Fairfax HospitalFalls Church, VA | $6,860 |
| Sentara Bayside HospitalVirginia Beach, VA | $6,575 |
Level 6 Gynecologic Procedures in other states
Questions
How much does level 6 gynecologic procedures cost in Virginia?
In 2024 Medicare data, level 6 gynecologic procedures (APC 5416) at 30 hospitals in Virginia was billed at $64,844 on average, while the average medicare-allowed amount was $6,701, of which Medicare paid $5,328. 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 Virginia, average charges were 9.7 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.