facebook tracking Level 6 Gynecologic Procedures cost in Wisconsin: 34 hospitals compared (APC 5416)

Level 6 Gynecologic Procedures in Wisconsin

What 34 hospitals in Wisconsin charged and were paid for level 6 gynecologic procedures (APC 5416), from 2024 Medicare claims.

APC 5416 Outpatient 2024 Medicare data
Average charge $36,081 Hospital list price billed
Average allowed $6,940 Medicare's payment + patient's share
Medicare paid $5,520 Average per service
State rank #24 of 41 1 = lowest average payment

Hospitals in Wisconsin billed an average of $36,081 for level 6 gynecologic procedures, about 5.2 times the average medicare-allowed amount of $6,940. That payment is 5% 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 $6,940Billed $36,081

About 19¢ was paid for every $1 hospitals in Wisconsin billed for this service.

Wisconsin hospitals: level 6 gynecologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Meriter HsptlMadison 42 $31,244 $7,054 $5,620
St Mary's HospitalMadison 31 $29,234 $7,054 $5,620
Aurora Baycare Med CtrGreen Bay 15 $34,243 $6,804 $5,421
Waukesha Memorial HospitalWaukesha 14 $62,528 $6,884 $5,485
Gundersen Luth Med CtrLa Crosse 12 $30,914 $6,646 $5,199
Bellin Memorial HsptlGreen Bay 11 $48,333 $6,762 $5,387
Ministry St Michaels Hospital of Stevens PointStevens Point – – – –
Mayo Clinic Health System-Franciscan Medical CenterLa Crosse – – – –
St Elizabeth HsptlAppleton – – – –
Aspirus Rhinelander HospitalRhinelander – – – –
Froedtert SouthKenosha – – – –
Aspirus Wausau HospitalWausau – – – –
Aspirus Riverview Hospital & ClinicsWisconsin Rapids – – – –
Aurora Sheboygan Mem Med CtrSheboygan – – – –
Marshfield Medical CenterMarshfield – – – –
Divine Savior HlthcarePortage – – – –
St Nicholas HospitalSheboygan – – – –
Thedacare Regional Med Ctr - NeenahNeenah – – – –
Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee – – – –
St Josephs Com Hsptl West BendWest Bend – – – –
Luther Hospital Mayo Health SystemEau Claire – – – –
Fort HealthcareFort Atkinson – – – –
St Agnes HsptlFond du Lac – – – –
Sauk Prairie Mem HsptlPrairie du Sac – – – –
Wheaton Franciscan Healthcare- All SaintsRacine – – – –
University of Wi Hospitals & Clinics AuthorityMadison – – – –
Community Mem HsptlMenomonee Falls – – – –
Ascension SE Wisconsin HospitalMilwaukee – – – –
Aurora West Allis Medical CenterWest Allis – – – –
Froedtert Mem Lutheran HsptlMilwaukee – – – –
St Clare's Hospital of Weston INCWeston – – – –
Aurora Medical CenterSummit – – – –
Aurora Medical CenterGrafton – – – –
SSM Health St Mary's Hospital - JanesvilleJanesville – – – –
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Lowest and highest allowed amounts in Wisconsin

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

Gundersen Luth Med CtrLa Crosse, WI$6,646
Bellin Memorial HsptlGreen Bay, WI$6,762
Aurora Baycare Med CtrGreen Bay, WI$6,804
Waukesha Memorial HospitalWaukesha, WI$6,884
St Mary's HospitalMadison, WI$7,054

Highest

St Mary's HospitalMadison, WI$7,054
Meriter HsptlMadison, WI$7,054
Waukesha Memorial HospitalWaukesha, WI$6,884
Aurora Baycare Med CtrGreen Bay, WI$6,804
Bellin Memorial HsptlGreen Bay, WI$6,762

Level 6 Gynecologic Procedures in other states

Questions

How much does level 6 gynecologic procedures cost in Wisconsin?

In 2024 Medicare data, level 6 gynecologic procedures (APC 5416) at 34 hospitals in Wisconsin was billed at $36,081 on average, while the average medicare-allowed amount was $6,940, of which Medicare paid $5,520. 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 Wisconsin, average charges were 5.2 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.