Level 4 Gynecologic Procedures — what U.S. hospitals charge
APC 5414 · Hospital outpatient visit · 1,170 U.S. hospitals publish a price
Cheapest quarter
under $12,954
Typical charge
$18,160
Dearest quarter
over $24,811
Actually paid
$2,981
The middle U.S. hospital bills $18,160 for Level 4 Gynecologic Procedures. The dearest hospitals charge about 3.8x what the cheapest do for the same coded work. Medicare actually paid about $2,981 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Level 4 Gynecologic Procedures cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Massachusetts | 40 | $8,775 | $4,545 – $28,206 |
| Vermont | 5 | $9,585 | $8,012 – $11,384 |
| Idaho | 4 | $10,239 | $8,556 – $13,786 |
| Utah | 4 | $10,249 | $8,088 – $24,023 |
| North Dakota | 5 | $10,581 | $10,261 – $12,589 |
| Arkansas | 17 | $11,341 | $5,509 – $29,151 |
| Minnesota | 27 | $11,654 | $6,229 – $22,607 |
| Delaware | 6 | $11,697 | $9,233 – $23,807 |
| Montana | 7 | $11,929 | $5,790 – $18,549 |
| Connecticut | 16 | $12,853 | $10,722 – $24,030 |
| Kansas | 12 | $13,081 | $5,856 – $50,240 |
| Maine | 7 | $13,209 | $11,057 – $18,276 |
| Hawaii | 3 | $13,604 | $9,278 – $13,761 |
| New Mexico | 6 | $13,675 | $9,938 – $39,578 |
| Missouri | 29 | $13,995 | $7,755 – $61,505 |
| Michigan | 45 | $14,030 | $6,539 – $40,407 |
| Mississippi | 10 | $14,079 | $9,355 – $20,413 |
| West Virginia | 10 | $14,261 | $9,898 – $26,244 |
| Ohio | 50 | $14,305 | $6,146 – $31,420 |
| New York | 72 | $15,059 | $4,322 – $49,699 |
| Iowa | 14 | $15,169 | $7,963 – $32,435 |
| Oregon | 16 | $15,264 | $9,010 – $21,027 |
| New Hampshire | 9 | $15,347 | $9,249 – $38,706 |
| Tennessee | 20 | $15,671 | $6,110 – $42,018 |
| North Carolina | 35 | $15,692 | $8,208 – $35,698 |
| Alaska | 5 | $15,706 | $10,954 – $29,678 |
| Nebraska | 5 | $15,780 | $12,854 – $19,611 |
| Kentucky | 17 | $15,913 | $10,292 – $26,791 |
| South Dakota | 8 | $16,032 | $5,394 – $18,518 |
| Wisconsin | 30 | $16,302 | $9,062 – $30,142 |
| New Jersey | 39 | $17,702 | $8,418 – $74,416 |
| Alabama | 12 | $18,357 | $7,315 – $80,648 |
| Washington | 26 | $18,883 | $6,400 – $35,646 |
| Pennsylvania | 72 | $19,342 | $7,558 – $48,778 |
| District of Columbia | 4 | $19,649 | $15,483 – $48,502 |
| Virginia | 36 | $20,516 | $9,366 – $79,776 |
| Illinois | 58 | $20,682 | $7,719 – $43,715 |
| Oklahoma | 15 | $20,985 | $11,286 – $48,122 |
| Louisiana | 14 | $22,064 | $9,131 – $69,256 |
| Colorado | 21 | $22,106 | $16,949 – $97,523 |
| South Carolina | 30 | $22,402 | $10,402 – $61,287 |
| Indiana | 35 | $22,560 | $11,382 – $47,499 |
| Arizona | 22 | $22,777 | $7,604 – $42,733 |
| Georgia | 31 | $23,233 | $10,755 – $56,294 |
| Texas | 53 | $23,785 | $11,325 – $64,187 |
| California | 89 | $25,625 | $10,492 – $143,554 |
| Florida | 70 | $29,207 | $14,604 – $88,149 |
| Nevada | 7 | $52,501 | $15,799 – $77,919 |
Where Level 4 Gynecologic Procedures is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Olean General Hospital
Olean, NY |
$4,322 | $3,550 |
|
Mount Auburn Hospital
Cambridge, MA |
$4,545 | $3,269 |
|
F F Thompson Hospital
Canandaigua, NY |
$4,757 | $3,315 |
|
Black Hills Surgical Hospital Llc
Rapid City, SD |
$5,394 | $2,931 |
|
White County Medical Center
Searcy, AR |
$5,509 | $2,698 |
|
Billings Clinic Hospital
Billings, MT |
$5,790 | $2,704 |
|
Nmc Health
Newton, KS |
$5,856 | $2,544 |
|
Northeast Hospital Corporation
Beverly, MA |
$6,041 | $3,325 |
|
Cambridge Health Alliance
Cambridge, MA |
$6,076 | $3,358 |
|
Parkwest Medical Center
Knoxville, TN |
$6,110 | $2,578 |
|
Wooster Community Hospital
Wooster, OH |
$6,146 | $2,674 |
|
Mayo Clinic Health System - Mankato
Mankato, MN |
$6,229 | $3,205 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Northbay Medical Center
Fairfield, CA |
$143,554 | $4,259 |
|
Sky Ridge Medical Center
Lone Tree, CO |
$97,523 | $2,976 |
|
Hca Florida St Petersburg Hospital
Saint Petersburg, FL |
$88,149 | $2,832 |
|
Grandview Medical Center
Birmingham, AL |
$80,648 | $2,601 |
|
Henrico Doctors' Hospital
Richmond, VA |
$79,776 | $2,688 |
|
Cjw Medical Center
Richmond, VA |
$79,274 | $2,649 |
|
Hca Florida North Florida Hospital
Gainesville, FL |
$79,209 | $2,689 |
|
Centennial Hills Hospital Medical Center
Las Vegas, NV |
$77,919 | $3,348 |
|
Hca Florida West Hospital
Pensacola, FL |
$76,690 | $2,485 |
|
Hca Florida Englewood Hospital
Englewood, FL |
$76,380 | $2,832 |
|
Hca Florida Trinity Hospital
Trinity, FL |
$75,336 | $2,832 |
|
Henderson Hospital
Henderson, NV |
$74,562 | $3,348 |
Questions people ask
What do U.S. hospitals charge for Level 4 Gynecologic Procedures?
Across 1,170 U.S. hospitals, the middle charge for Level 4 Gynecologic Procedures is $18,160. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $12,954 and the dearest quarter over $24,811.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Level 4 Gynecologic Procedures, the hospitals in the dearest tenth charge about 3.8x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $2,981 is roughly what Medicare actually paid per case, against an average charge of $21,077. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as APC 5414: “Level 4 Gynecologic Procedures”. An APC covers one outpatient visit for that level of service — you go home the same day.