Outpatient / APC 5414

APC 5414 · 1,170 hospitals · 41,704 services

Level 4 Gynecologic Procedures

Hospital outpatient departments billed Medicare for 41,704 services in APC 5414 in 2024. They charged an average of $21,231; Medicare allowed $3,004 — a ratio of 7.1 to 1 — and paid $2,382 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $4,322 to $143,554 across hospitals.

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  1. 1Average charge $21,231
  2. 2Medicare allowed $3,004
  3. 3Reporting hospitals 1,170
  4. 4Services 41,704

By state

The average charge for this service was highest in Nevada ($42,110) and lowest in Rhode Island ($8,492). The allowed amount is set by Medicare's outpatient fee schedule, adjusted for local wages, so it varies much less.

Nevada$42,110Florida$35,040California$29,742Texas$28,862Colorado$27,465Alabama$25,532Georgia$24,725Virginia$24,637Arizona$24,277South Carolina$24,130New Mexico$23,676Louisiana$22,803
Average charge for APC 5414, 12 highest-charging states, bars to scale. Source: CMS DY2024.
StateServicesAvg chargeAvg allowed
Nevada219$42,110$3,322
Florida2,586$35,040$2,796
California3,316$29,742$3,960
Texas1,848$28,862$2,783
Colorado624$27,465$2,992
Alabama424$25,532$2,567
Georgia1,052$24,725$2,755
Virginia1,301$24,637$2,785
Arizona717$24,277$3,030
South Carolina862$24,130$2,681
New Mexico209$23,676$2,765
Louisiana452$22,803$2,546
Indiana996$22,611$2,800
Pennsylvania2,506$21,432$2,892
Illinois1,948$21,413$2,915
New Jersey1,531$21,203$3,294
Oklahoma549$21,000$2,659
District of Columbia208$20,788$3,163
Kansas410$20,088$2,724
New York3,349$19,723$3,432
Alaska80$18,795$3,332
North Carolina1,267$18,223$2,761
Washington748$18,105$3,191
Mississippi336$17,724$2,564
Tennessee828$17,523$2,566
Kentucky594$17,141$2,645
Wyoming45$16,810$3,070
Ohio1,805$16,794$2,624
New Hampshire327$16,763$2,892
Wisconsin841$16,714$2,852
Missouri966$16,607$2,737
Nebraska237$16,413$2,799
Michigan1,476$16,338$2,720
West Virginia315$16,058$2,601
Oregon466$15,808$3,324
Iowa525$14,972$2,722
Connecticut546$14,830$3,418
Arkansas437$14,587$2,673
Maine193$14,554$2,873
South Dakota264$14,419$2,967
Utah172$13,967$2,790
Hawaii127$13,838$3,516
Delaware314$12,541$3,109
Minnesota975$12,250$3,038
Idaho181$11,725$2,875
Montana185$11,391$2,964
North Dakota132$10,926$2,993
Massachusetts1,917$10,593$3,336
Vermont135$9,845$1,575
Rhode Island162$8,492$3,085

Highest average charges

HospitalChargeAllowed
Northbay Medical Center
Fairfield, CA
$143,554$4,259
HCA Healthone Sky Ridge
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

Lowest average charges

HospitalChargeAllowed
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
Unity Health 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
Beverly 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

An APC groups services of similar cost, so a hospital's average mixes the specific procedures it does most. Charges are list prices; the allowed amount is the fee-schedule total that Medicare and the patient together pay the hospital.

Source: CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Checked 2026-10-24. Methodology.