Outpatient / APC 5415
APC 5415 · 609 hospitals · 20,222 services
Level 5 Gynecologic Procedures
Hospital outpatient departments billed Medicare for 20,222 services in APC 5415 in 2024. They charged an average of $34,949; Medicare allowed $4,758 — a ratio of 7.3 to 1 — and paid $3,774 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $7,160 to $145,781 across hospitals.
- 1Average charge $34,949
- 2Medicare allowed $4,758
- 3Reporting hospitals 609
- 4Services 20,222
By state
The average charge for this service was highest in Nevada ($62,090) and lowest in Rhode Island ($13,439). The allowed amount is set by Medicare's outpatient fee schedule, adjusted for local wages, so it varies much less.
| State | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Nevada | 109 | $62,090 | $5,329 |
| Florida | 1,098 | $56,370 | $4,444 |
| California | 1,988 | $53,147 | $6,317 |
| Arizona | 574 | $45,541 | $4,791 |
| Texas | 1,255 | $42,983 | $4,412 |
| Virginia | 656 | $40,272 | $4,343 |
| South Carolina | 466 | $38,518 | $4,237 |
| Colorado | 215 | $37,871 | $4,764 |
| New Hampshire | 115 | $36,672 | $4,882 |
| Pennsylvania | 902 | $36,349 | $4,616 |
| Alabama | 285 | $35,324 | $4,010 |
| Georgia | 615 | $34,983 | $4,321 |
| Mississippi | 176 | $34,787 | $4,151 |
| Oklahoma | 380 | $33,702 | $4,184 |
| Illinois | 799 | $33,435 | $4,635 |
| Kansas | 288 | $33,400 | $4,323 |
| Louisiana | 268 | $33,267 | $4,032 |
| New Mexico | 112 | $32,948 | $4,426 |
| West Virginia | 196 | $32,766 | $4,164 |
| Missouri | 496 | $32,689 | $4,343 |
| Washington | 369 | $31,486 | $5,089 |
| New Jersey | 574 | $30,535 | $5,247 |
| Indiana | 423 | $30,439 | $4,501 |
| New York | 920 | $30,418 | $5,437 |
| Ohio | 845 | $30,071 | $4,213 |
| Tennessee | 453 | $29,307 | $4,159 |
| District of Columbia | 83 | $28,128 | $4,943 |
| North Carolina | 786 | $27,291 | $4,364 |
| Hawaii | 52 | $27,240 | $5,488 |
| Nebraska | 116 | $27,037 | $4,474 |
| Wyoming | 19 | $26,673 | $4,972 |
| Kentucky | 373 | $26,178 | $4,270 |
| Michigan | 551 | $26,007 | $4,397 |
| Alaska | 59 | $25,928 | $5,344 |
| Oregon | 267 | $25,870 | $5,367 |
| Iowa | 235 | $25,769 | $4,341 |
| Wisconsin | 419 | $25,428 | $4,564 |
| Connecticut | 224 | $25,208 | $5,484 |
| Arkansas | 204 | $23,463 | $4,271 |
| Maine | 121 | $21,525 | $4,591 |
| Minnesota | 302 | $20,483 | $4,884 |
| South Dakota | 179 | $20,324 | $4,640 |
| North Dakota | 87 | $20,285 | $4,679 |
| Massachusetts | 797 | $19,703 | $5,296 |
| Idaho | 157 | $19,411 | $4,597 |
| Delaware | 112 | $18,634 | $4,990 |
| Montana | 125 | $17,652 | $4,642 |
| Utah | 218 | $17,531 | $4,433 |
| Vermont | 84 | $17,257 | $2,975 |
| Rhode Island | 75 | $13,439 | $5,048 |
Highest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| HCA Florida Fort Walton-Destin Hospital Fort Walton Beach, FL | $145,781 | $4,505 |
| Merit Health River Oaks Flowood, MS | $128,189 | $4,164 |
| Good Samaritan Hospital San Jose, CA | $127,320 | $6,497 |
| Stanford Health Care Stanford, CA | $119,923 | $6,933 |
| Cjw Medical Center Richmond, VA | $119,242 | $4,081 |
| Palmdale Regional Medical Center Palmdale, CA | $114,265 | $6,115 |
| Grandview Medical Center Birmingham, AL | $111,448 | $3,838 |
| Henrico Doctors' Hospital Richmond, VA | $108,844 | $4,321 |
| Emanuel Medical Center Turlock, CA | $107,123 | $6,103 |
| Marinhealth Medical Center Greenbrae, CA | $106,741 | $6,855 |
Lowest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Mount Auburn Hospital Cambridge, MA | $7,160 | $5,342 |
| Beth Israel Deaconess Hospital-Milton Inc Milton, MA | $7,727 | $5,342 |
| Billings Clinic Hospital Billings, MT | $8,135 | $4,359 |
| Samaritan Hospital Troy, NY | $9,215 | $5,274 |
| Umass Memorial Health-Milford Regional Medical Ctr Milford, MA | $9,390 | $5,342 |
| USA Health Children's & Women's Hospital Mobile, AL | $10,047 | $4,003 |
| Mercy Hospital Fort Smith Fort Smith, AR | $10,067 | $3,990 |
| Wagoner Community Hospital Wagoner, OK | $10,208 | $4,224 |
| Baystate Franklin Medical Center Greenfield, MA | $10,780 | $5,342 |
| Heywood Hospital - Gardner, MA | $10,902 | $5,342 |
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.