Outpatient / APC 5416
APC 5416 · 255 hospitals · 9,029 services
Level 6 Gynecologic Procedures
Hospital outpatient departments billed Medicare for 9,029 services in APC 5416 in 2024. They charged an average of $50,045; Medicare allowed $7,264 — a ratio of 6.9 to 1 — and paid $5,810 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $6,738 to $246,790 across hospitals.
- 1Average charge $50,045
- 2Medicare allowed $7,264
- 3Reporting hospitals 255
- 4Services 9,029
By state
The average charge for this service was highest in Nevada ($86,268) and lowest in Montana ($20,686). 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 | 55 | $86,268 | $8,094 |
| Florida | 612 | $77,183 | $6,811 |
| California | 836 | $74,245 | $9,625 |
| Colorado | 51 | $70,536 | $7,264 |
| Kansas | 136 | $65,819 | $6,472 |
| North Dakota | 22 | $63,947 | $7,108 |
| Arizona | 334 | $63,545 | $7,322 |
| New Hampshire | 60 | $63,429 | $7,549 |
| Virginia | 278 | $61,674 | $6,699 |
| Pennsylvania | 446 | $58,884 | $7,115 |
| Oklahoma | 73 | $53,327 | $6,489 |
| Georgia | 269 | $52,333 | $6,726 |
| South Carolina | 219 | $51,642 | $6,499 |
| Texas | 665 | $50,379 | $6,650 |
| District of Columbia | 71 | $49,029 | $7,558 |
| Louisiana | 85 | $48,624 | $6,299 |
| Washington | 234 | $47,167 | $7,688 |
| New Jersey | 348 | $46,793 | $8,029 |
| Illinois | 323 | $45,463 | $7,069 |
| New York | 386 | $43,191 | $8,333 |
| Alabama | 190 | $43,157 | $6,284 |
| Michigan | 162 | $42,941 | $6,653 |
| Ohio | 409 | $42,359 | $6,256 |
| Indiana | 139 | $42,345 | $6,844 |
| Missouri | 249 | $41,996 | $6,599 |
| West Virginia | 78 | $40,527 | $6,498 |
| New Mexico | 35 | $37,526 | $6,975 |
| Tennessee | 252 | $37,311 | $6,361 |
| South Dakota | 87 | $37,226 | $6,877 |
| Alaska | 13 | $37,041 | $7,623 |
| Connecticut | 148 | $36,717 | $8,426 |
| Mississippi | 46 | $36,269 | $6,437 |
| Iowa | 132 | $35,787 | $6,562 |
| Wisconsin | 210 | $35,726 | $6,966 |
| North Carolina | 261 | $34,726 | $6,779 |
| Kentucky | 84 | $34,452 | $6,465 |
| Oregon | 94 | $34,009 | $8,145 |
| Idaho | 20 | $32,515 | $6,931 |
| Maine | 18 | $32,301 | $7,031 |
| Hawaii | 38 | $31,479 | $8,414 |
| Nebraska | 53 | $31,283 | $6,802 |
| Arkansas | 128 | $30,414 | $6,434 |
| Minnesota | 165 | $29,927 | $7,421 |
| Massachusetts | 243 | $27,083 | $8,050 |
| Rhode Island | 45 | $22,974 | $7,669 |
| Utah | 66 | $21,539 | $6,606 |
| Delaware | 73 | $21,409 | $7,582 |
| Montana | 73 | $20,686 | $6,814 |
Highest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Cjw Medical Center Richmond, VA | $246,790 | $6,508 |
| HCA Florida St Lucie Hospital Port Saint Lucie, FL | $193,962 | $6,845 |
| HCA Florida Fort Walton-Destin Hospital Fort Walton Beach, FL | $171,046 | $6,845 |
| Penn State Health St. Joseph Reading, PA | $148,842 | $6,890 |
| HCA Florida Jfk Hospital Atlantis, FL | $145,648 | $6,689 |
| Stanford Health Care Stanford, CA | $133,938 | $10,630 |
| Marinhealth Medical Center Greenbrae, CA | $133,095 | $10,543 |
| Grandview Medical Center Birmingham, AL | $128,603 | $6,308 |
| Tampa General Hospital Tampa, FL | $122,594 | $6,845 |
| Cedars-Sinai Medical Center Los Angeles, CA | $121,682 | $9,285 |
Lowest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Parkwest Medical Center Knoxville, TN | $6,738 | $6,232 |
| USA Health Children's & Women's Hospital Mobile, AL | $13,985 | $6,425 |
| Umass Memorial Health-Milford Regional Medical Ctr Milford, MA | $15,527 | $8,115 |
| South Shore Hospital South Weymouth, MA | $16,268 | $8,115 |
| Jackson Hospital & Clinic Inc Montgomery, AL | $16,469 | $6,265 |
| Billings Clinic Hospital Billings, MT | $16,571 | $6,742 |
| Baystate Medical Center Springfield, MA | $17,163 | $7,734 |
| Albany Medical Center Hospital Albany, NY | $17,273 | $7,431 |
| Surgical Specialty Center of Baton Rouge Baton Rouge, LA | $18,593 | $6,389 |
| Holy Cross Hospital - Salt Lake Salt Lake City, UT | $18,778 | $6,769 |
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.