09/08/2026
Doctors get paid 20% more to operate on a man than on a woman. Same complexity, same operating room, different reimbursement. A Journal of Surgical Research study compared 621 matched pairs of male and female surgical procedures and found men's procedures carry a median work value of 12.7 versus 10.6 for women's, which translates to roughly $145 more per case.
Medicare's "work value" is the score assigned to every procedure for the time, skill, and intensity it requires, and it sets what every insurer pays, so a low score on a women's procedure follows her care through the entire system. That gap shapes which specialties attract talent, which clinics stay open, and how long women wait.
Women may face delays in diagnosis and treatment, which can lead to expensive complications in our care plans. Know what your plan covers before you need it, ask what a procedure will actually cost you, and build a health savings cushion so the gap does not come out of your retirement.
Source: Journal of Surgical Research, February 2026, "Gender-Based Disparities in Reimbursement," based on 2024 Medicare RVU data (PMID 39978776).