Outpatient / APC 5184

APC 5184 · 1,067 hospitals · 53,123 services

Level 4 Vascular Procedures

Hospital outpatient departments billed Medicare for 53,123 services in APC 5184 in 2024. They charged an average of $41,622; Medicare allowed $4,987 — a ratio of 8.3 to 1 — and paid $3,959 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $2,404 to $166,137 across hospitals.

1234
  1. 1Average charge $41,622
  2. 2Medicare allowed $4,987
  3. 3Reporting hospitals 1,067
  4. 4Services 53,123

By state

The average charge for this service was highest in Nevada ($77,663) and lowest in Montana ($21,200). The allowed amount is set by Medicare's outpatient fee schedule, adjusted for local wages, so it varies much less.

Nevada$77,663Alaska$63,917Colorado$59,126California$58,147Florida$56,153Texas$54,980Pennsylvania$48,141Georgia$47,688Kentucky$46,925New Jersey$46,050Arizona$44,876Washington$41,865
Average charge for APC 5184, 12 highest-charging states, bars to scale. Source: CMS DY2024.
StateServicesAvg chargeAvg allowed
Nevada317$77,663$5,771
Alaska97$63,917$5,688
Colorado602$59,126$4,754
California5,401$58,147$6,709
Florida3,501$56,153$4,651
Texas4,348$54,980$4,802
Pennsylvania2,404$48,141$4,835
Georgia1,576$47,688$4,641
Kentucky836$46,925$4,462
New Jersey1,493$46,050$5,584
Arizona884$44,876$4,981
Washington1,025$41,865$5,265
Louisiana920$41,073$4,281
Hawaii321$39,894$6,225
Indiana1,055$39,837$4,863
District of Columbia354$39,677$5,494
Illinois2,197$39,117$4,996
South Carolina1,113$39,078$4,657
New Hampshire177$38,648$5,274
Ohio2,002$36,703$4,345
Wyoming37$36,686$5,384
Tennessee1,174$36,606$4,301
Missouri1,268$36,519$4,478
Oklahoma1,139$35,900$4,501
Alabama1,114$35,018$4,309
Virginia1,692$34,966$4,576
North Dakota202$34,927$5,094
Idaho241$33,263$4,514
Michigan1,491$33,099$4,589
Maine148$33,067$5,037
Oregon670$32,241$5,591
Connecticut444$31,800$6,024
Utah341$31,273$4,367
South Dakota525$31,029$4,544
New York3,051$30,440$5,714
West Virginia267$30,414$4,436
Nebraska413$28,924$4,438
Mississippi872$28,789$4,527
Kansas659$28,058$4,563
Wisconsin844$28,012$4,713
Minnesota862$27,674$4,306
North Carolina1,696$27,501$4,368
Vermont85$27,102$3,281
Massachusetts1,499$26,008$4,861
Arkansas631$25,993$4,126
New Mexico145$25,894$4,100
Rhode Island64$22,931$5,490
Iowa390$22,071$4,667
Delaware253$22,068$5,132
Montana226$21,200$4,765

Highest average charges

HospitalChargeAllowed
Northbay Medical Center
Fairfield, CA
$166,137$7,907
HCA Florida Fort Walton-Destin Hospital
Fort Walton Beach, FL
$165,253$4,978
South Texas Health System Behavioral
Edinburg, TX
$161,936$4,768
Good Samaritan Hospital
San Jose, CA
$159,709$7,501
HCA Florida Orange Park Hospital
Orange Park, FL
$152,023$4,978
Cjw Medical Center
Richmond, VA
$147,948$4,731
Cedars-Sinai Medical Center
Los Angeles, CA
$144,206$6,756
HCA Florida Jfk Hospital
Atlantis, FL
$142,816$4,978
HCA Healthone Aurora
Aurora, CO
$142,572$5,231
University of Louisville Hospital
Louisville, KY
$138,924$4,617

Lowest average charges

HospitalChargeAllowed
Ascension All Saints Hospital
Racine, WI
$2,404$5,171
OSF Saint Katharine Medical Center
Dixon, IL
$5,318$5,079
Lawrence General Hospital
Lawrence, MA
$8,681$5,902
St Bernards Medical Center
Jonesboro, AR
$9,988$4,296
Uniontown Hospital
Uniontown, PA
$10,303$4,908
Mercyone Genesis Silvis Medical Center
Silvis, IL
$10,377$4,797
Parkwest Medical Center
Knoxville, TN
$10,437$4,331
Baxter Health
Mountain Home, AR
$10,510$4,852
Kansas Heart Hospital
Wichita, KS
$10,842$4,692
Beth Israel Deaconess Hospital-Milton Inc
Milton, MA
$10,868$5,902

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.