Outpatient / APC 5191
APC 5191 · 1,760 hospitals · 285,616 services
Level 1 Endovascular Procedures
Hospital outpatient departments billed Medicare for 285,616 services in APC 5191 in 2024. They charged an average of $28,735; Medicare allowed $3,094 — a ratio of 9.3 to 1 — and paid $2,208 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $6,352 to $136,110 across hospitals.
- 1Average charge $28,735
- 2Medicare allowed $3,094
- 3Reporting hospitals 1,760
- 4Services 285,616
By state
The average charge for this service was highest in Nevada ($52,257) and lowest in Rhode Island ($12,653). 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 | 1,854 | $52,257 | $3,461 |
| Alaska | 606 | $46,070 | $3,447 |
| Florida | 21,593 | $41,880 | $2,935 |
| California | 22,253 | $40,544 | $4,111 |
| New Mexico | 1,295 | $36,265 | $2,890 |
| Texas | 20,431 | $36,220 | $2,896 |
| Arizona | 5,842 | $34,042 | $3,196 |
| Colorado | 3,423 | $32,669 | $3,120 |
| Indiana | 7,934 | $32,147 | $2,945 |
| Virginia | 8,334 | $31,869 | $2,900 |
| South Carolina | 6,890 | $31,661 | $2,790 |
| Alabama | 5,735 | $30,210 | $2,680 |
| District of Columbia | 995 | $29,730 | $3,282 |
| New Jersey | 8,437 | $29,645 | $3,484 |
| Kentucky | 4,907 | $29,393 | $2,807 |
| Idaho | 1,458 | $29,086 | $3,033 |
| Pennsylvania | 12,586 | $28,496 | $3,053 |
| Tennessee | 8,339 | $27,751 | $2,740 |
| New Hampshire | 1,494 | $27,514 | $3,185 |
| Georgia | 9,079 | $26,927 | $2,893 |
| Nebraska | 2,675 | $26,619 | $2,927 |
| Louisiana | 5,254 | $26,600 | $2,719 |
| Wyoming | 445 | $25,641 | $3,230 |
| New York | 16,135 | $25,359 | $3,581 |
| Illinois | 11,888 | $25,004 | $3,056 |
| Kansas | 3,702 | $24,538 | $2,848 |
| North Carolina | 8,269 | $24,380 | $2,904 |
| Missouri | 6,212 | $23,828 | $2,844 |
| Wisconsin | 4,422 | $23,760 | $2,996 |
| Ohio | 11,775 | $23,255 | $2,783 |
| Oklahoma | 6,375 | $23,073 | $2,785 |
| Utah | 1,848 | $22,685 | $2,930 |
| Mississippi | 3,542 | $22,403 | $2,711 |
| Washington | 5,052 | $21,838 | $3,335 |
| South Dakota | 2,226 | $21,419 | $3,063 |
| Connecticut | 2,207 | $21,352 | $3,612 |
| West Virginia | 2,140 | $20,749 | $2,737 |
| North Dakota | 1,434 | $20,673 | $3,103 |
| Iowa | 4,086 | $19,798 | $2,840 |
| Massachusetts | 5,739 | $19,611 | $3,486 |
| Vermont | 217 | $19,270 | $1,751 |
| Delaware | 1,443 | $18,767 | $3,252 |
| Oregon | 2,592 | $17,751 | $3,530 |
| Hawaii | 606 | $17,589 | $3,716 |
| Michigan | 6,946 | $17,272 | $2,898 |
| Maine | 997 | $16,214 | $2,966 |
| Minnesota | 4,306 | $16,124 | $3,169 |
| Montana | 1,666 | $15,556 | $3,105 |
| Arkansas | 7,486 | $14,661 | $2,774 |
| Rhode Island | 439 | $12,653 | $3,266 |
Highest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Regional Medical Center of San Jose San Jose, CA | $136,110 | $4,528 |
| South Texas Health System Behavioral Edinburg, TX | $133,794 | $2,760 |
| HCA Healthone Sky Ridge Lone Tree, CO | $127,630 | $3,066 |
| HCA Florida Fort Walton-Destin Hospital Fort Walton Beach, FL | $126,103 | $2,947 |
| Capital Health Medical Center - Hopewell Pennington, NJ | $122,449 | $3,417 |
| HCA Florida North Florida Hospital Gainesville, FL | $121,676 | $2,902 |
| HCA Florida Jfk Hospital Atlantis, FL | $119,885 | $2,935 |
| Good Samaritan Hospital San Jose, CA | $118,763 | $4,574 |
| HCA Florida Fawcett Hospital Port Charlotte, FL | $115,458 | $2,934 |
| Capital Health Regional Medical Center Trenton, NJ | $114,469 | $3,417 |
Lowest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Kaleida Health Buffalo, NY | $6,352 | $3,425 |
| Cabell Huntington Hospital, Inc Huntington, WV | $6,568 | $2,686 |
| Mclaren Northern Michigan Petoskey, MI | $6,696 | $3,051 |
| Crouse Hospital Syracuse, NY | $6,879 | $3,421 |
| Harris Health Houston, TX | $6,946 | $3,016 |
| Mercy Hospital of Buffalo Buffalo, NY | $7,050 | $3,412 |
| UPMC Washington Washington, PA | $7,088 | $2,915 |
| East Alabama Medical Center Opelika, AL | $7,280 | $2,871 |
| Signature Healthcare Brockton Hospital Brockton, MA | $7,329 | $3,505 |
| Arkansas Heart Hospital, LLC Little Rock, AR | $7,615 | $2,725 |
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.