Outpatient / APC 5193

APC 5193 · 1,552 hospitals · 123,521 services

Level 3 Endovascular Procedures

Hospital outpatient departments billed Medicare for 123,521 services in APC 5193 in 2024. They charged an average of $78,339; Medicare allowed $10,507 — a ratio of 7.5 to 1 — and paid $8,874 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $17,354 to $315,953 across hospitals.

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  1. 1Average charge $78,339
  2. 2Medicare allowed $10,507
  3. 3Reporting hospitals 1,552
  4. 4Services 123,521

By state

The average charge for this service was highest in Nevada ($143,929) and lowest in Hawaii ($46,424). The allowed amount is set by Medicare's outpatient fee schedule, adjusted for local wages, so it varies much less.

Nevada$143,929Alaska$127,374California$107,140Colorado$106,768Florida$102,708Texas$93,719Arizona$90,095Kentucky$87,042South Carolina$84,801Alabama$84,104Indiana$83,626Virginia$81,535
Average charge for APC 5193, 12 highest-charging states, bars to scale. Source: CMS DY2024.
StateServicesAvg chargeAvg allowed
Nevada832$143,929$11,607
Alaska258$127,374$11,578
California11,065$107,140$13,852
Colorado1,628$106,768$10,440
Florida9,323$102,708$9,886
Texas9,682$93,719$9,735
Arizona2,508$90,095$10,813
Kentucky2,310$87,042$9,506
South Carolina2,740$84,801$9,417
Alabama2,109$84,104$9,086
Indiana3,112$83,626$9,947
Virginia3,133$81,535$9,798
New Hampshire471$81,413$10,760
Pennsylvania4,786$81,234$10,306
New Mexico490$79,464$9,804
Louisiana2,392$78,200$9,171
Georgia3,283$77,753$9,772
Tennessee2,890$76,764$9,219
New Jersey3,984$74,628$11,694
Wyoming158$73,012$10,953
West Virginia1,028$72,564$9,183
Idaho567$72,103$10,229
Washington2,278$71,614$11,216
New York8,174$70,682$12,124
Utah816$70,262$9,932
Illinois5,523$68,014$10,338
Kansas1,475$66,511$9,549
Missouri2,967$64,565$9,593
Mississippi1,873$63,851$9,174
Maine270$63,499$10,119
Delaware502$63,403$10,897
South Dakota1,102$63,097$10,303
Oklahoma2,441$62,494$9,353
Vermont154$60,923$5,614
Minnesota1,851$60,608$10,631
District of Columbia401$60,471$11,171
Nebraska1,021$60,146$9,858
Ohio4,413$60,047$9,446
North Carolina3,482$59,943$9,731
Oregon1,027$59,448$11,770
Massachusetts2,509$58,723$11,718
Connecticut817$57,151$12,191
Wisconsin2,097$54,547$10,085
Michigan2,945$53,702$9,758
Iowa1,667$53,201$9,516
North Dakota658$51,631$10,461
Montana632$51,276$10,456
Arkansas2,972$47,808$9,340
Rhode Island283$47,707$10,991
Hawaii376$46,424$12,684

Highest average charges

HospitalChargeAllowed
Good Samaritan Hospital
San Jose, CA
$315,953$15,461
HCA Healthone Mountain Ridge
Thornton, CO
$256,805$10,144
Flowers Hospital
Dothan, AL
$255,055$8,895
Trident Medical Center
Charleston, SC
$250,750$9,385
Woodland Heights Medical Center
Lufkin, TX
$242,072$9,539
Western Arizona Regional Medical Center
Bullhead City, AZ
$238,576$10,717
Cedars-Sinai Medical Center
Los Angeles, CA
$233,410$13,389
Mountainview Hospital
Las Vegas, NV
$233,348$11,483
HCA Healthone Swedish
Englewood, CO
$231,040$10,463
Emanuel Medical Center
Turlock, CA
$230,283$13,599

Lowest average charges

HospitalChargeAllowed
Kaleida Health
Buffalo, NY
$17,354$11,649
Erie County Medical Center
Buffalo, NY
$20,549$11,101
Trinity Health Muskegon Hospital
Muskegon, MI
$24,208$10,196
Methodist Medical Center of Oak Ridge
Oak Ridge, TN
$25,130$9,068
Inova Fair Oaks Hospital
Fairfax, VA
$25,578$9,960
Brigham and Women's Faulkner Hospital
Boston, MA
$25,646$11,799
Kaiser Foundation Hospital
Honolulu, HI
$25,838$12,390
Pioneers Memorial Healthcare District
Brawley, CA
$26,237$13,503
Arkansas Heart Hospital, LLC
Little Rock, AR
$26,662$9,179
Crouse Hospital
Syracuse, NY
$27,272$11,495

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.