Outpatient / APC 5194
APC 5194 · 1,101 hospitals · 46,919 services
Level 4 Endovascular Procedures
Hospital outpatient departments billed Medicare for 46,919 services in APC 5194 in 2024. They charged an average of $111,026; Medicare allowed $16,197 — a ratio of 6.9 to 1 — and paid $14,606 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $30,197 to $395,879 across hospitals.
- 1Average charge $111,026
- 2Medicare allowed $16,197
- 3Reporting hospitals 1,101
- 4Services 46,919
By state
The average charge for this service was highest in Nevada ($197,026) and lowest in Arkansas ($67,116). 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 | 323 | $197,026 | $17,869 |
| Colorado | 674 | $151,052 | $16,127 |
| California | 3,910 | $147,599 | $21,666 |
| Texas | 3,888 | $144,742 | $15,252 |
| Florida | 3,602 | $144,652 | $15,207 |
| Alaska | 138 | $134,347 | $17,279 |
| Virginia | 1,085 | $123,848 | $15,178 |
| Arizona | 985 | $118,895 | $16,974 |
| Kentucky | 777 | $118,734 | $14,327 |
| South Carolina | 1,020 | $117,332 | $14,477 |
| Pennsylvania | 1,627 | $115,590 | $15,899 |
| Tennessee | 1,077 | $114,659 | $14,106 |
| Indiana | 1,304 | $113,221 | $15,425 |
| West Virginia | 357 | $112,165 | $14,619 |
| Louisiana | 983 | $109,961 | $14,145 |
| Alabama | 700 | $109,630 | $13,557 |
| Wyoming | 82 | $109,200 | $16,707 |
| Delaware | 100 | $108,699 | $17,528 |
| Georgia | 1,295 | $106,923 | $15,209 |
| Utah | 354 | $104,728 | $15,626 |
| Washington | 985 | $104,077 | $17,446 |
| New Jersey | 1,416 | $103,352 | $18,325 |
| Idaho | 263 | $102,947 | $15,892 |
| New Hampshire | 128 | $100,906 | $16,807 |
| New York | 2,302 | $100,670 | $19,185 |
| South Dakota | 430 | $98,726 | $16,470 |
| New Mexico | 278 | $97,761 | $15,426 |
| Oklahoma | 1,119 | $96,781 | $14,755 |
| District of Columbia | 134 | $96,475 | $17,415 |
| Illinois | 2,243 | $94,391 | $15,878 |
| Kansas | 636 | $93,653 | $14,968 |
| Missouri | 1,367 | $92,356 | $14,925 |
| Maine | 91 | $92,164 | $15,763 |
| Mississippi | 924 | $91,183 | $14,107 |
| North Carolina | 1,311 | $89,697 | $15,187 |
| Vermont | 43 | $88,576 | $8,858 |
| Minnesota | 891 | $85,489 | $15,975 |
| Ohio | 1,674 | $81,690 | $14,551 |
| Wisconsin | 733 | $79,825 | $15,585 |
| Michigan | 1,086 | $79,697 | $15,217 |
| Oregon | 374 | $79,568 | $18,258 |
| Massachusetts | 877 | $78,974 | $18,166 |
| Nebraska | 436 | $78,337 | $15,282 |
| North Dakota | 246 | $76,609 | $15,776 |
| Iowa | 705 | $75,977 | $14,490 |
| Connecticut | 249 | $75,511 | $19,210 |
| Montana | 218 | $74,866 | $16,025 |
| Hawaii | 142 | $72,729 | $19,550 |
| Rhode Island | 111 | $68,878 | $15,706 |
| Arkansas | 1,207 | $67,116 | $14,602 |
Highest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Henrico Doctors' Hospital Richmond, VA | $395,879 | $14,633 |
| Good Samaritan Hospital San Jose, CA | $394,207 | $24,624 |
| Tristar Hendersonville Medical Center Hendersonville, TN | $392,988 | $15,079 |
| HCA Healthone Mountain Ridge Thornton, CO | $380,954 | $16,657 |
| Southern Hills Hospital and Medical Center Las Vegas, NV | $370,319 | $17,535 |
| Flowers Hospital Dothan, AL | $364,604 | $13,138 |
| UCLA West Valley Medical Center West Hills, CA | $358,299 | $21,503 |
| Riverside Community Hospital Riverside, CA | $357,945 | $21,504 |
| Cjw Medical Center Richmond, VA | $353,935 | $14,839 |
| Medical City Fort Worth Fort Worth, TX | $339,907 | $15,097 |
Lowest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Kaleida Health Buffalo, NY | $30,197 | $18,548 |
| Methodist Medical Center of Oak Ridge Oak Ridge, TN | $31,683 | $14,435 |
| Penn Highlands Mon Valley Monongahela, PA | $32,419 | $6,947 |
| Pali Momi Medical Center Aiea, HI | $36,334 | $20,119 |
| Trinity Hospitals Minot, ND | $38,217 | $12,222 |
| Brigham and Women's Faulkner Hospital Boston, MA | $38,252 | $18,788 |
| Harrison Memorial Hospital Cynthiana, KY | $39,866 | $6,916 |
| East Alabama Medical Center Opelika, AL | $40,665 | $13,916 |
| South Shore Hospital South Weymouth, MA | $40,706 | $18,788 |
| Emory Johns Creek Hospital Johns Creek, GA | $41,791 | $12,018 |
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.