Outpatient / APC 5361
APC 5361 · 2,236 hospitals · 171,539 services
Level 1 Laparoscopy and Related Services
Hospital outpatient departments billed Medicare for 171,539 services in APC 5361 in 2024. They charged an average of $42,414; Medicare allowed $5,494 — a ratio of 7.7 to 1 — and paid $4,357 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $6,831 to $245,516 across hospitals.
- 1Average charge $42,414
- 2Medicare allowed $5,494
- 3Reporting hospitals 2,236
- 4Services 171,539
By state
The average charge for this service was highest in Nevada ($68,593) and lowest in Rhode Island ($16,669). 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 | 1,328 | $68,593 | $6,126 |
| Florida | 12,122 | $68,202 | $5,164 |
| California | 14,731 | $64,351 | $7,274 |
| Colorado | 2,902 | $52,169 | $5,523 |
| Texas | 12,238 | $50,995 | $5,094 |
| Arizona | 4,498 | $49,210 | $5,634 |
| Alabama | 2,748 | $47,318 | $4,699 |
| Alaska | 513 | $47,031 | $6,084 |
| South Carolina | 4,116 | $46,306 | $4,911 |
| New Mexico | 1,084 | $45,932 | $5,250 |
| Indiana | 3,517 | $45,492 | $5,160 |
| Virginia | 5,681 | $45,021 | $5,106 |
| Georgia | 5,450 | $43,535 | $5,088 |
| Washington | 3,551 | $43,156 | $5,849 |
| Pennsylvania | 7,329 | $40,125 | $5,348 |
| Illinois | 6,496 | $40,085 | $5,396 |
| New Jersey | 4,896 | $39,976 | $6,146 |
| Louisiana | 2,422 | $38,055 | $4,767 |
| Ohio | 6,126 | $37,246 | $4,883 |
| Kansas | 2,235 | $37,016 | $5,030 |
| New Hampshire | 1,039 | $36,737 | $5,576 |
| Oklahoma | 3,055 | $36,047 | $4,932 |
| New York | 8,943 | $35,085 | $6,297 |
| Kentucky | 2,954 | $34,303 | $4,938 |
| Oregon | 2,038 | $33,402 | $6,097 |
| North Carolina | 5,493 | $33,086 | $5,105 |
| Wisconsin | 3,170 | $32,513 | $5,264 |
| West Virginia | 1,176 | $32,414 | $4,833 |
| Tennessee | 4,245 | $32,171 | $4,827 |
| District of Columbia | 620 | $31,625 | $5,818 |
| Wyoming | 400 | $31,224 | $5,613 |
| Missouri | 3,917 | $31,180 | $5,012 |
| Michigan | 4,277 | $31,082 | $5,095 |
| Connecticut | 1,798 | $30,904 | $6,383 |
| Delaware | 1,009 | $28,991 | $5,723 |
| Hawaii | 485 | $28,603 | $6,541 |
| Idaho | 1,077 | $28,349 | $5,303 |
| Nebraska | 1,340 | $28,345 | $5,177 |
| South Dakota | 1,106 | $28,222 | $5,504 |
| Iowa | 2,029 | $28,164 | $4,981 |
| Mississippi | 2,367 | $27,999 | $4,790 |
| Maine | 744 | $26,481 | $5,253 |
| Minnesota | 3,024 | $26,002 | $5,598 |
| Utah | 1,476 | $25,166 | $5,170 |
| Arkansas | 2,338 | $24,692 | $4,935 |
| Montana | 964 | $24,644 | $5,439 |
| Massachusetts | 5,065 | $22,355 | $6,136 |
| North Dakota | 534 | $21,098 | $5,464 |
| Vermont | 362 | $20,965 | $3,057 |
| Rhode Island | 468 | $16,669 | $5,783 |
Highest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| HCA Florida Oak Hill Hospital Brooksville, FL | $245,516 | $5,227 |
| Northbay Medical Center Fairfield, CA | $201,962 | $8,213 |
| Baldwin Health Foley, AL | $199,508 | $4,789 |
| HCA Florida St Lucie Hospital Port Saint Lucie, FL | $193,120 | $5,227 |
| HCA Florida Englewood Hospital Englewood, FL | $183,344 | $5,227 |
| South Texas Health System Behavioral Edinburg, TX | $175,938 | $5,007 |
| Palmdale Regional Medical Center Palmdale, CA | $175,734 | $7,094 |
| HCA Florida Fawcett Hospital Port Charlotte, FL | $172,948 | $5,227 |
| Carolina Pines Regional Medical Center Hartsville, SC | $172,682 | $4,868 |
| HCA Florida Pasadena Hospital Saint Petersburg, FL | $167,640 | $5,028 |
Lowest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Niagara Falls Memorial Medical Center Niagara Falls, NY | $6,831 | $6,118 |
| Flushing Hospital Medical Center Flushing, NY | $8,325 | $6,291 |
| Fort Loudon Medical Center Lenoir City, TN | $8,470 | $4,759 |
| West Calcasieu Cameron Hospital Sulphur, LA | $8,475 | $4,759 |
| Kansas Medical Center LLC Andover, KS | $8,602 | $4,926 |
| Morristown Hamblen Hospital Association Morristown, TN | $8,802 | $4,224 |
| Camc Charleston Surgical Hospital Charleston, WV | $8,862 | $4,891 |
| Mount Auburn Hospital Cambridge, MA | $9,230 | $6,153 |
| Cumberland Medical Center Crossville, TN | $9,258 | $5,096 |
| Titus Regional Medical Center Mount Pleasant, TX | $9,477 | $5,176 |
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.