Outpatient / APC 5432
APC 5432 · 47 hospitals · 2,975 services
Level 2 Nerve Procedures
Hospital outpatient departments billed Medicare for 2,975 services in APC 5432 in 2024. They charged an average of $41,284; Medicare allowed $5,969 — a ratio of 6.9 to 1 — and paid $4,742 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $7,894 to $136,869 across hospitals.
- 1Average charge $41,284
- 2Medicare allowed $5,969
- 3Reporting hospitals 47
- 4Services 2,975
By state
The average charge for this service was highest in California ($66,802) and lowest in South Dakota ($13,223). 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 |
|---|---|---|---|
| California | 280 | $66,802 | $7,627 |
| District of Columbia | 11 | $58,924 | $5,967 |
| Florida | 164 | $54,171 | $5,933 |
| Pennsylvania | 131 | $50,754 | $5,249 |
| Colorado | 39 | $47,674 | $6,364 |
| Illinois | 94 | $47,225 | $5,820 |
| New York | 131 | $47,082 | $7,259 |
| Texas | 245 | $46,626 | $5,568 |
| Oklahoma | 63 | $45,622 | $5,411 |
| Arizona | 48 | $44,971 | $6,113 |
| New Hampshire | 16 | $44,749 | $5,413 |
| New Jersey | 56 | $43,192 | $6,553 |
| Alabama | 32 | $43,012 | $5,619 |
| Virginia | 87 | $42,898 | $4,945 |
| Washington | 46 | $42,022 | $6,552 |
| Kentucky | 50 | $39,260 | $5,313 |
| Oregon | 40 | $39,022 | $7,035 |
| Ohio | 104 | $38,544 | $5,500 |
| Georgia | 76 | $37,601 | $5,629 |
| South Carolina | 75 | $36,914 | $5,467 |
| Louisiana | 50 | $35,784 | $4,987 |
| Mississippi | 16 | $35,552 | $5,505 |
| North Carolina | 94 | $35,506 | $5,475 |
| Massachusetts | 136 | $35,303 | $6,952 |
| Tennessee | 46 | $35,290 | $5,679 |
| Missouri | 137 | $34,965 | $5,477 |
| Michigan | 59 | $34,266 | $5,702 |
| Indiana | 62 | $33,334 | $5,966 |
| Kansas | 67 | $31,364 | $5,299 |
| New Mexico | 11 | $30,887 | $5,832 |
| West Virginia | 40 | $29,912 | $5,278 |
| Nebraska | 60 | $29,259 | $5,911 |
| Wisconsin | 52 | $28,865 | $6,033 |
| Utah | 26 | $28,459 | $5,967 |
| Iowa | 18 | $27,523 | $5,692 |
| Connecticut | 25 | $26,557 | $7,474 |
| Minnesota | 42 | $26,387 | $5,605 |
| Wyoming | 11 | $23,531 | $6,689 |
| Montana | 12 | $22,401 | $5,725 |
| Arkansas | 42 | $17,312 | $4,517 |
| Idaho | 19 | $16,265 | $5,597 |
| South Dakota | 104 | $13,223 | $5,577 |
Highest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Cedars-Sinai Medical Center Los Angeles, CA | $136,869 | $7,907 |
| UCSF Medical Center San Francisco, CA | $98,315 | $9,375 |
| OU Health University of Oklahoma Medical Center Oklahoma City, OK | $84,228 | $5,434 |
| University of California Davis Medical Center Sacramento, CA | $76,735 | $8,302 |
| Stanford Health Care Stanford, CA | $75,241 | $6,771 |
| Uci Health-Orange Orange, CA | $73,518 | $8,189 |
| NYU Langone Hospitals New York, NY | $64,502 | $7,422 |
| Northwestern Memorial Hospital Chicago, IL | $61,701 | $5,507 |
| Lehigh Valley Hospital Allentown, PA | $58,501 | $5,021 |
| University of Michigan Health Ann Arbor, MI | $57,608 | $5,882 |
Lowest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Avera St Lukes Aberdeen, SD | $7,894 | $6,245 |
| Uams Medical Center Little Rock, AR | $10,277 | $3,374 |
| Avera Mckennan Hospital & University Health Center Sioux Falls, SD | $10,771 | $5,226 |
| Lahey Hospital & Medical Center, Burlington Burlington, MA | $10,861 | $4,553 |
| Monument Health Rapid City Hospital Rapid City, SD | $15,995 | $5,574 |
| Yale-New Haven Hospital New Haven, CT | $22,133 | $7,497 |
| St Francis-Downtown Greenville, SC | $22,611 | $5,746 |
| West Virginia University Hospitals, Inc Morgantown, WV | $24,420 | $4,803 |
| Mercy Hospital Springfield Springfield, MO | $25,100 | $5,258 |
| University of Kansas Hospital Kansas City, KS | $25,222 | $4,570 |
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.