Outpatient / APC 5471
APC 5471 · 68 hospitals · 3,109 services
Implantation of Drug Infusion Device
Hospital outpatient departments billed Medicare for 3,109 services in APC 5471 in 2024. They charged an average of $84,044; Medicare allowed $16,293 — a ratio of 5.2 to 1 — and paid $14,660 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $34,597 to $188,810 across hospitals.
- 1Average charge $84,044
- 2Medicare allowed $16,293
- 3Reporting hospitals 68
- 4Services 3,109
By state
The average charge for this service was highest in Alaska ($150,950) and lowest in North Dakota ($43,240). 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 |
|---|---|---|---|
| Alaska | 17 | $150,950 | $17,381 |
| Texas | 339 | $115,967 | $15,580 |
| Colorado | 40 | $111,495 | $16,941 |
| Florida | 159 | $106,390 | $15,158 |
| California | 263 | $102,750 | $21,803 |
| Kentucky | 155 | $97,926 | $14,910 |
| Pennsylvania | 89 | $97,504 | $16,699 |
| Alabama | 23 | $94,267 | $14,389 |
| Georgia | 63 | $92,386 | $14,637 |
| New York | 96 | $89,431 | $19,091 |
| Illinois | 114 | $87,466 | $16,248 |
| District of Columbia | 12 | $86,261 | $18,206 |
| New Jersey | 46 | $85,956 | $18,160 |
| Tennessee | 59 | $82,909 | $14,067 |
| Louisiana | 47 | $82,285 | $14,138 |
| Delaware | 12 | $81,754 | $15,150 |
| Virginia | 96 | $80,884 | $15,144 |
| Indiana | 86 | $80,096 | $15,287 |
| South Carolina | 66 | $79,838 | $14,136 |
| Oklahoma | 84 | $79,315 | $15,211 |
| Kansas | 85 | $76,129 | $14,824 |
| Arizona | 47 | $75,024 | $17,201 |
| North Carolina | 67 | $73,943 | $15,726 |
| Ohio | 149 | $70,404 | $14,927 |
| Washington | 57 | $68,528 | $18,176 |
| Utah | 38 | $67,515 | $14,437 |
| Idaho | 79 | $66,755 | $15,905 |
| South Dakota | 63 | $65,524 | $16,463 |
| Missouri | 95 | $65,374 | $15,336 |
| Massachusetts | 81 | $60,718 | $18,464 |
| Michigan | 60 | $60,691 | $15,647 |
| Wisconsin | 78 | $60,239 | $15,498 |
| Nebraska | 28 | $57,653 | $16,228 |
| Connecticut | 32 | $57,377 | $18,871 |
| Montana | 24 | $56,940 | $16,784 |
| Oregon | 19 | $55,173 | $17,601 |
| Iowa | 22 | $53,833 | $13,736 |
| Mississippi | 27 | $50,716 | $14,641 |
| West Virginia | 29 | $50,358 | $13,657 |
| Minnesota | 44 | $47,855 | $16,567 |
| Arkansas | 54 | $46,528 | $14,128 |
| North Dakota | 21 | $43,240 | $16,685 |
Highest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| NYU Langone Hospitals New York, NY | $188,810 | $18,807 |
| Townsen Memorial Hospital Humble, TX | $175,259 | $13,615 |
| CHI St Luke's Health Baylor College of Medicine Me Houston, TX | $163,629 | $16,503 |
| Alaska Regional Hospital Anchorage, AK | $161,117 | $17,250 |
| Houston Methodist Hospital Houston, TX | $144,737 | $16,502 |
| Lehigh Valley Hospital Allentown, PA | $137,587 | $17,357 |
| Dupont Hospital LLC Fort Wayne, IN | $133,235 | $16,161 |
| Doctors Medical Center Modesto, CA | $133,202 | $21,870 |
| Norton Hospital / Norton Healthcare Pavilion / Nor Louisville, KY | $121,220 | $14,570 |
| UCSF Medical Center San Francisco, CA | $116,639 | $25,044 |
Lowest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Reid Health Richmond, IN | $34,597 | $15,069 |
| Baptist Health Medical Center-Little Rock Little Rock, AR | $41,609 | $13,823 |
| Sanford Fargo, ND | $42,441 | $16,685 |
| Southcoast Hospital Group, Inc Fall River, MA | $42,556 | $19,108 |
| University of Wi Hospitals & Clinics Authority Madison, WI | $43,473 | $16,613 |
| Deaconess Henderson Hospital Henderson, KY | $44,280 | $15,678 |
| St Dominic-Jackson Memorial Hospital Jackson, MS | $44,431 | $13,809 |
| Baylor Scott and White Surgical Hospital Fortworth Fort Worth, TX | $45,744 | $15,757 |
| Peacehealth Southwest Medical Cente Vancouver, WA | $46,084 | $18,669 |
| Regions Hospital Saint Paul, MN | $47,023 | $17,011 |
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.