Level 2 ICD and Similar Procedures
What 1,536 hospitals in the U.S. charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.
Average charge
$170,325
Hospital list price billed
Average allowed
$31,009
Medicare's payment + patient's share
Medicare paid
$29,375
Average per service
Volume
24,295
Medicare services
Hospitals in the U.S. billed an average of $170,325 for level 2 icd and similar procedures, about 5.5 times the average medicare-allowed amount of $31,009.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $31,009Billed $170,325
About 18¢ was paid for every $1 hospitals in the U.S. billed for this service.
Lowest and highest allowed amounts
Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Fletcher Allen Hospital of VermontBurlington, VT | $16,912 |
|---|---|
| Brookwood Medical CenterBirmingham, AL | $25,043 |
| Arkansas Heart HospitalLittle Rock, AR | $25,181 |
| Univ of Tn Mem HospitalKnoxville, TN | $25,260 |
| Presbyterian HospitalAlbuquerque, NM | $25,744 |
| Methodist Healthcare-MemphisMemphis, TN | $25,924 |
| Methodist HospitalSan Antonio, TX | $26,000 |
| Wheeling HospitalWheeling, WV | $26,323 |
| Saint Francis Hospital, INCTulsa, OK | $26,387 |
| Edward W Sparrow HospitalLansing, MI | $26,504 |
Highest
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $46,868 |
|---|---|
| Salinas Valley Memorial HospitalSalinas, CA | $46,172 |
| El Camino HospitalMountain View, CA | $46,171 |
| Stanford HospitalPalo Alto, CA | $46,171 |
| UCSF Medical CenterSan Francisco, CA | $46,171 |
| Santa Rosa Memorial HospitalSanta Rosa, CA | $45,750 |
| Alta Bates Summit Medical CenterOakland, CA | $45,076 |
| St Josephs Med Center of StocktonStockton, CA | $44,985 |
| John Muir Medical Center - Concord CampusConcord, CA | $44,955 |
| Sequoia HospitalRedwood City, CA | $44,531 |
Level 2 ICD and Similar Procedures cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 27 | $181,897 | $27,001 | $25,043 – $29,869 |
| Alaska | 2 | $113,174 | $33,852 | $33,852 – $33,852 |
| Arizona | 33 | $182,627 | $32,032 | $30,086 – $34,251 |
| Arkansas | 22 | $111,081 | $27,680 | $25,181 – $30,129 |
| California | 145 | $211,330 | $41,736 | $37,553 – $46,868 |
| Colorado | 32 | $237,078 | $31,227 | $28,951 – $33,438 |
| Connecticut | 18 | $97,544 | $36,088 | $35,527 – $36,939 |
| Delaware | 6 | $147,095 | $32,918 | $32,873 – $32,991 |
| Florida | 111 | $193,333 | $29,493 | $26,141 – $31,819 |
| Georgia | 49 | $157,491 | $29,131 | $26,943 – $30,876 |
| Hawaii | 6 | $94,418 | $37,717 | $37,717 – $37,717 |
| Idaho | 10 | $117,011 | $29,966 | $27,195 – $31,747 |
| Illinois | 71 | $158,557 | $30,658 | $28,107 – $32,463 |
| Indiana | 39 | $150,457 | $29,813 | $29,238 – $31,312 |
| Iowa | 17 | $106,233 | $28,523 | $26,739 – $31,792 |
| Kansas | 22 | $124,383 | $28,692 | $28,005 – $30,140 |
| Kentucky | 25 | $230,982 | $28,264 | $26,176 – $30,347 |
| Louisiana | 30 | $186,623 | $27,611 | $27,274 – $28,429 |
| Maine | 6 | $134,774 | $28,943 | $28,147 – $29,738 |
| Massachusetts | 34 | $107,874 | $34,923 | $32,168 – $35,221 |
| Michigan | 47 | $152,325 | $29,030 | $26,504 – $31,368 |
| Minnesota | 15 | $119,232 | $31,840 | $29,625 – $33,618 |
| Mississippi | 17 | $123,190 | $27,619 | $26,571 – $29,415 |
| Missouri | 43 | $131,827 | $28,211 | $25,293 – $31,263 |
| Montana | 7 | $109,100 | $31,051 | $30,752 – $32,933 |
| Nebraska | 18 | $125,159 | $29,361 | $28,264 – $30,268 |
| Nevada | 14 | $337,268 | $33,575 | $32,090 – $35,124 |
| New Hampshire | 11 | $127,053 | $32,374 | $31,447 – $33,505 |
| New Jersey | 25 | $205,194 | $34,790 | $32,738 – $37,317 |
| New Mexico | 11 | $159,626 | $27,142 | $25,744 – $28,202 |
| New York | 61 | $175,437 | $35,923 | $32,314 – $37,317 |
| North Carolina | 40 | $139,622 | $29,082 | $27,840 – $30,570 |
| North Dakota | 6 | $121,284 | $31,291 | $28,512 – $32,933 |
| Ohio | 61 | $123,168 | $28,064 | $10,392 – $29,893 |
| Oklahoma | 25 | $139,907 | $27,816 | $26,387 – $28,262 |
| Oregon | 16 | $153,122 | $35,481 | $31,874 – $39,814 |
| Pennsylvania | 69 | $207,570 | $31,080 | $28,405 – $34,565 |
| Rhode Island | 5 | $100,280 | $33,284 | $33,284 – $33,284 |
| South Carolina | 25 | $215,047 | $28,121 | $27,371 – $29,948 |
| South Dakota | 5 | $155,689 | $30,926 | $30,156 – $32,289 |
| Tennessee | 34 | $162,623 | $27,292 | $22,825 – $30,088 |
| Texas | 142 | $237,681 | $29,023 | $26,000 – $31,612 |
| Utah | 11 | $158,308 | $29,809 | $29,384 – $31,468 |
| Vermont | 2 | $97,464 | $16,912 | $16,912 – $16,912 |
| Virginia | 39 | $180,974 | $29,286 | $27,325 – $32,254 |
| Washington | 26 | $130,827 | $33,501 | $31,714 – $35,513 |
| West Virginia | 13 | $129,340 | $27,075 | $25,916 – $27,943 |
| Wisconsin | 37 | $134,645 | $30,113 | $28,220 – $31,433 |
| Wyoming | 3 | $175,842 | $31,955 | $30,976 – $32,933 |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| NYU Hospitals CenterNew York, NY | 183 | $378,354 | $36,536 |
| St Francis Hospital, RoslynRoslyn, NY | 158 | $200,978 | $36,729 |
| New York-Presbyterian HospitalNew York, NY | 151 | $117,265 | $37,317 |
| The Heart Hospital Baylor PlanoPlano, TX | 138 | $156,367 | $29,114 |
| Cleveland Clinic - Main CampusCleveland, OH | 134 | $95,961 | $27,236 |
| Sarasota Memorial HospitalSarasota, FL | 124 | $228,368 | $29,570 |
| Jersey Shore University Medical CenterNeptune City, NJ | 118 | $122,475 | $34,100 |
| St Johns HospitalSpringfield, IL | 116 | $140,071 | $30,041 |
| Medstar Washington Hospital CenterWashington, DC | 110 | $172,187 | $32,923 |
| Hospital of the Univ of PaPhiladelphia, PA | 109 | $318,984 | $33,043 |
| Greenville Memorial HospitalGreenville, SC | 108 | $208,464 | $27,801 |
| Morristown Memorial HospitalMorristown, NJ | 105 | $130,740 | $35,599 |
| Bryan Medical CenterLincoln, NE | 103 | $123,776 | $29,557 |
| St Davids HospitalAustin, TX | 99 | $491,572 | $28,324 |
| Vanderbilt University HospitalNashville, TN | 98 | $138,033 | $26,629 |
Questions
How much does level 2 icd and similar procedures cost in the U.S.?
In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 1,536 hospitals in the U.S. was billed at $170,325 on average, while the average medicare-allowed amount was $31,009, of which Medicare paid $29,375. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 2 icd and similar procedures?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($41,736), Hawaii ($37,717), Connecticut ($36,088) and lowest in Alabama ($27,001), West Virginia ($27,075), New Mexico ($27,142).
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in the U.S., average charges were 5.5 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.