Level 4 Endovascular Procedures
What 1,830 hospitals in the U.S. charged and were paid for level 4 endovascular procedures (APC 5194), from 2024 Medicare claims.
Average charge
$111,448
Hospital list price billed
Average allowed
$16,197
Medicare's payment + patient's share
Medicare paid
$14,606
Average per service
Volume
43,652
Medicare services
Hospitals in the U.S. billed an average of $111,448 for level 4 endovascular procedures, about 6.9 times the average medicare-allowed amount of $16,197.
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.
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
| Harrison Memorial HospitalCynthiana, KY | $6,916 |
|---|---|
| Marietta Memorial HospitalMarietta, OH | $7,315 |
| Fletcher Allen Hospital of VermontBurlington, VT | $8,858 |
| Mercy HospitalIowa City, IA | $9,003 |
| Thibodaux Regional Medical CenterThibodaux, LA | $9,955 |
| Mercyone Siouxland Medical CenterSioux City, IA | $10,184 |
| St Luke's the Woodlands HospitalConroe, TX | $10,277 |
| Temple University HospitalPhiladelphia, PA | $10,292 |
| North Alabama Medical CenterFlorence, AL | $10,506 |
| St Luke's HospitalJacksonville, FL | $10,779 |
Highest
| Peninsula Medical CenterBurlingame, CA | $24,996 |
|---|---|
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $24,996 |
| Sequoia HospitalRedwood City, CA | $24,625 |
| Washington HospitalFremont, CA | $24,624 |
| El Camino HospitalMountain View, CA | $24,624 |
| Good Samaritan HospitalSan Jose, CA | $24,624 |
| UCSF Medical CenterSan Francisco, CA | $24,624 |
| Sutter General HospitalSacramento, CA | $24,491 |
| Santa Rosa Memorial HospitalSanta Rosa, CA | $24,491 |
| Stanford HospitalPalo Alto, CA | $24,390 |
Level 4 Endovascular 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 | 32 | $106,636 | $13,555 | $10,506 – $15,522 |
| Alaska | 5 | $134,312 | $17,264 | $10,743 – $18,712 |
| Arizona | 37 | $118,734 | $17,013 | $16,327 – $18,936 |
| Arkansas | 26 | $67,208 | $14,611 | $11,581 – $16,074 |
| California | 163 | $149,293 | $21,683 | $13,321 – $25,160 |
| Colorado | 35 | $153,381 | $16,102 | $10,411 – $17,838 |
| Connecticut | 16 | $76,319 | $19,149 | $18,808 – $19,704 |
| Delaware | 6 | $111,963 | $17,524 | $17,214 – $17,599 |
| Florida | 138 | $145,727 | $15,205 | $10,779 – $16,975 |
| Georgia | 56 | $104,376 | $15,147 | $11,223 – $16,240 |
| Hawaii | 8 | $76,567 | $19,784 | $18,891 – $21,545 |
| Idaho | 11 | $100,199 | $15,905 | $12,750 – $16,936 |
| Illinois | 81 | $94,023 | $15,847 | $11,619 – $17,318 |
| Indiana | 50 | $113,660 | $15,457 | $10,094 – $16,704 |
| Iowa | 21 | $76,090 | $14,465 | $9,003 – $16,032 |
| Kansas | 21 | $94,050 | $14,966 | $14,161 – $16,984 |
| Kentucky | 32 | $117,377 | $14,265 | $6,916 – $16,190 |
| Louisiana | 38 | $110,343 | $14,097 | $9,955 – $15,013 |
| Maine | 6 | $92,880 | $15,695 | $14,824 – $16,441 |
| Massachusetts | 32 | $80,519 | $18,171 | $15,372 – $18,941 |
| Michigan | 51 | $80,909 | $15,243 | $11,265 – $16,499 |
| Minnesota | 20 | $85,555 | $15,963 | $12,043 – $17,933 |
| Mississippi | 26 | $91,671 | $14,088 | $12,861 – $15,610 |
| Missouri | 47 | $93,129 | $14,936 | $11,797 – $16,678 |
| Montana | 10 | $74,177 | $15,976 | $13,740 – $17,568 |
| Nebraska | 18 | $78,921 | $15,246 | $12,510 – $16,984 |
| Nevada | 16 | $196,832 | $17,868 | $16,532 – $18,784 |
| New Hampshire | 9 | $96,145 | $16,713 | $16,006 – $17,163 |
| New Jersey | 53 | $102,200 | $18,363 | $16,118 – $19,905 |
| New Mexico | 11 | $95,665 | $15,495 | $13,796 – $16,752 |
| New York | 81 | $103,683 | $19,258 | $16,980 – $19,905 |
| North Carolina | 51 | $89,870 | $15,193 | $11,904 – $17,827 |
| North Dakota | 6 | $76,457 | $15,827 | $12,222 – $16,878 |
| Ohio | 79 | $81,949 | $14,596 | $7,315 – $16,220 |
| Oklahoma | 26 | $96,739 | $14,773 | $12,723 – $16,147 |
| Oregon | 20 | $79,053 | $18,318 | $16,385 – $21,236 |
| Pennsylvania | 92 | $119,958 | $15,891 | $6,947 – $18,438 |
| Rhode Island | 5 | $69,361 | $15,995 | $15,777 – $16,360 |
| South Carolina | 30 | $118,448 | $14,458 | $12,532 – $15,401 |
| South Dakota | 8 | $99,350 | $16,449 | $14,062 – $17,568 |
| Tennessee | 44 | $115,335 | $14,142 | $12,729 – $16,052 |
| Texas | 165 | $143,814 | $15,236 | $10,277 – $16,354 |
| Utah | 14 | $104,237 | $15,625 | $14,507 – $16,611 |
| Vermont | 1 | $88,576 | $8,858 | – |
| Virginia | 41 | $127,107 | $15,165 | $11,908 – $17,206 |
| Washington | 32 | $104,444 | $17,458 | $15,129 – $18,943 |
| West Virginia | 14 | $113,097 | $14,595 | $13,776 – $16,715 |
| Wisconsin | 39 | $79,812 | $15,609 | $11,559 – $16,600 |
| Wyoming | 4 | $112,639 | $16,893 | $16,837 – $16,983 |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| NYU Hospitals CenterNew York, NY | 325 | $210,714 | $19,344 |
| New York-Presbyterian HospitalNew York, NY | 305 | $66,194 | $19,905 |
| The Heart Hospital Baylor PlanoPlano, TX | 253 | $112,412 | $15,581 |
| Oklahoma Heart HospitalOklahoma City, OK | 237 | $66,093 | $14,597 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 233 | $305,444 | $21,411 |
| Arkansas Heart HospitalLittle Rock, AR | 205 | $46,182 | $14,353 |
| Morristown Memorial HospitalMorristown, NJ | 204 | $128,498 | $17,663 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 195 | $69,524 | $17,418 |
| St Francis Hospital, RoslynRoslyn, NY | 188 | $126,692 | $19,615 |
| Scripps Memorial Hospital la JollaLa Jolla, CA | 186 | $155,517 | $21,397 |
| Jersey Shore University Medical CenterNeptune City, NJ | 184 | $67,686 | $18,379 |
| Evanston HospitalEvanston, IL | 168 | $71,183 | $12,419 |
| University of Kansas HospitalKansas City, KS | 167 | $95,745 | $15,107 |
| Community HospitalMunster, IN | 166 | $75,278 | $16,095 |
| Avera Heart Hospital of South Dakota LLCSioux Falls, SD | 166 | $109,913 | $16,129 |
Questions
How much does level 4 endovascular procedures cost in the U.S.?
In 2024 Medicare data, level 4 endovascular procedures (APC 5194) at 1,830 hospitals in the U.S. was billed at $111,448 on average, while the average medicare-allowed amount was $16,197, of which Medicare paid $14,606. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 4 endovascular procedures?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($21,683), Hawaii ($19,784), New York ($19,258) and lowest in Alabama ($13,555), Mississippi ($14,088), Louisiana ($14,097).
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 6.9 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.