Level 4 Vascular Procedures
What 1,889 hospitals in the U.S. charged and were paid for level 4 vascular procedures (APC 5184), from 2024 Medicare claims.
Average charge
$41,673
Hospital list price billed
Average allowed
$4,971
Medicare's payment + patient's share
Medicare paid
$3,946
Average per service
Volume
49,656
Medicare services
Hospitals in the U.S. billed an average of $41,673 for level 4 vascular procedures, about 8.4 times the average medicare-allowed amount of $4,971.
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
| Duke Health Raleigh HospitalRaleigh, NC | $2,328 |
|---|---|
| UPMC Presbyterian ShadysidePittsburgh, PA | $2,612 |
| Metrohealth SystemCleveland, OH | $2,704 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $2,755 |
| Cleveland Clinic HospitalWeston, FL | $2,808 |
| University of Arkansas Medical SciencesLittle Rock, AR | $2,859 |
| Adventhealth Daytona BeachDaytona Beach, FL | $2,941 |
| St Marks HospitalSalt Lake City, UT | $2,974 |
| Albert Einstein Medical CenterPhiladelphia, PA | $3,097 |
| University of Virginia Medical CenterCharlottesville, VA | $3,116 |
Highest
| Northbay Medical CenterFairfield, CA | $7,907 |
|---|---|
| Santa Rosa Memorial HospitalSanta Rosa, CA | $7,696 |
| San Francisco General HospitalSan Francisco, CA | $7,692 |
| Marinhealth Medical CenterGreenbrae, CA | $7,675 |
| Peninsula Medical CenterBurlingame, CA | $7,654 |
| John Muir Medical Center - Concord CampusConcord, CA | $7,652 |
| Stanford Health Care Tri-ValleyPleasanton, CA | $7,635 |
| Highland HospitalOakland, CA | $7,631 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $7,573 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA | $7,542 |
Level 4 Vascular 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 | 42 | $35,175 | $4,305 | $3,589 – $4,849 |
| Alaska | 4 | $67,727 | $5,600 | $5,470 – $5,672 |
| Arizona | 38 | $43,827 | $4,959 | $4,312 – $5,739 |
| Arkansas | 26 | $26,212 | $4,103 | $2,859 – $5,003 |
| California | 197 | $58,340 | $6,702 | $5,000 – $7,907 |
| Colorado | 33 | $60,817 | $4,736 | $3,773 – $5,603 |
| Connecticut | 21 | $32,706 | $6,021 | $5,527 – $6,190 |
| Delaware | 6 | $22,089 | $5,116 | $5,023 – $5,528 |
| Florida | 130 | $55,090 | $4,634 | $2,808 – $4,978 |
| Georgia | 58 | $48,249 | $4,633 | $3,308 – $5,100 |
| Hawaii | 10 | $40,596 | $6,220 | $6,011 – $6,769 |
| Idaho | 10 | $33,985 | $4,474 | $3,655 – $5,296 |
| Illinois | 80 | $39,507 | $4,986 | $4,030 – $5,439 |
| Indiana | 45 | $39,988 | $4,871 | $4,041 – $5,159 |
| Iowa | 18 | $21,951 | $4,664 | $4,428 – $5,035 |
| Kansas | 20 | $28,338 | $4,552 | $4,166 – $5,140 |
| Kentucky | 28 | $47,737 | $4,442 | $3,562 – $5,084 |
| Louisiana | 32 | $41,665 | $4,261 | $3,120 – $4,763 |
| Maine | 7 | $32,645 | $5,023 | $4,788 – $5,163 |
| Massachusetts | 38 | $26,381 | $4,811 | $3,373 – $6,199 |
| Michigan | 57 | $33,077 | $4,564 | $3,534 – $5,182 |
| Minnesota | 24 | $27,900 | $4,275 | $2,755 – $5,633 |
| Mississippi | 24 | $28,780 | $4,526 | $4,256 – $4,928 |
| Missouri | 45 | $36,945 | $4,448 | $3,359 – $5,238 |
| Montana | 9 | $21,222 | $4,739 | $3,466 – $5,518 |
| Nebraska | 17 | $29,144 | $4,358 | $3,589 – $4,952 |
| Nevada | 17 | $79,153 | $5,776 | $5,194 – $5,886 |
| New Hampshire | 12 | $40,103 | $5,258 | $4,721 – $5,470 |
| New Jersey | 57 | $46,241 | $5,566 | $4,635 – $6,253 |
| New Mexico | 12 | $21,372 | $3,989 | $3,464 – $4,786 |
| New York | 95 | $30,639 | $5,695 | $3,309 – $6,253 |
| North Carolina | 48 | $26,950 | $4,356 | $2,328 – $5,599 |
| North Dakota | 6 | $35,240 | $5,119 | $4,637 – $5,518 |
| Ohio | 81 | $37,228 | $4,312 | $2,704 – $5,094 |
| Oklahoma | 26 | $35,947 | $4,490 | $3,642 – $4,999 |
| Oregon | 20 | $32,288 | $5,585 | $4,513 – $6,672 |
| Pennsylvania | 95 | $49,346 | $4,816 | $2,612 – $5,792 |
| Rhode Island | 5 | $23,404 | $5,477 | $5,477 – $5,477 |
| South Carolina | 35 | $38,678 | $4,654 | $3,976 – $5,169 |
| South Dakota | 11 | $31,605 | $4,517 | $3,279 – $5,518 |
| Tennessee | 35 | $35,994 | $4,287 | $3,796 – $5,041 |
| Texas | 162 | $55,124 | $4,800 | $2,977 – $5,296 |
| Utah | 9 | $31,367 | $4,362 | $2,974 – $5,056 |
| Vermont | 1 | $27,102 | $3,281 | – |
| Virginia | 46 | $34,983 | $4,570 | $3,116 – $5,404 |
| Washington | 33 | $41,910 | $5,243 | $3,915 – $5,766 |
| West Virginia | 15 | $29,541 | $4,422 | $2,077 – $5,250 |
| Wisconsin | 41 | $28,850 | $4,692 | $3,854 – $5,213 |
| Wyoming | 2 | $36,579 | $5,347 | $5,347 – $5,347 |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Massachusetts General HospitalBoston, MA | 337 | $19,124 | $3,373 |
| MUSC Medical CenterCharleston, SC | 309 | $35,898 | $4,554 |
| Oklahoma Heart HospitalOklahoma City, OK | 303 | $23,265 | $4,723 |
| Methodist Hospital,TheHouston, TX | 303 | $54,774 | $4,825 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 291 | $17,991 | $2,755 |
| New York-Presbyterian HospitalNew York, NY | 260 | $35,420 | $5,938 |
| University of Kansas HospitalKansas City, KS | 253 | $28,751 | $4,166 |
| Hospital of the Univ of PaPhiladelphia, PA | 247 | $88,981 | $5,504 |
| Medstar Washington Hospital CenterWashington, DC | 239 | $32,399 | $5,513 |
| Barnes Jewish HospitalSt Louis, MO | 238 | $42,043 | $4,285 |
| Duke University Medical CenterDurham, NC | 233 | $26,043 | $3,925 |
| Mayo ClinicJacksonville, FL | 230 | $34,655 | $4,131 |
| Our Lady of the Lake Regional Medical CenterBaton Rouge, LA | 220 | $32,129 | $4,267 |
| NYU Hospitals CenterNew York, NY | 217 | $51,845 | $6,144 |
| Our Lady of Lourdes Medical CenterCamden, NJ | 216 | $66,208 | $5,732 |
Questions
How much does level 4 vascular procedures cost in the U.S.?
In 2024 Medicare data, level 4 vascular procedures (APC 5184) at 1,889 hospitals in the U.S. was billed at $41,673 on average, while the average medicare-allowed amount was $4,971, of which Medicare paid $3,946. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 4 vascular procedures?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($6,702), Hawaii ($6,220), Connecticut ($6,021) and lowest in New Mexico ($3,989), Arkansas ($4,103), Louisiana ($4,261).
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 8.4 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.