CostGrade

Level 2 Icd and Similar Procedures — what U.S. hospitals charge

APC 5232 · Hospital outpatient visit · 787 U.S. hospitals publish a price

Cheapest quarter

under $110,124

Typical charge

$148,591

Dearest quarter

over $204,613

Actually paid

$31,022

The middle U.S. hospital bills $148,591 for Level 2 Icd and Similar Procedures. The dearest hospitals charge about 3.3x what the cheapest do for the same coded work. Medicare actually paid about $31,022 per case.

These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.

Level 2 Icd and Similar Procedures cost by state

The middle charge in each state where at least three hospitals publish a price, cheapest first.

State Hospitals Typical charge Range
Connecticut 7 $93,858 $84,351 – $136,676
Massachusetts 15 $99,106 $57,933 – $249,440
North Dakota 5 $102,349 $61,122 – $183,605
Montana 4 $104,367 $97,068 – $142,188
Kansas 11 $105,292 $65,571 – $257,192
Ohio 33 $108,035 $73,499 – $270,192
Arkansas 13 $108,411 $57,783 – $271,788
Missouri 24 $110,551 $73,377 – $475,525
Minnesota 14 $115,369 $72,368 – $228,596
Maine 3 $116,427 $88,726 – $180,393
Idaho 5 $116,834 $60,864 – $297,159
Nebraska 7 $117,914 $90,909 – $170,883
Indiana 24 $123,266 $75,339 – $371,031
New Hampshire 4 $123,830 $71,207 – $193,328
West Virginia 5 $124,587 $64,121 – $279,877
Wisconsin 18 $125,347 $48,501 – $203,640
Iowa 9 $126,946 $61,134 – $165,037
Delaware 4 $128,739 $105,770 – $189,282
Mississippi 11 $130,496 $82,463 – $165,388
South Dakota 3 $131,591 $115,359 – $196,626
Washington 18 $134,823 $78,391 – $185,900
New York 37 $135,927 $44,815 – $378,354
Oregon 9 $137,388 $104,552 – $210,110
Michigan 28 $137,597 $61,547 – $318,849
Oklahoma 10 $137,853 $108,490 – $224,421
Tennessee 15 $138,033 $40,145 – $373,940
North Carolina 22 $146,038 $68,762 – $273,225
Utah 7 $146,726 $89,765 – $408,681
Georgia 29 $148,929 $49,890 – $332,310
Alabama 12 $149,427 $93,279 – $473,869
Virginia 27 $149,773 $80,712 – $512,798
Illinois 40 $152,227 $64,168 – $338,671
New Jersey 15 $155,176 $74,863 – $592,224
Pennsylvania 45 $176,423 $70,485 – $445,814
Arizona 15 $180,996 $100,740 – $277,583
Florida 57 $182,082 $76,055 – $453,396
South Carolina 16 $186,204 $118,930 – $429,844
California 56 $193,219 $86,255 – $642,827
Kentucky 15 $196,398 $45,204 – $427,730
Colorado 11 $197,302 $131,895 – $429,703
Louisiana 12 $202,201 $110,216 – $413,077
Texas 55 $210,830 $64,606 – $526,118
Nevada 8 $333,304 $179,740 – $516,052

Where Level 2 Icd and Similar Procedures is charged least

Hospitals that performed it at least eleven times, so a single case cannot set the figure.

Hospital Charged Actually paid
Cookeville Regional Medical Center

Cookeville, TN

$40,145 $30,088
Crouse Hospital

Syracuse, NY

$44,815 $33,194
Saint Joseph Hospital

Lexington, KY

$45,204 $26,176
Aspirus Wausau Hospital

Wausau, WI

$48,501 $28,361
Saint Joseph's Hospital Of Atlanta, Inc

Atlanta, GA

$49,890 $29,474
Emory University Hospital

Atlanta, GA

$51,785 $29,447
Emory University Hospital Midtown

Atlanta, GA

$54,159 $28,136
St Francis Hospital- Emory Healthcare

Columbus, GA

$56,267 $27,727
Mercy Hospital Northwest Arkansas

Rogers, AR

$57,783 $26,899
Beth Israel Deaconess Medical Center

Boston, MA

$57,933 $34,316
Erlanger Medical Center

Chattanooga, TN

$59,752 $28,046
North Shore Medical Center -

Salem, MA

$60,557 $35,221

Where it is charged most

Hospitals that performed it at least eleven times, so a single case cannot set the figure.

Hospital Charged Actually paid
Cedars-Sinai Medical Center

Los Angeles, CA

$642,827 $39,711
Englewood Hospital And Medical Center

Englewood, NJ

$592,224 $35,804
St David's South Austin Medical Center

Austin, TX

$526,118 $28,872
Southern Hills Hospital And Medical Center

Las Vegas, NV

$516,052 $32,348
Cjw Medical Center

Richmond, VA

$512,798 $28,240
Henrico Doctors' Hospital

Richmond, VA

$497,138 $28,485
St David's Medical Center

Austin, TX

$491,572 $28,324
Round Rock Medical Center

Round Rock, TX

$484,664 $27,792
Research Medical Center

Kansas City, MO

$475,525 $27,146
Baptist Health Brookwood Hospital

Birmingham, AL

$473,869 $25,043
Medical City Dallas Hospital

Dallas, TX

$470,107 $29,519
Good Samaritan Hospital

San Jose, CA

$464,853 $46,171

Questions people ask

What do U.S. hospitals charge for Level 2 Icd and Similar Procedures?

Across 787 U.S. hospitals, the middle charge for Level 2 Icd and Similar Procedures is $148,591. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $110,124 and the dearest quarter over $204,613.

Why do hospitals charge such different amounts for the same procedure?

Because a hospital charge is a list price it sets itself, not a regulated rate. For Level 2 Icd and Similar Procedures, the hospitals in the dearest tenth charge about 3.3x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.

Is that what I would actually pay?

No. $31,022 is roughly what Medicare actually paid per case, against an average charge of $170,325. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.

What this code covers

CMS records this work as APC 5232: “Level 2 ICD and Similar Procedures”. An APC covers one outpatient visit for that level of service — you go home the same day.