Level 4 Endovascular Procedures — what U.S. hospitals charge
APC 5194 · Hospital outpatient visit · 1,101 U.S. hospitals publish a price
Cheapest quarter
under $74,572
Typical charge
$95,518
Dearest quarter
over $126,577
Actually paid
$16,145
The middle U.S. hospital bills $95,518 for Level 4 Endovascular Procedures. The dearest hospitals charge about 3.2x what the cheapest do for the same coded work. Medicare actually paid about $16,145 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 4 Endovascular 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 |
|---|---|---|---|
| Massachusetts | 18 | $66,509 | $38,252 – $156,678 |
| Arkansas | 19 | $67,455 | $43,711 – $222,683 |
| Michigan | 32 | $69,599 | $44,829 – $147,746 |
| Iowa | 16 | $70,641 | $45,726 – $103,472 |
| Wisconsin | 23 | $72,836 | $51,822 – $112,752 |
| North Dakota | 5 | $72,894 | $38,217 – $86,863 |
| Idaho | 7 | $74,577 | $57,241 – $197,948 |
| Oregon | 13 | $76,195 | $52,248 – $144,412 |
| New Mexico | 6 | $76,579 | $54,285 – $136,984 |
| New Jersey | 26 | $79,284 | $57,233 – $201,427 |
| Connecticut | 8 | $79,518 | $48,738 – $110,794 |
| Nebraska | 11 | $80,165 | $58,351 – $99,310 |
| Ohio | 45 | $80,625 | $50,934 – $124,950 |
| Mississippi | 21 | $83,062 | $43,557 – $205,430 |
| Missouri | 34 | $83,318 | $50,679 – $217,706 |
| New York | 37 | $83,755 | $30,197 – $210,714 |
| Montana | 7 | $84,059 | $51,874 – $102,042 |
| Minnesota | 17 | $86,260 | $65,023 – $112,296 |
| Utah | 9 | $87,494 | $56,825 – $243,562 |
| North Carolina | 32 | $87,828 | $51,195 – $150,486 |
| Kentucky | 20 | $87,936 | $39,866 – $234,653 |
| Hawaii | 5 | $88,815 | $36,334 – $98,683 |
| Kansas | 15 | $89,588 | $48,187 – $221,653 |
| South Dakota | 6 | $89,617 | $67,063 – $109,913 |
| Alabama | 20 | $89,902 | $40,665 – $364,604 |
| Virginia | 26 | $91,068 | $47,792 – $395,879 |
| Illinois | 55 | $91,502 | $61,390 – $161,383 |
| Oklahoma | 16 | $94,417 | $60,665 – $297,743 |
| Pennsylvania | 42 | $96,876 | $32,419 – $210,878 |
| Georgia | 29 | $97,781 | $41,791 – $210,493 |
| South Carolina | 18 | $101,782 | $63,925 – $329,111 |
| West Virginia | 11 | $102,998 | $56,640 – $164,306 |
| New Hampshire | 3 | $103,705 | $75,737 – $128,674 |
| Washington | 22 | $108,502 | $69,471 – $190,065 |
| Louisiana | 22 | $109,409 | $49,293 – $229,430 |
| Colorado | 26 | $110,386 | $76,421 – $380,954 |
| Delaware | 3 | $111,109 | $89,405 – $167,187 |
| Texas | 84 | $112,593 | $53,102 – $339,907 |
| Tennessee | 25 | $113,707 | $31,683 – $392,988 |
| Alaska | 4 | $115,425 | $105,423 – $305,606 |
| Arizona | 25 | $117,647 | $51,230 – $236,343 |
| Indiana | 39 | $118,352 | $61,403 – $242,526 |
| District of Columbia | 3 | $118,922 | $85,835 – $147,151 |
| California | 93 | $120,604 | $64,701 – $394,207 |
| Florida | 86 | $135,685 | $53,122 – $279,324 |
| Nevada | 10 | $166,477 | $92,751 – $370,319 |
Where Level 4 Endovascular Procedures is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Kaleida Health
Buffalo, NY |
$30,197 | $18,548 |
|
Methodist Medical Center Of Oak Ridge
Oak Ridge, TN |
$31,683 | $14,435 |
|
Penn Highlands Mon Valley
Monongahela, PA |
$32,419 | $6,947 |
|
Pali Momi Medical Center
Aiea, HI |
$36,334 | $20,119 |
|
Trinity Hospitals
Minot, ND |
$38,217 | $12,222 |
|
Brigham And Women Faulkner Hospital
Jamaica Plain, MA |
$38,252 | $18,788 |
|
Harrison Memorial Hospital
Cynthiana, KY |
$39,866 | $6,916 |
|
The East Alabama Healthcare Authority
Opelika, AL |
$40,665 | $13,916 |
|
South Shore Hospital
South Weymouth, MA |
$40,706 | $18,788 |
|
Emory Johns Creek Hospital
Johns Creek, GA |
$41,791 | $12,018 |
|
King's Daughters Medical Center-Brookhaven
Brookhaven, MS |
$43,557 | $15,415 |
|
Mercy Hospital Fort Smith
Fort Smith, AR |
$43,711 | $14,210 |
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 |
|---|---|---|
|
Henrico Doctors' Hospital
Richmond, VA |
$395,879 | $14,633 |
|
Good Samaritan Hospital
San Jose, CA |
$394,207 | $24,624 |
|
Tristar Hendersonville Medical Center
Hendersonville, TN |
$392,988 | $15,079 |
|
Hca Healthone Mountain Ridge
Thornton, CO |
$380,954 | $16,657 |
|
Southern Hills Hospital And Medical Center
Las Vegas, NV |
$370,319 | $17,535 |
|
Flowers Hospital
Dothan, AL |
$364,604 | $13,138 |
|
Ucla West Valley Medical Center
West Hills, CA |
$358,299 | $21,503 |
|
Riverside Community Hospital
Riverside, CA |
$357,945 | $21,504 |
|
Cjw Medical Center
Richmond, VA |
$353,935 | $14,839 |
|
Medical City Fort Worth
Fort Worth, TX |
$339,907 | $15,097 |
|
Trident Medical Center
Charleston, SC |
$329,111 | $15,100 |
|
Hca Houston Healthcare Kingwood
Kingwood, TX |
$321,862 | $16,226 |
Questions people ask
What do U.S. hospitals charge for Level 4 Endovascular Procedures?
Across 1,101 U.S. hospitals, the middle charge for Level 4 Endovascular Procedures is $95,518. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $74,572 and the dearest quarter over $126,577.
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 4 Endovascular Procedures, the hospitals in the dearest tenth charge about 3.2x 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. $16,145 is roughly what Medicare actually paid per case, against an average charge of $111,448. 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 5194: “Level 4 Endovascular Procedures”. An APC covers one outpatient visit for that level of service — you go home the same day.