Level 4 Vascular Procedures — what U.S. hospitals charge
APC 5184 · Hospital outpatient visit · 1,067 U.S. hospitals publish a price
Cheapest quarter
under $27,049
Typical charge
$36,140
Dearest quarter
over $50,998
Actually paid
$5,118
The middle U.S. hospital bills $36,140 for Level 4 Vascular Procedures. The dearest hospitals charge about 3.8x what the cheapest do for the same coded work. Medicare actually paid about $5,118 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 Vascular 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 |
|---|---|---|---|
| Iowa | 12 | $20,432 | $12,016 – $30,270 |
| Massachusetts | 19 | $20,711 | $8,681 – $58,923 |
| Arkansas | 17 | $22,075 | $9,988 – $46,112 |
| Montana | 6 | $22,846 | $14,767 – $28,087 |
| Alabama | 22 | $25,438 | $11,476 – $121,480 |
| North Dakota | 5 | $26,106 | $18,223 – $41,636 |
| Hawaii | 5 | $26,313 | $18,765 – $50,951 |
| Minnesota | 15 | $26,422 | $17,807 – $60,354 |
| New York | 55 | $26,629 | $11,578 – $53,515 |
| North Carolina | 28 | $26,824 | $14,459 – $46,767 |
| Wisconsin | 21 | $26,985 | $2,404 – $49,153 |
| Nebraska | 6 | $28,550 | $22,035 – $31,766 |
| West Virginia | 8 | $28,802 | $17,832 – $39,128 |
| Maine | 4 | $29,295 | $22,080 – $38,325 |
| Kansas | 12 | $29,818 | $10,842 – $78,347 |
| South Dakota | 5 | $30,544 | $15,435 – $36,725 |
| New Mexico | 4 | $30,907 | $12,694 – $42,685 |
| Missouri | 24 | $31,046 | $17,697 – $89,276 |
| Oklahoma | 15 | $31,175 | $14,483 – $73,548 |
| Mississippi | 17 | $31,651 | $11,036 – $133,174 |
| Connecticut | 11 | $32,162 | $20,110 – $49,240 |
| Michigan | 31 | $32,226 | $11,829 – $69,280 |
| Tennessee | 21 | $33,123 | $10,437 – $113,871 |
| Louisiana | 13 | $33,172 | $23,386 – $86,734 |
| Virginia | 30 | $33,344 | $16,160 – $147,948 |
| Oregon | 15 | $33,640 | $14,694 – $45,997 |
| Arizona | 15 | $34,002 | $15,712 – $86,148 |
| Utah | 7 | $34,055 | $19,006 – $62,071 |
| Illinois | 49 | $34,335 | $5,318 – $71,414 |
| Delaware | 3 | $34,829 | $19,076 – $35,420 |
| Ohio | 44 | $34,864 | $13,481 – $70,563 |
| South Carolina | 21 | $35,562 | $12,565 – $104,280 |
| New Jersey | 35 | $35,867 | $16,607 – $104,195 |
| Idaho | 6 | $36,391 | $25,187 – $58,496 |
| Indiana | 30 | $36,639 | $15,227 – $95,672 |
| New Hampshire | 5 | $38,814 | $24,786 – $58,669 |
| Pennsylvania | 46 | $38,980 | $10,303 – $92,196 |
| Kentucky | 15 | $39,791 | $18,107 – $138,924 |
| Washington | 22 | $42,448 | $29,022 – $70,449 |
| Georgia | 40 | $43,132 | $12,717 – $135,128 |
| Texas | 90 | $43,611 | $16,310 – $161,936 |
| District of Columbia | 3 | $44,399 | $32,399 – $63,505 |
| California | 113 | $50,615 | $23,178 – $166,137 |
| Colorado | 15 | $51,916 | $33,428 – $142,572 |
| Florida | 71 | $55,681 | $20,987 – $165,253 |
| Nevada | 11 | $89,363 | $34,070 – $113,465 |
Where Level 4 Vascular Procedures is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Ascension All Saints Hospital
Racine, WI |
$2,404 | $5,171 |
|
Osf Saint Katharine Medical Center
Dixon, IL |
$5,318 | $5,079 |
|
Merrimack Health Lawrence Hospital
Lawrence, MA |
$8,681 | $5,902 |
|
St Bernards Medical Center
Jonesboro, AR |
$9,988 | $4,296 |
|
Uniontown Hospital
Uniontown, PA |
$10,303 | $4,908 |
|
Genesis Hlth System Dba Genesis Mdl Ctr-Illini
Silvis, IL |
$10,377 | $4,797 |
|
Parkwest Medical Center
Knoxville, TN |
$10,437 | $4,331 |
|
Baxter Health
Mountain Home, AR |
$10,510 | $4,852 |
|
Kansas Heart Hospital
Wichita, KS |
$10,842 | $4,692 |
|
Beth Israel Deaconess Hospital - Milton
Milton, MA |
$10,868 | $5,902 |
|
Greenwood Leflore Hospital
Greenwood, MS |
$11,036 | $4,553 |
|
Berkshire Medical Center
Pittsfield, MA |
$11,475 | $6,199 |
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 |
|---|---|---|
|
Northbay Medical Center
Fairfield, CA |
$166,137 | $7,907 |
|
Hca Florida Fort Walton-Destin Hospital
Fort Walton Beach, FL |
$165,253 | $4,978 |
|
South Texas Health System
Edinburg, TX |
$161,936 | $4,768 |
|
Good Samaritan Hospital
San Jose, CA |
$159,709 | $7,501 |
|
Hca Florida Orange Park Hospital
Orange Park, FL |
$152,023 | $4,978 |
|
Cjw Medical Center
Richmond, VA |
$147,948 | $4,731 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$144,206 | $6,756 |
|
Hca Florida Jfk Hospital
Atlantis, FL |
$142,816 | $4,978 |
|
The Medical Center Of Aurora & South Hospital
Aurora, CO |
$142,572 | $5,231 |
|
University Of Louisville Hospital
Louisville, KY |
$138,924 | $4,617 |
|
Adventhealth Redmond
Rome, GA |
$135,128 | $5,010 |
|
Merit Health River Region
Vicksburg, MS |
$133,174 | $4,576 |
Questions people ask
What do U.S. hospitals charge for Level 4 Vascular Procedures?
Across 1,067 U.S. hospitals, the middle charge for Level 4 Vascular Procedures is $36,140. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $27,049 and the dearest quarter over $50,998.
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 Vascular Procedures, the hospitals in the dearest tenth charge about 3.8x 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. $5,118 is roughly what Medicare actually paid per case, against an average charge of $41,673. 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 5184: “Level 4 Vascular Procedures”. An APC covers one outpatient visit for that level of service — you go home the same day.