Top 10 Hospital Ambulatory Payment Classifications With Average Costs and Charges

Here are the top 10 APCs for hospitals by volume along with the national average cost and national average charge for each APC, according the American Hospital Directory’s analysis of the latest Medicare claims data.

Advertisement

APC
Description  Average charge Average cost
0260 Level I plain film (excluding teeth) $260.17  $51.32
0605 Level II hospital clinic visit   $110.56 $97.14
0099    Electrocardiogram    $185.12  $31.00
0438 Level III drug administration    $156.14   $48.41
0332   Computed tomography without contrast $1,522.04    $197.87
0437  Level II drug administration  $109.50 $38.87
0604   Level I hospital clinic visit $87.21     $85.46
0614   Level III emergency visit $488.40 $139.55
0343 Level II pathology  $208.22  $38.85
0606 Level III hospital clinic visit $141.93   $122.86

       
Source: American Hospital Directory.

At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.

Advertisement

Next Up in Legal & Regulatory Issues

Advertisement

Comments are closed.