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 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference, taking place June 18–20 in Chicago, spine surgeons, orthopedic leaders and ASC executives will come together to explore minimally invasive techniques, ASC growth strategies and innovations shaping the future of outpatient spine care. Apply for complimentary registration now.

Advertisement

Next Up in ASC Coding, Billing & Collections

Advertisement

Comments are closed.