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Healthcare charges

What hospitals across the country bill Medicare for outpatient procedures, and what Medicare actually allows. The gap between those two numbers, and between hospitals, is larger than most people expect.

LiveUpdated annually49 states and DC
Records
63,518
Facilities
2,993
Procedure groups
68
Jurisdictions
50

Explore

Query it now

Switch procedure or narrow to a state to see how far apart facilities sit. This Explorer runs in your browser; querying the API yourself needs a key.

Facilities
848
Median
$3,137
Range
$262–$52,123
Spread
198.9×
Level 2 Urology and Related Services, submitted charges by facility, lowest first
FacilityLocationCharge
Northern Maine Medical CenterFort Kent, ME$262
Community Memorial Hospital - VenturaVentura, CA$267
Campbell County Memorial HospitalGillette, WY$385
Memorial Hospital Sweetwater CountyRock Springs, WY$405
Sauk Prairie HospitalPrairie Du Sac, WI$417
Northwestern Medical Center INCSaint Albans, VT$429
Banner - University Medical Center Tucson CampusTucson, AZ$446
Winona Health ServicesWinona, MN$459
Middlesboro Appalachian Regional Healthcare HospitMiddlesboro, KY$460
Banner-university Medical Center South CampusTucson, AZ$467
St Mary's Medical CenterHuntington, WV$477
Brattleboro Memorial HospitalBrattleboro, VT$479
Munson Healthcare Manistee HospitalManistee, MI$546
St Luke's Magic Valley RmcTwin Falls, ID$550
Delta County Memorial HospitalDelta, CO$594
St Luke's Nampa Medical CenterNampa, ID$643
St Luke's Regional Medical CenterBoise, ID$680
Sarah Bush Lincoln Health CenterMattoon, IL$695
Memorial HospitalLogansport, IN$712
Adventist Health Ukiah ValleyUkiah, CA$718
Ascension All Saints HospitalRacine, WI$719
Missouri Delta Medical CenterSikeston, MO$723
Presbyterian Espanola HospitalEspanola, NM$728
Southwestern Vermont Medical CenterBennington, VT$742
Central Maine Medical CenterLewiston, ME$777
AK: $27k median across 6 facilitiesAKME: $16k median across 17 facilitiesMEVT: $13k median across 6 facilitiesVTNH: $24k median across 14 facilitiesNHWA: $27k median across 47 facilitiesWAID: $21k median across 15 facilitiesIDMT: $17k median across 10 facilitiesMTND: $19k median across 6 facilitiesNDMN: $17k median across 46 facilitiesMNIL: $27k median across 118 facilitiesILWI: $20k median across 65 facilitiesWIMI: $19k median across 91 facilitiesMINY: $20k median across 128 facilitiesNYRI: $13k median across 10 facilitiesRIMA: $14k median across 59 facilitiesMAOR: $21k median across 32 facilitiesORNV: $56k median across 21 facilitiesNVWY: $19k median across 10 facilitiesWYSD: $19k median across 15 facilitiesSDIA: $19k median across 31 facilitiesIAIN: $27k median across 80 facilitiesINOH: $22k median across 118 facilitiesOHPA: $26k median across 131 facilitiesPANJ: $27k median across 62 facilitiesNJCT: $21k median across 26 facilitiesCTCA: $39k median across 264 facilitiesCAUT: $20k median across 33 facilitiesUTCO: $34k median across 52 facilitiesCONE: $23k median across 25 facilitiesNEMO: $22k median across 66 facilitiesMOKY: $24k median across 61 facilitiesKYWV: $20k median across 25 facilitiesWVVA: $26k median across 69 facilitiesVAMD: no dataMDDC: $28k median across 7 facilitiesDCAZ: $37k median across 59 facilitiesAZNM: $30k median across 23 facilitiesNMKS: $22k median across 44 facilitiesKSAR: $19k median across 43 facilitiesARTN: $26k median across 75 facilitiesTNNC: $22k median across 82 facilitiesNCSC: $31k median across 51 facilitiesSCDE: $20k median across 6 facilitiesDEOK: $26k median across 71 facilitiesOKLA: $23k median across 81 facilitiesLAMS: $20k median across 56 facilitiesMSAL: $25k median across 77 facilitiesALGA: $30k median across 97 facilitiesGAHI: $19k median across 13 facilitiesHITX: $35k median across 282 facilitiesTXFL: $46k median across 167 facilitiesFL
LowerHigher· quantile bins · dashed = no reporting hospitals

Geography

Where the charges sit

Median submitted charge across every procedure, by state. Equal-area tiles rather than an outline map — the variable is a rate, so Rhode Island deserves the same visual weight as Texas.

1
NV · 21 facilities$56,176
2
FL · 167 facilities$46,186
3
CA · 264 facilities$38,943

MD is absent from the source — why.

What's in it

The same procedure, priced 199× apart.

These are the widest spreads in the dataset — the ratio between the highest and lowest submitted charge for one procedure group across the country.

APCProcedure groupShapeLowHighSpread
5372Level 2 Urology and Related Services$262$52,123198.9×
5153Level 3 Airway Endoscopy$598$89,785150.1×
5303Level 3 Upper GI Procedures$1,481$154,831104.5×
8011Comprehensive Observation Services$3,237$304,00193.9×
5184Level 4 Vascular Procedures$2,404$166,13769.1×

Schema

Fields

FieldTypeDescription
facilitystringHospital legal name, title-cased from the CMS record
ccnstringCMS Certification Number — the stable facility identifier
citystringFacility city
statestringTwo-letter state code
apcstringAmbulatory Payment Classification code
submitted_chargeintegerAverage charge submitted to Medicare, USD
medicare_allowedinteger | nullAverage Medicare allowed amount, USD
servicesintegerComprehensive APC services in the period
beneficiariesintegerDistinct beneficiaries in the period

Access

Query it three ways

REST
GET /v1/healthcare/prices
  ?procedure=5372
  &state=FL
SQL
SELECT *
FROM healthcare_prices
WHERE apc = '5372'
Python
client.healthcare.prices(
  procedure="5372",
)

Provenance

Where this comes from

Every figure on this page traces to a single published federal dataset. Nothing is modelled, estimated, or inferred.

Source

Medicare Outpatient Hospitals - by Provider and Service — Centers for Medicare & Medicaid Services, data year 2024.

Medicare outpatient submitted charges. Not commercial negotiated rates.

Processing
  • Fetched from the CMS Open Data API, dataset ccbc9a44-40d4-46b4-a709-5caa59212e50— all 116,182 published rows, no geographic filter
  • Facility and city names title-cased; no other edits
  • Charges rounded to whole dollars
  • 52,664 rows (45%) arrive with every value blank — CMS suppresses cells below its beneficiary-count threshold. Those are dropped rather than imputed, leaving 63,518 usable rows.
  • Coverage is 49 states and DC, not all 50 states. Maryland hospitals are paid under that state's all-payer rate-setting waiver rather than Medicare's outpatient system, so they do not appear in this dataset at all.
Generated 2026-08-01 · ingestion script
Read this before you cite it

These are Medicare outpatient submitted charges — what a hospital bills Medicare, and what Medicare allows. They are not commercial payer-negotiated rates, and they are not what an insured or uninsured patient pays.

Submitted charges are widely understood to be loosely related to any actual transaction price. The spreads on this page say more about chargemaster practice than about the cost of care. The allowed amount is the more meaningful figure.

Commercial negotiated rates come from Transparency in Coverage machine-readable files. Those are a separate dataset and are not loaded yet.