Level 1 Electrophysiologic Procedures
What 118 hospitals in the U.S. charged and were paid for level 1 electrophysiologic procedures (APC 5211), from 2024 Medicare claims.
Average charge
$5,850
Hospital list price billed
Average allowed
$1,078
Medicare's payment + patient's share
Medicare paid
$859
Average per service
Volume
17
Medicare services
Hospitals in the U.S. billed an average of $5,850 for level 1 electrophysiologic procedures, about 5.4 times the average medicare-allowed amount of $1,078.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Level 1 Electrophysiologic Procedures cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 2 | – | – | – – – |
| Alaska | 1 | – | – | – |
| Arizona | 3 | – | – | – – – |
| Arkansas | 2 | – | – | – – – |
| California | 5 | – | – | – – – |
| Colorado | 1 | – | – | – |
| Connecticut | 3 | – | – | – – – |
| Florida | 12 | $5,850 | $1,078 | $1,078 – $1,078 |
| Georgia | 7 | – | – | – – – |
| Illinois | 5 | – | – | – – – |
| Indiana | 2 | – | – | – – – |
| Iowa | 2 | – | – | – – – |
| Kansas | 2 | – | – | – – – |
| Kentucky | 3 | – | – | – – – |
| Massachusetts | 4 | – | – | – – – |
| Michigan | 5 | – | – | – – – |
| Minnesota | 2 | – | – | – – – |
| Mississippi | 2 | – | – | – – – |
| Missouri | 2 | – | – | – – – |
| Nevada | 1 | – | – | – |
| New Jersey | 2 | – | – | – – – |
| New York | 6 | – | – | – – – |
| North Carolina | 7 | – | – | – – – |
| Ohio | 10 | – | – | – – – |
| Oklahoma | 1 | – | – | – |
| Pennsylvania | 3 | – | – | – – – |
| South Carolina | 1 | – | – | – |
| Tennessee | 2 | – | – | – – – |
| Texas | 9 | – | – | – – – |
| Utah | 1 | – | – | – |
| Virginia | 3 | – | – | – – – |
| West Virginia | 1 | – | – | – |
| Wisconsin | 5 | – | – | – – – |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Boca Raton Regional HospitalBoca Raton, FL | 17 | $5,850 | $1,078 |
| Flowers HospitalDothan, AL | – | – | – |
| Mobile InfirmaryMobile, AL | – | – | – |
| Providence Alaska Medical CtrAnchorage, AK | – | – | – |
| Yuma Regional Medical CenterYuma, AZ | – | – | – |
| Mayo Clinic HospitalPhoenix, AZ | – | – | – |
| West Valley HospitalGoodyear, AZ | – | – | – |
| Washington Regional Med CenterFayetteville, AR | – | – | – |
| Arkansas Heart HospitalLittle Rock, AR | – | – | – |
| St Helena HospitalDeer Park, CA | – | – | – |
| Sutter General HospitalSacramento, CA | – | – | – |
| Loma Linda University Medical CenterLoma Linda, CA | – | – | – |
| Good Samaritan HospitalSan Jose, CA | – | – | – |
| Cedars-Sinai Medical CenterLos Angeles, CA | – | – | – |
| Community HospitalGrand Junction, CO | – | – | – |
Questions
How much does level 1 electrophysiologic procedures cost in the U.S.?
In 2024 Medicare data, level 1 electrophysiologic procedures (APC 5211) at 118 hospitals in the U.S. was billed at $5,850 on average, while the average medicare-allowed amount was $1,078, of which Medicare paid $859. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 1 electrophysiologic procedures?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in Florida ($1,078) and lowest in Florida ($1,078).
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in the U.S., average charges were 5.4 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.