What 12 hospitals in Florida charged and were paid for level 1 electrophysiologic procedures (APC 5211), from 2024 Medicare claims.
Hospitals in Florida billed an average of $5,850 for level 1 electrophysiologic procedures, about 5.4 times the average medicare-allowed amount of $1,078. That payment is about the same as the U.S. average 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.
About 18¢ was paid for every $1 hospitals in Florida billed for this service.
Every Florida hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Boca Raton Regional HospitalBoca Raton | 17 | $5,850 | $1,078 | $859 |
| Naples Community HospitalNaples | – | – | – | – |
| Winter Haven HospitalWinter Haven | – | – | – | – |
| Florida Hospital WatermanEustis | – | – | – | – |
| Adventhealth Port CharlottePort Charlotte | – | – | – | – |
| Sarasota Memorial HospitalSarasota | – | – | – | – |
| Orlando Health Rockledge HospitalRockledge | – | – | – | – |
| Shands Hospital at the University of FloridaGainesville | – | – | – | – |
| Tallahassee Memorial HealthcareTallahassee | – | – | – | – |
| Adventhealth TampaTampa | – | – | – | – |
| Regional Medical Center Bayonet PointHudson | – | – | – | – |
| Gulf Breeze HospitalGulf Breeze | – | – | – | – |
In 2024 Medicare data, level 1 electrophysiologic procedures (APC 5211) at 12 hospitals in Florida 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.
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 Florida, 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.