What 78 hospitals in Florida charged and were paid for level 2 electrophysiologic procedures (APC 5212), from 2024 Medicare claims.
APC 5212Outpatient2024 Medicare data
Average charge$59,804Hospital list price billed
Average allowed$6,731Medicare's payment + patient's share
Medicare paid$5,348Average per service
State rank#20 of 411 = lowest average payment
Hospitals in Florida billed an average of $59,804 for level 2 electrophysiologic procedures, about 8.9 times the average medicare-allowed amount of $6,731. That payment is 5% below the U.S. average of $7,114.
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.
Paid $6,731Billed $59,804
About 11¢ was paid for every $1 hospitals in Florida billed for this service.
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
How much does level 2 electrophysiologic procedures cost in Florida?
In 2024 Medicare data, level 2 electrophysiologic procedures (APC 5212) at 78 hospitals in Florida was billed at $59,804 on average, while the average medicare-allowed amount was $6,731, of which Medicare paid $5,348. Your own cost depends on your insurance, deductible and the hospital.
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 Florida, average charges were 8.9 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.
