facebook tracking Level 2 Electrophysiologic Procedures cost in Idaho: 7 hospitals compared (APC 5212)

Level 2 Electrophysiologic Procedures in Idaho

What 7 hospitals in Idaho charged and were paid for level 2 electrophysiologic procedures (APC 5212), from 2024 Medicare claims.

APC 5212 Outpatient 2024 Medicare data
Average charge $64,381 Hospital list price billed
Average allowed $6,960 Medicare's payment + patient's share
Medicare paid $5,542 Average per service
State rank #23 of 41 1 = lowest average payment

Hospitals in Idaho billed an average of $64,381 for level 2 electrophysiologic procedures, about 9.2 times the average medicare-allowed amount of $6,960. That payment is 2% 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 $6,960Billed $64,381

About 11¢ was paid for every $1 hospitals in Idaho billed for this service.

Idaho hospitals: level 2 electrophysiologic procedures

Every Idaho hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Kootenai Medical CenterCoeur D'alene 16 $29,720 $7,097 $5,643
St Alphonsus Regional Medical CenterBoise 15 $33,198 $7,229 $5,759
St Lukes Regional Medical CenterBoise 14 $28,590 $6,721 $5,355
Eastern Idaho Regional Medical CenterIdaho Falls 12 $191,329 $6,721 $5,355
West Valley Medical CenterCaldwell – – – –
Portneuf Medical CenterPocatello – – – –
Treasure Valley HospitalBoise – – – –
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Lowest and highest allowed amounts in Idaho

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Level 2 Electrophysiologic Procedures in other states

Questions

How much does level 2 electrophysiologic procedures cost in Idaho?

In 2024 Medicare data, level 2 electrophysiologic procedures (APC 5212) at 7 hospitals in Idaho was billed at $64,381 on average, while the average medicare-allowed amount was $6,960, of which Medicare paid $5,542. 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 Idaho, average charges were 9.2 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.