facebook tracking Level 2 Electrophysiologic Procedures cost in Illinois: 47 hospitals compared (APC 5212)

Level 2 Electrophysiologic Procedures in Illinois

What 47 hospitals in Illinois charged and were paid for level 2 electrophysiologic procedures (APC 5212), from 2024 Medicare claims.

APC 5212 Outpatient 2024 Medicare data
Average charge $42,124 Hospital list price billed
Average allowed $7,101 Medicare's payment + patient's share
Medicare paid $5,655 Average per service
State rank #25 of 41 1 = lowest average payment

Hospitals in Illinois billed an average of $42,124 for level 2 electrophysiologic procedures, about 5.9 times the average medicare-allowed amount of $7,101. That payment is about the same as 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 $7,101Billed $42,124

About 17¢ was paid for every $1 hospitals in Illinois billed for this service.

Illinois hospitals: level 2 electrophysiologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Macneal HospitalBerwyn 19 $37,688 $7,263 $5,787
Palos Community HospitalPalos Heights 19 $37,403 $7,090 $5,649
Northwest Community HospitalArlington Heights 15 $39,700 $7,091 $5,635
Saint Francis Medical CenterPeoria 14 $48,384 $6,902 $5,499
Alexian Brothers Medical CenterElk Grove Village 14 $36,374 $7,264 $5,781
St Elizabeth HospitalBelleville 13 $36,373 $6,902 $5,499
Northwestern Memorial HospitalChicago 13 $58,325 $7,263 $5,787
Evanston HospitalEvanston 12 $47,735 $6,952 $5,539
Provena St Joseph Medical CenterJoliet – – – –
Blessing HospitalQuincy – – – –
Sherman HospitalElgin – – – –
Cgh Medical CenterSterling – – – –
St Johns HospitalSpringfield – – – –
The University of Chicago Medical CenterChicago – – – –
Carle Foundation HospitalUrbana – – – –
OSF Heart of Mary Medical CenterUrbana – – – –
Northwestern Medicine McHenryMcHenry – – – –
Resurrection Medical CenterChicago – – – –
Rush University Medical CenterChicago – – – –
Hinsdale HospitalHinsdale – – – –
John H Stroger Jr HospitalChicago – – – –
Bromenn Healthcare SystemNormal – – – –
Lake Forest HospitalLake Forest – – – –
Decatur Memorial HospitalDecatur – – – –
Memorial Medical CenterSpringfield – – – –
University of Illinois Hospital and ClinicsChicago – – – –
St Joseph Medical CenterBloomington – – – –
Memorial Hospital of CarbondaleCarbondale – – – –
Franciscan Health Olympia & Chicago HeightsOlympia Fields – – – –
St Mary & Elizabeth Med Ctr-Division CampusChicago – – – –
Riverside Medical CenterKankakee – – – –
Ingalls Memorial HospitalHarvey – – – –
Elmhurst Memorial HospitalElmhurst – – – –
Advocate Condell Medical CenterLibertyville – – – –
Advocate Christ Hospital & Medical CenterOak Lawn – – – –
Methodist Medical Center of IllinoisPeoria – – – –
Silver Cross HospitalJoliet – – – –
Provena - Saint Joseph HospitalElgin – – – –
Advocate Lutheran General HospitalPark Ridge – – – –
Edward HospitalNaperville – – – –
Saint Anthony Medical CenterRockford – – – –
Javon Bea HospitalRockford – – – –
Central Dupage HospitalWinfield – – – –
Loyola University Medical CenterMaywood – – – –
Trinity Rock IslandRock Island – – – –
Advocate Good Samaritan HospitalDowners Grove – – – –
Advocate Good Shepherd HospitalBarrington – – – –
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Lowest and highest allowed amounts in Illinois

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

Lowest

Saint Francis Medical CenterPeoria, IL$6,902
St Elizabeth HospitalBelleville, IL$6,902
Evanston HospitalEvanston, IL$6,952
Palos Community HospitalPalos Heights, IL$7,090
Northwest Community HospitalArlington Heights, IL$7,091

Highest

Alexian Brothers Medical CenterElk Grove Village, IL$7,264
Macneal HospitalBerwyn, IL$7,263
Northwestern Memorial HospitalChicago, IL$7,263
Northwest Community HospitalArlington Heights, IL$7,091
Palos Community HospitalPalos Heights, IL$7,090

Level 2 Electrophysiologic Procedures in other states

Questions

How much does level 2 electrophysiologic procedures cost in Illinois?

In 2024 Medicare data, level 2 electrophysiologic procedures (APC 5212) at 47 hospitals in Illinois was billed at $42,124 on average, while the average medicare-allowed amount was $7,101, of which Medicare paid $5,655. 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 Illinois, average charges were 5.9 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.