Level 2 Electrophysiologic Procedures in Kentucky
What 13 hospitals in Kentucky charged and were paid for level 2 electrophysiologic procedures (APC 5212), from 2024 Medicare claims.
Average charge
$85,372
Hospital list price billed
Average allowed
$6,444
Medicare's payment + patient's share
Medicare paid
$5,129
Average per service
State rank
#11 of 41
1 = lowest average payment
Hospitals in Kentucky billed an average of $85,372 for level 2 electrophysiologic procedures, about 13.2 times the average medicare-allowed amount of $6,444. That payment is 9% 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 $6,444Billed $85,372
About 8¢ was paid for every $1 hospitals in Kentucky billed for this service.
Kentucky hospitals: level 2 electrophysiologic procedures
Every Kentucky hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Baptist Hospital EastLouisville | 28 | $92,805 | $6,434 | $5,120 |
| Central Baptist HospitalLexington | 11 | $66,451 | $6,467 | $5,153 |
| King's Daughters' Medical CenterAshland | – | – | – | – |
| Saint Joseph LondonLondon | – | – | – | – |
| St Elizabeth Med Center-SouthEdgewood | – | – | – | – |
| Owensboro Medical Health SystemOwensboro | – | – | – | – |
| Jewish HospitalLouisville | – | – | – | – |
| Pikeville Medical CenterPikeville | – | – | – | – |
| University of Kentucky HospLexington | – | – | – | – |
| Norton Healthcare PavilionLouisville | – | – | – | – |
| Baptist Health Deaconess MadisonvilleMadisonville | – | – | – | – |
| Lourdes HospitalPaducah | – | – | – | – |
| Western Baptist HospitalPaducah | – | – | – | – |
Level 2 Electrophysiologic Procedures in other states
Questions
How much does level 2 electrophysiologic procedures cost in Kentucky?
In 2024 Medicare data, level 2 electrophysiologic procedures (APC 5212) at 13 hospitals in Kentucky was billed at $85,372 on average, while the average medicare-allowed amount was $6,444, of which Medicare paid $5,129. 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 Kentucky, average charges were 13.2 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.