facebook tracking Level 2 Electrophysiologic Procedures cost in Massachusetts: 20 hospitals compared (APC 5212)

Level 2 Electrophysiologic Procedures in Massachusetts

What 20 hospitals in Massachusetts charged and were paid for level 2 electrophysiologic procedures (APC 5212), from 2024 Medicare claims.

APC 5212 Outpatient 2024 Medicare data
Average charge $34,238 Hospital list price billed
Average allowed $7,754 Medicare's payment + patient's share
Medicare paid $6,124 Average per service
State rank #36 of 41 1 = lowest average payment

Hospitals in Massachusetts billed an average of $34,238 for level 2 electrophysiologic procedures, about 4.4 times the average medicare-allowed amount of $7,754. That payment is 9% above 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 $7,754Billed $34,238

About 23¢ was paid for every $1 hospitals in Massachusetts billed for this service.

Massachusetts hospitals: level 2 electrophysiologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Lahey Clinic HospitalBurlington 13 $24,698 $7,529 $5,899
Massachusetts General HospitalBoston 11 $45,511 $8,021 $6,390
Cape Cod HospitalHyannis – – – –
Anna Jaques HospitalNewburyport – – – –
Boston Medical Center CorporationBoston – – – –
Beverly Hospital CorporationBeverly – – – –
Union HospitalLynn – – – –
Boston Medical Center-BrightonBrighton – – – –
Berkshire Medical Center INCPittsfield – – – –
Lowell General HospitalLowell – – – –
Mercy Medical CenterSpringfield – – – –
Southcoast Hospital Group, INCFall River – – – –
Baystate Medical CenterSpringfield – – – –
Beth Israel Deaconess Medical CenterBoston – – – –
South Shore HospitalSouth Weymouth – – – –
Brigham and Women's HosptialBoston – – – –
Tufts Medical CenterBoston – – – –
Umass Memorial Medical Center INCWorcester – – – –
Metrowest Medical CenterFramingham – – – –
St Vincent HospitalWorcester – – – –
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Level 2 Electrophysiologic Procedures in other states

Questions

How much does level 2 electrophysiologic procedures cost in Massachusetts?

In 2024 Medicare data, level 2 electrophysiologic procedures (APC 5212) at 20 hospitals in Massachusetts was billed at $34,238 on average, while the average medicare-allowed amount was $7,754, of which Medicare paid $6,124. 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 Massachusetts, average charges were 4.4 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.