facebook tracking Level 2 Electrophysiologic Procedures cost in Missouri: 25 hospitals compared (APC 5212)

Level 2 Electrophysiologic Procedures in Missouri

What 25 hospitals in Missouri charged and were paid for level 2 electrophysiologic procedures (APC 5212), from 2024 Medicare claims.

APC 5212 Outpatient 2024 Medicare data
Average charge $30,132 Hospital list price billed
Average allowed $6,306 Medicare's payment + patient's share
Medicare paid $5,024 Average per service
State rank #9 of 41 1 = lowest average payment

Hospitals in Missouri billed an average of $30,132 for level 2 electrophysiologic procedures, about 4.8 times the average medicare-allowed amount of $6,306. That payment is 11% 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 $6,306Billed $30,132

About 21¢ was paid for every $1 hospitals in Missouri billed for this service.

Missouri hospitals: level 2 electrophysiologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Lester E Cox Medical CentersSpringfield 30 $29,252 $6,280 $5,003
Boone Hospital CenterColumbia 16 $31,781 $6,355 $5,063
Mercy Hospital JoplinJoplin – – – –
SSM St Joseph Health CenterSt Charles – – – –
Mosaic Life Care at St JosephSt Joseph – – – –
St John's Mercy Medical CenterSt Louis – – – –
Research Medical CenterKansas City – – – –
Barnes Jewish HospitalSt Louis – – – –
Mercy Hospital SpringfieldSpringfield – – – –
Mercy Hospital SouthSt Louis – – – –
St Joseph Medical CenterKansas City – – – –
Centerpoint Medical CenterIndependence – – – –
Nkc HealthNorth Kansas City – – – –
SSM Depaul Health CenterBridgeton – – – –
St Louis University HospitalSt Louis – – – –
Missouri Baptist Medical CenterTown and Country – – – –
Southeast Missouri HospitalCape Girardeau – – – –
Freeman Health System - Freeman WestJoplin – – – –
St Lukes Hospital of Kansas CityKansas City – – – –
University Hospitals & ClinicsColumbia – – – –
St Lukes HospitalChesterfield – – – –
Christian Hospital NortheastSt Louis – – – –
St Francis Medical CenterCape Girardeau – – – –
Saint Luke's East Lee's Summit HospitalLee's Summit – – – –
St Louis Children's HospitalSt Louis – – – –
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Level 2 Electrophysiologic Procedures in other states

Questions

How much does level 2 electrophysiologic procedures cost in Missouri?

In 2024 Medicare data, level 2 electrophysiologic procedures (APC 5212) at 25 hospitals in Missouri was billed at $30,132 on average, while the average medicare-allowed amount was $6,306, of which Medicare paid $5,024. 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 Missouri, average charges were 4.8 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.