Level 2 Electrophysiologic Procedures in New Mexico
What 5 hospitals in New Mexico charged and were paid for level 2 electrophysiologic procedures (APC 5212), from 2024 Medicare claims.
Average charge
$76,704
Hospital list price billed
Average allowed
$6,131
Medicare's payment + patient's share
Medicare paid
$4,788
Average per service
State rank
#2 of 41
1 = lowest average payment
Hospitals in New Mexico billed an average of $76,704 for level 2 electrophysiologic procedures, about 12.5 times the average medicare-allowed amount of $6,131. That payment is 14% 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 $6,131Billed $76,704
About 8¢ was paid for every $1 hospitals in New Mexico billed for this service.
New Mexico hospitals: level 2 electrophysiologic procedures
Every New Mexico hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Lovelace Medical CenterAlbuquerque | 11 | $76,704 | $6,131 | $4,788 |
| UNM HospitalAlbuquerque | – | – | – | – |
| St Vincent HospitalSanta Fe | – | – | – | – |
| San Juan Regional Medical CenterFarmington | – | – | – | – |
| Presbyterian HospitalAlbuquerque | – | – | – | – |
Level 2 Electrophysiologic Procedures in other states
Questions
How much does level 2 electrophysiologic procedures cost in New Mexico?
In 2024 Medicare data, level 2 electrophysiologic procedures (APC 5212) at 5 hospitals in New Mexico was billed at $76,704 on average, while the average medicare-allowed amount was $6,131, of which Medicare paid $4,788. 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 New Mexico, average charges were 12.5 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.