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

Level 2 Electrophysiologic Procedures in North Carolina

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

APC 5212 Outpatient 2024 Medicare data
Average charge $35,054 Hospital list price billed
Average allowed $6,690 Medicare's payment + patient's share
Medicare paid $5,327 Average per service
State rank #18 of 41 1 = lowest average payment

Hospitals in North Carolina billed an average of $35,054 for level 2 electrophysiologic procedures, about 5.2 times the average medicare-allowed amount of $6,690. That payment is 6% 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 $6,690Billed $35,054

About 19¢ was paid for every $1 hospitals in North Carolina billed for this service.

North Carolina hospitals: level 2 electrophysiologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
ECU Health Medical CenterGreenville 45 $22,436 $6,499 $5,168
New Hanover Regional Medical CenterWilmington 40 $25,327 $6,960 $5,546
Rex HospitalRaleigh 28 $43,393 $6,724 $5,357
Memorial Mission Hospital and Asheville Surgery CeAsheville 25 $61,955 $6,499 $5,178
UNC HospitalsChapel Hill 12 $39,298 $6,819 $5,433
Carolinas Medical Center-NortheastConcord – – – –
High Point Regional Hlth SystHigh Point – – – –
Forsyth Memorial HospitalWinston-Salem – – – –
Cape Fear Valley Medical CenterFayetteville – – – –
Duke University Medical CenterDurham – – – –
Caromont Regional Medical CenterGastonia – – – –
North Carolina Baptist HospitalWinston-Salem – – – –
Southeastern Regional Medical CenterLumberton – – – –
Presbyterian HospitalCharlotte – – – –
Wakemed, Raleigh CampusRaleigh – – – –
Johnston Memorial HospitalSmithfield – – – –
Moses H Cone Memorial Hospital, theGreensboro – – – –
Atrium Health PinevilleCharlotte – – – –
Carolinas Medical Center/Behav HealthCharlotte – – – –
Firsthealth Moore Regional HospitalPinehurst – – – –
Frye Regional Medical CenterHickory – – – –
Carolina East Medical CenterNew Bern – – – –
Catawba Valley Medical CenterHickory – – – –
Duke Regional HospitalDurham – – – –
Wakemed, Cary HospitalCary – – – –
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Lowest and highest allowed amounts in North Carolina

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

Memorial Mission Hospital and Asheville Surgery CeAsheville, NC$6,499
ECU Health Medical CenterGreenville, NC$6,499
Rex HospitalRaleigh, NC$6,724
UNC HospitalsChapel Hill, NC$6,819
New Hanover Regional Medical CenterWilmington, NC$6,960

Highest

New Hanover Regional Medical CenterWilmington, NC$6,960
UNC HospitalsChapel Hill, NC$6,819
Rex HospitalRaleigh, NC$6,724
ECU Health Medical CenterGreenville, NC$6,499
Memorial Mission Hospital and Asheville Surgery CeAsheville, NC$6,499

Level 2 Electrophysiologic Procedures in other states

Questions

How much does level 2 electrophysiologic procedures cost in North Carolina?

In 2024 Medicare data, level 2 electrophysiologic procedures (APC 5212) at 25 hospitals in North Carolina was billed at $35,054 on average, while the average medicare-allowed amount was $6,690, of which Medicare paid $5,327. 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 North Carolina, average charges were 5.2 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.