facebook tracking Level 2 Electrophysiologic Procedures cost in North Dakota: 5 hospitals compared (APC 5212)

Level 2 Electrophysiologic Procedures in North Dakota

What 5 hospitals in North Dakota charged and were paid for level 2 electrophysiologic procedures (APC 5212), from 2024 Medicare claims.

APC 5212 Outpatient 2024 Medicare data
Average charge $25,484 Hospital list price billed
Average allowed $7,499 Medicare's payment + patient's share
Medicare paid $5,968 Average per service
State rank #34 of 41 1 = lowest average payment

Hospitals in North Dakota billed an average of $25,484 for level 2 electrophysiologic procedures, about 3.4 times the average medicare-allowed amount of $7,499. That payment is 5% 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 $7,499Billed $25,484

About 29¢ was paid for every $1 hospitals in North Dakota billed for this service.

North Dakota hospitals: level 2 electrophysiologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Altru Health SystemGrand Forks 14 $25,484 $7,499 $5,968
St Alexius Medical CenterBismarck – – – –
Sanford Medical Center FargoFargo – – – –
Sanford Medical Center BismarckBismarck – – – –
Essentia Health-FargoFargo – – – –
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Level 2 Electrophysiologic Procedures in other states

Questions

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

In 2024 Medicare data, level 2 electrophysiologic procedures (APC 5212) at 5 hospitals in North Dakota was billed at $25,484 on average, while the average medicare-allowed amount was $7,499, of which Medicare paid $5,968. 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 Dakota, average charges were 3.4 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.