facebook tracking Level 2 Electrophysiologic Procedures cost in Utah: 7 hospitals compared (APC 5212)

Level 2 Electrophysiologic Procedures in Utah

What 7 hospitals in Utah charged and were paid for level 2 electrophysiologic procedures (APC 5212), from 2024 Medicare claims.

APC 5212 Outpatient 2024 Medicare data
Average charge $36,692 Hospital list price billed
Average allowed $7,165 Medicare's payment + patient's share
Medicare paid $5,709 Average per service
State rank #29 of 41 1 = lowest average payment

Hospitals in Utah billed an average of $36,692 for level 2 electrophysiologic procedures, about 5.1 times the average medicare-allowed amount of $7,165. That payment is about the same as 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 $7,165Billed $36,692

About 20¢ was paid for every $1 hospitals in Utah billed for this service.

Utah hospitals: level 2 electrophysiologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
St. George Regional HospitalSt George 18 $36,692 $7,165 $5,709
Utah Valley Regional Medical CenterProvo – – – –
McKay-Dee Hospital CenterOgden – – – –
University Health Care/Univ Hospitals and ClinicsSalt Lake City – – – –
Lds HospitalSalt Lake City – – – –
St Marks HospitalSalt Lake City – – – –
Timpanogos Regional HospitalOrem – – – –
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Level 2 Electrophysiologic Procedures in other states

Questions

How much does level 2 electrophysiologic procedures cost in Utah?

In 2024 Medicare data, level 2 electrophysiologic procedures (APC 5212) at 7 hospitals in Utah was billed at $36,692 on average, while the average medicare-allowed amount was $7,165, of which Medicare paid $5,709. 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 Utah, average charges were 5.1 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.