facebook tracking Level 2 Electrophysiologic Procedures cost in Virginia: 29 hospitals compared (APC 5212)

Level 2 Electrophysiologic Procedures in Virginia

What 29 hospitals in Virginia charged and were paid for level 2 electrophysiologic procedures (APC 5212), from 2024 Medicare claims.

APC 5212 Outpatient 2024 Medicare data
Average charge $55,224 Hospital list price billed
Average allowed $6,625 Medicare's payment + patient's share
Medicare paid $5,267 Average per service
State rank #14 of 41 1 = lowest average payment

Hospitals in Virginia billed an average of $55,224 for level 2 electrophysiologic procedures, about 8.3 times the average medicare-allowed amount of $6,625. That payment is 7% 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 $6,625Billed $55,224

About 12¢ was paid for every $1 hospitals in Virginia billed for this service.

Virginia hospitals: level 2 electrophysiologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Medical College of Virginia HospitalsRichmond 50 $38,304 $6,441 $5,127
Henrico Doctors' HospitalRichmond 33 $109,615 $6,361 $5,046
Riverside Regional Medical CenterNewport News 27 $20,336 $6,430 $5,109
Bon Secours - Memorial Regional MedicalMechanicsville 26 $52,510 $6,857 $5,463
Inova Fairfax HospitalFalls Church 20 $22,834 $7,003 $5,580
Centra Health - Lynchburg Gen HospitalLynchburg 18 $47,895 $6,886 $5,486
Sentara Rmh Medical CenterHarrisonburg 16 $37,986 $6,978 $5,486
Cjw Medical CenterRichmond 16 $150,674 $6,429 $5,122
Sentara Norfolk General HospitalNorfolk 15 $36,043 $6,498 $5,177
Virginia Hospital Center - ArlingtonArlington 11 $44,276 $7,003 $5,580
Winchester Medical Center INCWinchester – – – –
University of Virginia Medical CenterCharlottesville – – – –
Bon Secours - Maryview Medical CenterPortsmouth – – – –
Augusta HealthFishersville – – – –
Mary Washington Hospital, INCFredericksburg – – – –
Carilion Medical CenterRoanoke – – – –
Inova Alexandria HospitalAlexandria – – – –
Inova Loudoun HospitalLeesburg – – – –
Prince William HospitalManassas – – – –
Lewisgale Medical CenterSalem – – – –
Sentara Virginia Beach General HospitalVirginia Beach – – – –
Bon Secours - St Marys Hospital of RichmondRichmond – – – –
Southside Regional Medical CenterPetersburg – – – –
Martha Jefferson HospitalCharlottesville – – – –
Sentara Careplex HospitalHampton – – – –
Reston Hospital CenterReston – – – –
Sentara Northern Virginia Medical CenterWoodbridge – – – –
Chesapeake General HospitalChesapeake – – – –
Spotsylvania Regional Medical CenterFredericksburg – – – –
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Lowest and highest allowed amounts in Virginia

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

Highest

Virginia Hospital Center - ArlingtonArlington, VA$7,003
Inova Fairfax HospitalFalls Church, VA$7,003
Sentara Rmh Medical CenterHarrisonburg, VA$6,978
Centra Health - Lynchburg Gen HospitalLynchburg, VA$6,886
Bon Secours - Memorial Regional MedicalMechanicsville, VA$6,857

Level 2 Electrophysiologic Procedures in other states

Questions

How much does level 2 electrophysiologic procedures cost in Virginia?

In 2024 Medicare data, level 2 electrophysiologic procedures (APC 5212) at 29 hospitals in Virginia was billed at $55,224 on average, while the average medicare-allowed amount was $6,625, of which Medicare paid $5,267. 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 Virginia, average charges were 8.3 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.