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

Level 2 Electrophysiologic Procedures in Wisconsin

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

APC 5212 Outpatient 2024 Medicare data
Average charge $38,857 Hospital list price billed
Average allowed $7,022 Medicare's payment + patient's share
Medicare paid $5,591 Average per service
State rank #24 of 41 1 = lowest average payment

Hospitals in Wisconsin billed an average of $38,857 for level 2 electrophysiologic procedures, about 5.5 times the average medicare-allowed amount of $7,022. That payment is 1% 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 $7,022Billed $38,857

About 18¢ was paid for every $1 hospitals in Wisconsin billed for this service.

Wisconsin hospitals: level 2 electrophysiologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Mayo Clinic Health System-Franciscan Medical CenterLa Crosse 15 $20,970 $7,036 $5,606
Aurora St Lukes Medical CenterMilwaukee 13 $59,497 $7,006 $5,574
Ministry St Michaels Hospital of Stevens PointStevens Point – – – –
Waukesha Memorial HospitalWaukesha – – – –
St Elizabeth HsptlAppleton – – – –
Froedtert SouthKenosha – – – –
Aspirus Wausau HospitalWausau – – – –
Marshfield Medical CenterMarshfield – – – –
Bellin Memorial HsptlGreen Bay – – – –
Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee – – – –
Mercy Hlth Sys CorpJanesville – – – –
Luther Hospital Mayo Health SystemEau Claire – – – –
St Mary's HospitalMadison – – – –
Gundersen Luth Med CtrLa Crosse – – – –
St Agnes HsptlFond du Lac – – – –
Meriter HsptlMadison – – – –
St Marys Hsptl Med CtrGreen Bay – – – –
University of Wi Hospitals & Clinics AuthorityMadison – – – –
Community Mem HsptlMenomonee Falls – – – –
Ascension SE Wisconsin HospitalMilwaukee – – – –
Appleton Med CtrAppleton – – – –
Froedtert Mem Lutheran HsptlMilwaukee – – – –
Aurora Baycare Med CtrGreen Bay – – – –
St Clare's Hospital of Weston INCWeston – – – –
Aurora Medical CenterGrafton – – – –
Level 2 Electrophysiologic Procedures: all states All Wisconsin hospitals Wisconsin hospital finances
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Level 2 Electrophysiologic Procedures in other states

Colorado · $7,109 Georgia · $6,886 Idaho · $6,960 Illinois · $7,101 Maine · $7,017 Pennsylvania · $7,120 South Dakota · $7,106 Utah · $7,165

Questions

How much does level 2 electrophysiologic procedures cost in Wisconsin?

In 2024 Medicare data, level 2 electrophysiologic procedures (APC 5212) at 25 hospitals in Wisconsin was billed at $38,857 on average, while the average medicare-allowed amount was $7,022, of which Medicare paid $5,591. 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 Wisconsin, average charges were 5.5 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.