Level 3 Electrophysiologic Procedures
What 1,110 hospitals in the U.S. charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.
Average charge
$163,748
Hospital list price billed
Average allowed
$22,751
Medicare's payment + patient's share
Medicare paid
$21,117
Average per service
Volume
112,680
Medicare services
Hospitals in the U.S. billed an average of $163,748 for level 3 electrophysiologic procedures, about 7.2 times the average medicare-allowed amount of $22,751.
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.
Lowest and highest allowed amounts
Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Metrohealth SystemCleveland, OH | $6,889 |
|---|---|
| Marietta Memorial HospitalMarietta, OH | $10,896 |
| Fletcher Allen Hospital of VermontBurlington, VT | $11,237 |
| Palomar Medical CenterEscondido, CA | $17,022 |
| Shelby Baptist Medical CenterAlabaster, AL | $17,510 |
| Wheeling HospitalWheeling, WV | $18,030 |
| Piedmont Healthcare SystemRock Hill, SC | $18,038 |
| Flowers HospitalDothan, AL | $18,204 |
| Medical College of Ga Hospitals and ClinicsAugusta, GA | $18,366 |
| Lafayette General Medical CenterLafayette, LA | $18,597 |
Highest
| Seton Medical CenterDaly City, CA | $33,844 |
|---|---|
| Peninsula Medical CenterBurlingame, CA | $33,655 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $33,551 |
| Northbay Medical CenterFairfield, CA | $33,455 |
| Stanford HospitalPalo Alto, CA | $33,341 |
| UCSF Medical CenterSan Francisco, CA | $33,341 |
| Salinas Valley Memorial HospitalSalinas, CA | $33,341 |
| Sequoia HospitalRedwood City, CA | $33,192 |
| Sutter General HospitalSacramento, CA | $33,160 |
| Santa Rosa Memorial HospitalSanta Rosa, CA | $33,160 |
Level 3 Electrophysiologic Procedures cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 20 | $181,010 | $19,326 | $17,510 – $21,133 |
| Alaska | 2 | $178,608 | $24,447 | $24,447 – $24,447 |
| Arizona | 24 | $155,839 | $23,035 | $22,559 – $24,736 |
| Arkansas | 13 | $95,278 | $20,224 | $19,640 – $21,760 |
| California | 100 | $205,321 | $30,363 | $17,022 – $33,844 |
| Colorado | 25 | $192,296 | $22,544 | $21,388 – $24,149 |
| Connecticut | 12 | $96,898 | $26,284 | $25,218 – $26,676 |
| Delaware | 5 | $141,710 | $23,452 | $23,002 – $23,765 |
| Florida | 84 | $195,115 | $21,299 | $18,995 – $22,980 |
| Georgia | 32 | $134,119 | $20,859 | $18,366 – $22,042 |
| Hawaii | 4 | $85,756 | $26,965 | $26,732 – $27,238 |
| Idaho | 7 | $143,946 | $22,057 | $21,179 – $22,928 |
| Illinois | 56 | $133,088 | $22,279 | $20,294 – $23,445 |
| Indiana | 34 | $177,677 | $21,349 | $20,062 – $22,614 |
| Iowa | 13 | $105,141 | $20,504 | $18,984 – $22,075 |
| Kansas | 12 | $177,213 | $20,582 | $19,794 – $21,767 |
| Kentucky | 16 | $240,774 | $20,394 | $19,071 – $21,917 |
| Louisiana | 16 | $146,055 | $19,760 | $18,597 – $20,533 |
| Maine | 3 | $129,569 | $21,454 | $20,190 – $22,160 |
| Massachusetts | 23 | $108,387 | $25,211 | $24,115 – $26,712 |
| Michigan | 38 | $102,554 | $21,144 | $19,637 – $22,654 |
| Minnesota | 16 | $106,637 | $22,881 | $22,090 – $24,345 |
| Mississippi | 10 | $115,191 | $19,766 | $19,017 – $20,924 |
| Missouri | 26 | $147,650 | $20,444 | $19,424 – $22,578 |
| Montana | 6 | $88,571 | $22,242 | $21,789 – $23,784 |
| Nebraska | 7 | $106,357 | $21,144 | $20,413 – $21,860 |
| Nevada | 12 | $268,880 | $25,275 | $24,731 – $28,752 |
| New Hampshire | 7 | $179,778 | $23,167 | $22,595 – $23,794 |
| New Jersey | 18 | $156,802 | $25,576 | $24,532 – $26,949 |
| New Mexico | 7 | $97,997 | $20,721 | $20,214 – $22,993 |
| New York | 45 | $168,706 | $26,183 | $24,378 – $26,949 |
| North Carolina | 26 | $145,758 | $21,038 | $20,466 – $21,846 |
| North Dakota | 5 | $88,159 | $22,574 | $22,209 – $23,784 |
| Ohio | 52 | $110,383 | $20,178 | $6,889 – $21,851 |
| Oklahoma | 11 | $129,379 | $20,013 | $18,704 – $20,847 |
| Oregon | 11 | $115,426 | $25,212 | $23,732 – $28,752 |
| Pennsylvania | 57 | $181,876 | $22,356 | $19,616 – $24,963 |
| Rhode Island | 3 | $63,181 | $23,644 | $23,615 – $24,037 |
| South Carolina | 18 | $218,121 | $20,269 | $18,038 – $21,859 |
| South Dakota | 3 | $105,949 | $22,635 | $21,779 – $23,419 |
| Tennessee | 18 | $176,836 | $19,845 | $17,207 – $21,103 |
| Texas | 113 | $221,339 | $21,057 | $17,116 – $22,235 |
| Utah | 9 | $223,258 | $21,049 | $20,266 – $22,463 |
| Vermont | 1 | $116,354 | $11,237 | – |
| Virginia | 31 | $167,615 | $21,219 | $19,870 – $23,028 |
| Washington | 21 | $122,376 | $24,244 | $23,162 – $25,459 |
| West Virginia | 5 | $125,946 | $19,417 | $18,030 – $19,749 |
| Wisconsin | 30 | $114,169 | $21,780 | $20,191 – $22,701 |
| Wyoming | 1 | – | – | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| NYU Hospitals CenterNew York, NY | 1,080 | $358,685 | $26,587 |
| Sarasota Memorial HospitalSarasota, FL | 955 | $189,852 | $21,311 |
| St Davids HospitalAustin, TX | 851 | $420,748 | $20,743 |
| Massachusetts General HospitalBoston, MA | 760 | $108,829 | $25,280 |
| Mercy General HospitalSacramento, CA | 743 | $176,515 | $30,054 |
| St Thomas HospitalNashville, TN | 673 | $159,685 | $20,317 |
| Medstar Washington Hospital CenterWashington, DC | 671 | $122,110 | $23,880 |
| The Heart Hospital Baylor PlanoPlano, TX | 642 | $145,569 | $21,043 |
| Inova Fairfax HospitalFalls Church, VA | 639 | $83,805 | $21,956 |
| Mount Sinai HospitalNew York, NY | 621 | $84,988 | $26,746 |
| St Francis Hospital, RoslynRoslyn, NY | 613 | $212,810 | $26,563 |
| Cleveland Clinic - Main CampusCleveland, OH | 561 | $121,614 | $20,125 |
| Trinity Mother Frances SystTyler, TX | 533 | $208,517 | $20,488 |
| Scripps Memorial Hospital la JollaLa Jolla, CA | 528 | $203,871 | $29,016 |
| Vanderbilt University HospitalNashville, TN | 505 | $122,896 | $19,548 |
Questions
How much does level 3 electrophysiologic procedures cost in the U.S.?
In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 1,110 hospitals in the U.S. was billed at $163,748 on average, while the average medicare-allowed amount was $22,751, of which Medicare paid $21,117. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 3 electrophysiologic procedures?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($30,363), Hawaii ($26,965), Connecticut ($26,284) and lowest in Alabama ($19,326), West Virginia ($19,417), Louisiana ($19,760).
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 the U.S., average charges were 7.2 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.