facebook tracking Level 3 Electrophysiologic Procedures cost in California: 100 hospitals compared (APC 5213)

Level 3 Electrophysiologic Procedures in California

What 100 hospitals in California charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.

APC 5213 Outpatient 2024 Medicare data
Average charge $205,321 Hospital list price billed
Average allowed $30,363 Medicare's payment + patient's share
Medicare paid $28,729 Average per service
State rank #46 of 46 1 = lowest average payment

Hospitals in California billed an average of $205,321 for level 3 electrophysiologic procedures, about 6.8 times the average medicare-allowed amount of $30,363. That payment is 33% above the U.S. average 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.

Paid $30,363Billed $205,321

About 15¢ was paid for every $1 hospitals in California billed for this service.

California hospitals: level 3 electrophysiologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Mercy General HospitalSacramento 743 $176,515 $30,054 $28,418
Scripps Memorial Hospital la JollaLa Jolla 528 $203,871 $29,016 $27,383
Stanford HospitalPalo Alto 439 $346,502 $33,341 $31,709
Sequoia HospitalRedwood City 425 $292,986 $33,192 $31,559
Cedars-Sinai Medical CenterLos Angeles 317 $326,758 $28,687 $27,051
Mission Hospital Regional Med CenterMission Viejo 316 $130,691 $29,031 $27,393
Santa Barbara Cottage HospitalSanta Barbara 315 $122,253 $31,129 $29,499
Hoag Memorial Hospital PresbyterianNewport Beach 305 $102,088 $29,114 $27,482
Sutter General HospitalSacramento 279 $205,428 $33,160 $31,527
UCLA Medical CenterLos Angeles 262 $92,584 $29,114 $27,482
Enloe Medical CenterChico 253 $144,914 $29,114 $27,480
John Muir Medical Center - Concord CampusConcord 228 $268,817 $32,830 $31,197
California Pacific Medical Ctr-Pacific Campus HospSan Francisco 220 $183,833 $33,551 $31,919
University of California San Diego Medical CenterSan Diego 212 $139,966 $29,114 $27,480
Eisenhower Memorial HospitalRancho Mirage 208 $139,468 $28,982 $27,347
UCSF Medical CenterSan Francisco 205 $143,801 $33,341 $31,709
St Helena HospitalDeer Park 202 $209,822 $29,995 $28,361
Marian Medical CenterSanta Maria 201 $151,840 $29,114 $27,481
Saint John's Health CenterSanta Monica 200 $87,169 $28,984 $27,352
Los Robles Hospital & Medical CenterThousand Oaks 199 $526,935 $28,840 $27,206
Marinhealth Medical CenterGreenbrae 182 $306,997 $32,894 $31,262
Loma Linda University Medical CenterLoma Linda 179 $124,768 $29,114 $27,481
Santa Rosa Memorial HospitalSanta Rosa 174 $166,699 $33,160 $31,528
Community Hospital of the Monterey PeninsulaMonterey 162 $221,977 $33,145 $31,513
University of California Davis Medical CenterSacramento 159 $165,967 $29,517 $27,883
Good Samaritan HospitalSan Jose 149 $736,670 $32,935 $31,299
El Camino HospitalMountain View 147 $332,246 $33,132 $31,498
St Joseph HospitalOrange 143 $135,077 $28,922 $27,288
Saint Agnes Medical CenterFresno 141 $172,818 $29,114 $27,482
Community Memorial Hospital - VenturaVentura 138 $152,197 $28,716 $27,079
French Hospital Medical CenterSan Luis Obispo 136 $158,505 $29,114 $27,481
Community Regional Medical CenterFresno 129 $140,506 $29,114 $27,478
Peninsula Medical CenterBurlingame 128 $212,115 $33,655 $32,029
West Hills Hospital & Medical CenterWest Hills 118 $589,604 $29,114 $27,482
Alta Bates Summit Medical CenterOakland 111 $215,473 $32,879 $31,247
USC University HospitalLos Angeles 102 $111,285 $29,114 $27,478
Grossmont HospitalLa Mesa 98 $197,660 $29,114 $27,482
Long Beach Memorial Medical CenterLong Beach 96 $126,928 $29,114 $27,478
Rideout Memorial HospitalMarysville 85 $132,639 $31,178 $29,546
St Josephs Med Center of StocktonStockton 84 $185,439 $32,484 $30,849
Huntington Memorial HospitalPasadena 83 $91,451 $29,114 $27,482
Saddleback Memorial Medical CenterLaguna Hills 79 $109,777 $28,767 $27,129
Salinas Valley Memorial HospitalSalinas 77 $206,247 $33,341 $31,709
Torrance Memorial Medical CenterTorrance 76 $139,522 $29,114 $27,482
St Johns Regional Medical CenterOxnard 75 $232,636 $29,114 $27,482
Adventist Health BakersfieldBakersfield 71 $147,336 $29,114 $27,482
Orange Coast Memorial Medical CenterFountain Valley 71 $114,324 $28,727 $27,095
Providence Tarzana Medical CenterTarzana 70 $83,401 $28,738 $27,095
Good Samaritan HospitalLos Angeles 67 $93,182 $29,114 $27,470
St Jude Medical CenterFullerton 63 $120,909 $28,678 $27,046
Sharp Chula Vista Medical CenterChula Vista 62 $201,147 $29,114 $27,474
Scripps Mercy HospitalSan Diego 59 $286,345 $29,114 $27,482
Sharp Memorial HospitalSan Diego 58 $201,803 $28,640 $27,008
Northbay Medical CenterFairfield 53 $287,419 $33,455 $31,800
Palomar Medical CenterEscondido 50 $221,938 $17,022 $15,390
Clovis Community Medical CenterClovis 50 $153,387 $29,114 $27,482
Hanford Community Medical CenterHanford 45 $115,457 $29,114 $27,470
Memorial Medical CenterModesto 44 $179,637 $29,114 $27,482
USC Arcadia HospitalArcadia 39 $170,266 $27,000 $25,362
Glendale Adventist Medical CtrGlendale 38 $224,452 $29,114 $27,463
Tri-City Medical CenterOceanside 37 $90,369 $28,403 $26,764
UCI Health-OrangeOrange 37 $122,663 $29,114 $27,480
Seton Medical CenterDaly City 32 $196,888 $33,844 $32,205
Adventist Health TulareTulare 32 $129,914 $29,114 $27,482
Bakersfield Memorial HospitalBakersfield 31 $185,257 $29,114 $27,476
Doctors Medical CenterModesto 29 $251,424 $29,114 $27,474
Desert Regional Medical CenterPalm Springs 27 $272,424 $28,097 $26,424
Providence Saint Joseph Medical CtrBurbank 26 $110,105 $29,114 $27,482
Lakewood Regional Medical CenterLakewood 25 $174,045 $29,114 $27,464
Simi Valley Hospital & Health Care ServicesSimi Valley 24 $152,100 $28,063 $26,402
Riverside Community HospitalRiverside 23 $325,376 $29,114 $27,464
Pomona Valley Hospital Medical CenterPomona 19 $207,502 $29,114 $27,482
Glendale Mem Hospital & Hlth CenterGlendale 18 $135,141 $29,114 $27,482
Providence Little Company of Mary Med Ctr TorranceTorrance 18 $135,984 $27,716 $26,084
Garfield Medical CenterMonterey Park 16 $234,294 $29,114 $27,482
San Antonio Community HospitalUpland 15 $186,207 $29,114 $27,482
White Memorial Medical CenterLos Angeles 15 $188,565 $29,114 $27,450
Santa Clara Valley Medical CenterSan Jose 13 $171,897 $33,341 $31,709
PIH Health Hospital-WhittierWhittier 13 $187,446 $29,114 $27,482
Henry Mayo Newhall Memorial HospitalValencia 13 $206,447 $29,114 $27,482
Emanate Health Inter-Community HospitalCovina 12 $117,430 $29,114 $27,482
St Mary Medical CenterApple Valley 11 $87,088 $26,615 $24,983
Loma Linda University Medical Center-MurrietaMurrieta 11 $141,784 $29,114 $27,482
Queen of the Valley Medical CenterNapa – – – –
Lac/Olive View-UCLA Medical CenterSylmar – – – –
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica – – – –
Northridge Hospital Medical CenterNorthridge – – – –
Verdugo Hills HospitalGlendale – – – –
Regional Medical Center of San JoseSan Jose – – – –
California Hospital Medical Center laLos Angeles – – – –
Stanford Health Care Tri-ValleyPleasanton – – – –
Corona Regional Medical CenterCorona – – – –
Lac/Harbor-UCLA Med CenterTorrance – – – –
Hemet Valley Medical CenterHemet – – – –
St Mary's Medical CenterSan Francisco – – – –
Fountain Valley Regional Hospital & Medical CenterFountain Valley – – – –
Chino Valley Medical CenterChino – – – –
Desert Valley HospitalVictorville – – – –
Orange County Global Medical CenterSanta Ana – – – –
Temecula Valley HospitalTemecula – – – –
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Lowest and highest allowed amounts in California

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

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

Level 3 Electrophysiologic Procedures in other states

Questions

How much does level 3 electrophysiologic procedures cost in California?

In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 100 hospitals in California was billed at $205,321 on average, while the average medicare-allowed amount was $30,363, of which Medicare paid $28,729. 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 California, average charges were 6.8 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.