What 100 hospitals in California charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.
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.
About 15¢ was paid for every $1 hospitals in California billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Palomar Medical CenterEscondido, CA | $17,022 |
|---|---|
| St Mary Medical CenterApple Valley, CA | $26,615 |
| USC Arcadia HospitalArcadia, CA | $27,000 |
| Providence Little Company of Mary Med Ctr TorranceTorrance, CA | $27,716 |
| Simi Valley Hospital & Health Care ServicesSimi Valley, CA | $28,063 |
| 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 |
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.
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.