facebook tracking Level 3 Electrophysiologic Procedures cost in Connecticut: 12 hospitals compared (APC 5213)

Level 3 Electrophysiologic Procedures in Connecticut

What 12 hospitals in Connecticut charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.

APC 5213 Outpatient 2024 Medicare data
Average charge $96,898 Hospital list price billed
Average allowed $26,284 Medicare's payment + patient's share
Medicare paid $24,651 Average per service
State rank #44 of 46 1 = lowest average payment

Hospitals in Connecticut billed an average of $96,898 for level 3 electrophysiologic procedures, about 3.7 times the average medicare-allowed amount of $26,284. That payment is 16% 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 $26,284Billed $96,898

About 27¢ was paid for every $1 hospitals in Connecticut billed for this service.

Connecticut hospitals: level 3 electrophysiologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Yale-New Haven HospitalNew Haven 152 $80,811 $26,652 $25,016
Hartford HospitalHartford 143 $70,800 $26,073 $24,441
Danbury HospitalDanbury 126 $100,226 $25,620 $23,988
Stamford HospitalStamford 112 $153,019 $26,676 $25,044
Bridgeport HospitalBridgeport 106 $76,853 $26,440 $24,803
St Vincent's Medical CenterBridgeport 69 $143,474 $26,676 $25,044
St Francis Hospital & Medical CenterHartford 42 $61,450 $25,860 $24,228
John Dempsey HospitalFarmington 11 $85,308 $25,218 $23,661
Midstate Medical CenterMeriden – – – –
Greenwich Hospital AssociationGreenwich – – – –
Griffin HospitalDerby – – – –
Norwalk HospitalNorwalk – – – –
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Lowest and highest allowed amounts in Connecticut

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

John Dempsey HospitalFarmington, CT$25,218
Danbury HospitalDanbury, CT$25,620
St Francis Hospital & Medical CenterHartford, CT$25,860
Hartford HospitalHartford, CT$26,073
Bridgeport HospitalBridgeport, CT$26,440

Highest

Stamford HospitalStamford, CT$26,676
St Vincent's Medical CenterBridgeport, CT$26,676
Yale-New Haven HospitalNew Haven, CT$26,652
Bridgeport HospitalBridgeport, CT$26,440
Hartford HospitalHartford, CT$26,073

Level 3 Electrophysiologic Procedures in other states

Questions

How much does level 3 electrophysiologic procedures cost in Connecticut?

In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 12 hospitals in Connecticut was billed at $96,898 on average, while the average medicare-allowed amount was $26,284, of which Medicare paid $24,651. 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 Connecticut, average charges were 3.7 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.