facebook tracking Level 3 Electrophysiologic Procedures cost in Georgia: 32 hospitals compared (APC 5213)

Level 3 Electrophysiologic Procedures in Georgia

What 32 hospitals in Georgia charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.

APC 5213 Outpatient 2024 Medicare data
Average charge $134,119 Hospital list price billed
Average allowed $20,859 Medicare's payment + patient's share
Medicare paid $19,231 Average per service
State rank #15 of 46 1 = lowest average payment

Hospitals in Georgia billed an average of $134,119 for level 3 electrophysiologic procedures, about 6.4 times the average medicare-allowed amount of $20,859. That payment is 8% below 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 $20,859Billed $134,119

About 16¢ was paid for every $1 hospitals in Georgia billed for this service.

Georgia hospitals: level 3 electrophysiologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Piedmont HospitalAtlanta 369 $137,291 $21,328 $19,690
Saint Joseph's Hosp of AtlantaAtlanta 295 $54,374 $21,087 $19,455
Gwinnett Medical CenterLawrenceville 247 $160,763 $21,748 $20,116
Memorial Health Univ Med Cen, INCSavannah 229 $284,560 $19,678 $18,038
Piedmont Augusta HospitalAugusta 186 $117,721 $19,754 $18,118
Medical College of Ga Hospitals and ClinicsAugusta 141 $143,734 $18,366 $16,850
Northside HospitalAtlanta 132 $163,657 $21,698 $20,066
St Joseph's Hospital - SavannahSavannah 131 $64,324 $19,464 $17,832
Emory University HospitalAtlanta 128 $48,291 $21,984 $20,352
Wellstar Kennestone HospitalMarietta 128 $137,778 $21,507 $19,875
Atrium Health Navicent the Medical CenterMacon 125 $150,720 $20,729 $19,097
Northeast Georgia Medical Center, INCGainesville 114 $186,597 $21,248 $19,616
Coliseum Medical CenterMacon 100 $173,893 $20,051 $18,420
Athens Regional Medical CenterAthens 95 $127,294 $20,763 $19,130
Emory University Hospital MidtownAtlanta 89 $50,824 $21,756 $20,124
Redmond Regional Medical CenterRome 81 $150,686 $21,152 $19,519
Phoebe Putney Memorial HospitalAlbany 65 $101,279 $22,042 $20,423
Northside Hospital ForsythCumming 46 $137,412 $21,571 $19,939
Northside Hospital CherokeeCanton 36 $105,530 $21,984 $20,352
Hamilton Medical CenterDalton 31 $123,595 $21,598 $19,966
St Mary's HospitalAthens 29 $108,059 $20,914 $19,270
Sgmc HealthValdosta 29 $120,565 $19,391 $17,759
North Fulton Regional HospitalRoswell 25 $137,841 $21,984 $20,352
Wellstar Cobb HospitalAustell 19 $126,748 $21,984 $20,352
Henry Medical Center, INCStockbridge 14 $69,179 $21,984 $20,352
St Francis Hospital, INCColumbus 11 $34,623 $18,428 $16,796
West Georgia Medical CenterLagrange – – – –
Wellstar Paulding HospitalDallas – – – –
Emory Decatur HospitalDecatur – – – –
Meadows Regional Medical Center INCVidalia – – – –
Doctors HospitalAugusta – – – –
Piedmont Fayette HospitalFayetteville – – – –
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Lowest and highest allowed amounts in Georgia

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

Medical College of Ga Hospitals and ClinicsAugusta, GA$18,366
St Francis Hospital, INCColumbus, GA$18,428
Sgmc HealthValdosta, GA$19,391
St Joseph's Hospital - SavannahSavannah, GA$19,464
Memorial Health Univ Med Cen, INCSavannah, GA$19,678

Highest

Phoebe Putney Memorial HospitalAlbany, GA$22,042
Northside Hospital CherokeeCanton, GA$21,984
Emory University HospitalAtlanta, GA$21,984
Wellstar Cobb HospitalAustell, GA$21,984
Henry Medical Center, INCStockbridge, GA$21,984

Level 3 Electrophysiologic Procedures in other states

Questions

How much does level 3 electrophysiologic procedures cost in Georgia?

In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 32 hospitals in Georgia was billed at $134,119 on average, while the average medicare-allowed amount was $20,859, of which Medicare paid $19,231. 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 Georgia, average charges were 6.4 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.