facebook tracking Level 3 Electrophysiologic Procedures cost in Illinois: 56 hospitals compared (APC 5213)

Level 3 Electrophysiologic Procedures in Illinois

What 56 hospitals in Illinois charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.

APC 5213 Outpatient 2024 Medicare data
Average charge $133,088 Hospital list price billed
Average allowed $22,279 Medicare's payment + patient's share
Medicare paid $20,644 Average per service
State rank #28 of 46 1 = lowest average payment

Hospitals in Illinois billed an average of $133,088 for level 3 electrophysiologic procedures, about 6.0 times the average medicare-allowed amount of $22,279. That payment is 2% 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 $22,279Billed $133,088

About 17¢ was paid for every $1 hospitals in Illinois billed for this service.

Illinois hospitals: level 3 electrophysiologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Evanston HospitalEvanston 440 $107,018 $21,979 $20,346
Northwestern Memorial HospitalChicago 297 $163,686 $22,966 $21,334
Alexian Brothers Medical CenterElk Grove Village 236 $112,846 $22,857 $21,222
St Johns HospitalSpringfield 223 $149,638 $21,637 $20,007
Advocate Lutheran General HospitalPark Ridge 212 $107,029 $22,490 $20,858
Edward HospitalNaperville 166 $176,861 $22,239 $20,600
Trinity Rock IslandRock Island 154 $107,472 $21,893 $20,258
Central Dupage HospitalWinfield 153 $207,512 $22,354 $20,721
St Elizabeth HospitalBelleville 151 $127,096 $21,893 $20,259
Loyola University Medical CenterMaywood 148 $85,487 $22,315 $20,683
Saint Francis Medical CenterPeoria 142 $145,713 $21,467 $19,830
Swedish Covenant HospitalChicago 131 $113,086 $22,331 $20,699
Palos Community HospitalPalos Heights 127 $103,876 $22,162 $20,530
Advocate Christ Hospital & Medical CenterOak Lawn 124 $119,541 $22,465 $20,832
Sherman HospitalElgin 120 $140,220 $23,139 $21,507
Rush University Medical CenterChicago 118 $118,645 $22,677 $21,043
Hinsdale HospitalHinsdale 117 $136,435 $22,490 $20,856
Advocate Condell Medical CenterLibertyville 116 $179,398 $22,181 $20,549
Northwest Community HospitalArlington Heights 109 $91,822 $22,490 $20,840
Advocate Good Shepherd HospitalBarrington 105 $141,360 $21,581 $19,948
Advocate Good Samaritan HospitalDowners Grove 101 $139,369 $22,490 $20,854
Riverside Medical CenterKankakee 93 $115,445 $22,056 $20,424
Silver Cross HospitalJoliet 93 $63,170 $22,041 $20,409
Blessing HospitalQuincy 85 $218,832 $23,445 $21,813
Northwestern Medicine McHenryMcHenry 80 $103,341 $22,490 $20,857
Memorial Hospital of CarbondaleCarbondale 79 $127,971 $21,636 $19,995
Resurrection Medical CenterChicago 77 $179,031 $22,219 $20,576
The University of Chicago Medical CenterChicago 70 $190,881 $21,509 $19,877
Provena St Joseph Medical CenterJoliet 66 $178,940 $22,490 $20,852
Copley Memorial HospitalAurora 52 $116,572 $23,120 $21,488
Carle Foundation HospitalUrbana 50 $112,144 $21,893 $20,261
Saint Anthony Medical CenterRockford 50 $95,269 $22,610 $20,977
OSF Heart of Mary Medical CenterUrbana 48 $110,853 $21,049 $19,400
Elmhurst Memorial HospitalElmhurst 48 $181,364 $22,490 $20,850
Methodist Medical Center of IllinoisPeoria 47 $133,151 $21,893 $20,260
Swedish American HospitalRockford 47 $238,993 $23,038 $21,406
Advocate Illinois Masonic Medical CenterChicago 41 $122,003 $22,490 $20,853
Rush Oak Park HospitalOak Park 40 $107,649 $22,490 $20,858
Provena - Saint Joseph HospitalElgin 39 $153,708 $22,588 $20,938
Bromenn Healthcare SystemNormal 30 $74,910 $21,893 $20,261
St Joseph Medical CenterBloomington 29 $87,562 $21,893 $20,261
Memorial Medical CenterSpringfield 28 $178,571 $21,893 $20,253
Javon Bea HospitalRockford 28 $156,354 $21,893 $20,261
University of Illinois Hospital and ClinicsChicago 27 $113,233 $23,038 $21,406
Lake Forest HospitalLake Forest 26 $167,838 $22,354 $20,722
Memorial HospitalBelleville 26 $83,894 $21,893 $20,261
Decatur Memorial HospitalDecatur 24 $167,799 $21,893 $20,261
Provena St Marys HospitalKankakee 23 $153,196 $22,278 $20,646
Franciscan Health Olympia & Chicago HeightsOlympia Fields 19 $96,335 $20,294 $18,662
St Mary & Elizabeth Med Ctr-Division CampusChicago 18 $144,033 $22,490 $20,858
Ingalls Memorial HospitalHarvey 17 $108,700 $22,490 $20,858
Advocate Trinity HospitalChicago 16 $106,630 $22,490 $20,858
Little Company of Mary HospitalEvergreen Park 15 $162,927 $23,038 $21,406
John H Stroger Jr HospitalChicago 11 $82,800 $22,490 $20,858
Cgh Medical CenterSterling – – – –
Rhc St Francis HospitalEvanston – – – –
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Lowest and highest allowed amounts in Illinois

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Highest

Blessing HospitalQuincy, IL$23,445
Sherman HospitalElgin, IL$23,139
Copley Memorial HospitalAurora, IL$23,120
University of Illinois Hospital and ClinicsChicago, IL$23,038
Little Company of Mary HospitalEvergreen Park, IL$23,038

Level 3 Electrophysiologic Procedures in other states

Questions

How much does level 3 electrophysiologic procedures cost in Illinois?

In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 56 hospitals in Illinois was billed at $133,088 on average, while the average medicare-allowed amount was $22,279, of which Medicare paid $20,644. 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 Illinois, average charges were 6.0 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.