facebook tracking Level 3 Electrophysiologic Procedures cost in Indiana: 34 hospitals compared (APC 5213)

Level 3 Electrophysiologic Procedures in Indiana

What 34 hospitals in Indiana charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.

APC 5213 Outpatient 2024 Medicare data
Average charge $177,677 Hospital list price billed
Average allowed $21,349 Medicare's payment + patient's share
Medicare paid $19,716 Average per service
State rank #23 of 46 1 = lowest average payment

Hospitals in Indiana billed an average of $177,677 for level 3 electrophysiologic procedures, about 8.3 times the average medicare-allowed amount of $21,349. That payment is 6% 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 $21,349Billed $177,677

About 12¢ was paid for every $1 hospitals in Indiana billed for this service.

Indiana hospitals: level 3 electrophysiologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
St Vincent Hospital & Health ServicesIndianapolis 365 $159,721 $21,093 $19,460
Community Hospital EastIndianapolis 322 $205,968 $21,230 $19,600
Clarian Health PartnersIndianapolis 177 $228,750 $21,472 $19,840
Deaconess Hospital INCEvansville 171 $81,404 $21,117 $19,485
Community HospitalMunster 153 $159,500 $22,143 $20,511
Lutheran Hospital of IndianaFort Wayne 143 $219,742 $21,145 $19,513
Floyd Memorial Hospital and Health ServicesNew Albany 123 $373,518 $20,800 $19,164
Bloomington HospitalBloomington 121 $223,276 $21,398 $19,766
St Mary's Medical Center of Evansville INCEvansville 108 $159,585 $20,936 $19,304
St Mary Medical Center INCHobart 97 $145,737 $21,640 $20,008
Ball Memorial Hospital INCMuncie 87 $217,009 $21,418 $19,779
Columbus Regional HospitalColumbus 79 $87,806 $21,288 $19,653
Parkview HospitalFort Wayne 70 $120,698 $21,586 $19,954
Union Hospital INCTerre Haute 64 $72,870 $21,398 $19,755
Franciscan Health IndianapolisIndianapolis 63 $142,059 $21,585 $19,949
Methodist Hospitals, INCGary 53 $224,365 $21,889 $20,257
Franciscan St Anthony Health - Michigan CityMichigan City 51 $108,194 $21,117 $19,485
Franciscan St Margaret Health - DyerDyer 49 $129,613 $22,278 $20,646
Elkhart General HospitalElkhart 48 $158,834 $21,875 $20,243
Reid Hosp & Hlth Care ServicesRichmond 41 $123,869 $22,614 $20,982
Porter, Valparaiso HospitalValparaiso 35 $306,352 $20,574 $18,942
Franciscan St Anthony Health - Crown PointCrown Point 34 $109,152 $22,278 $20,646
Community Hospital SouthIndianapolis 30 $154,675 $20,920 $19,280
Saint Joseph Reg Medical CtrSouth Bend 27 $126,806 $21,875 $20,239
Indiana University Health North HospitalCarmel 27 $228,551 $21,367 $19,735
Franciscan Health LafayetteLafayette 21 $165,184 $20,189 $18,557
Indiana University Health Arnett HospitalLafayette 21 $224,116 $21,119 $19,487
La Porte Regional Health SystLa Porte 19 $172,675 $21,117 $19,485
Memorial Hospital of South BendSouth Bend 15 $125,026 $20,062 $18,430
IU Health Goshen HospitalGoshen 12 $87,774 $21,875 $20,243
Howard Regional Health SystemKokomo – – – –
Eskenazi HealthIndianapolis – – – –
Riverview HospitalNoblesville – – – –
Indiana University Health West HospitalAvon – – – –
Advertisement

Lowest and highest allowed amounts in Indiana

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

Memorial Hospital of South BendSouth Bend, IN$20,062
Franciscan Health LafayetteLafayette, IN$20,189
Porter, Valparaiso HospitalValparaiso, IN$20,574
Floyd Memorial Hospital and Health ServicesNew Albany, IN$20,800
Community Hospital SouthIndianapolis, IN$20,920

Level 3 Electrophysiologic Procedures in other states

Questions

How much does level 3 electrophysiologic procedures cost in Indiana?

In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 34 hospitals in Indiana was billed at $177,677 on average, while the average medicare-allowed amount was $21,349, of which Medicare paid $19,716. 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 Indiana, average charges were 8.3 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.