facebook tracking Level 3 Electrophysiologic Procedures cost in Iowa: 13 hospitals compared (APC 5213)

Level 3 Electrophysiologic Procedures in Iowa

What 13 hospitals in Iowa charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.

APC 5213 Outpatient 2024 Medicare data
Average charge $105,141 Hospital list price billed
Average allowed $20,504 Medicare's payment + patient's share
Medicare paid $18,871 Average per service
State rank #12 of 46 1 = lowest average payment

Hospitals in Iowa billed an average of $105,141 for level 3 electrophysiologic procedures, about 5.1 times the average medicare-allowed amount of $20,504. That payment is 10% 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 $20,504Billed $105,141

About 20¢ was paid for every $1 hospitals in Iowa billed for this service.

Iowa hospitals: level 3 electrophysiologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
University of Iowa Hospital & ClinicsIowa City 398 $110,861 $20,996 $19,364
Mercy Medical Center-Des MoinesDes Moines 303 $82,511 $20,021 $18,388
St Lukes HospitalCedar Rapids 270 $125,735 $20,221 $18,588
Iowa Methodist Medical CenterDes Moines 96 $135,325 $19,955 $18,323
Mercy Medical Center-North IowaMason City 72 $77,282 $22,075 $20,438
St Lukes Regional Medical CenterSioux City 64 $95,412 $20,327 $18,691
Allen Memorial HospitalWaterloo 60 $107,571 $20,267 $18,622
Mercyone Waterloo Medical CenterWaterloo 56 $148,754 $20,267 $18,633
Mercy Medical Center - Cedar RapidsCedar Rapids 46 $80,891 $20,430 $18,798
Mercyone Siouxland Medical CenterSioux City 43 $83,047 $21,347 $19,715
Genesis Medical Center-DavenportDavenport 26 $84,158 $18,984 $17,349
Mary Greeley Medical CenterAmes 13 $63,597 $20,345 $18,713
Mercy Medical Center-DubuqueDubuque 13 $52,407 $21,600 $19,968
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Lowest and highest allowed amounts in Iowa

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

Genesis Medical Center-DavenportDavenport, IA$18,984
Iowa Methodist Medical CenterDes Moines, IA$19,955
Mercy Medical Center-Des MoinesDes Moines, IA$20,021
St Lukes HospitalCedar Rapids, IA$20,221
Mercyone Waterloo Medical CenterWaterloo, IA$20,267

Highest

Level 3 Electrophysiologic Procedures in other states

Questions

How much does level 3 electrophysiologic procedures cost in Iowa?

In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 13 hospitals in Iowa was billed at $105,141 on average, while the average medicare-allowed amount was $20,504, of which Medicare paid $18,871. 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 Iowa, average charges were 5.1 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.