Level 3 Electrophysiologic Procedures in Kentucky
What 16 hospitals in Kentucky charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.
Average charge
$240,774
Hospital list price billed
Average allowed
$20,394
Medicare's payment + patient's share
Medicare paid
$18,759
Average per service
State rank
#10 of 46
1 = lowest average payment
Hospitals in Kentucky billed an average of $240,774 for level 3 electrophysiologic procedures, about 11.8 times the average medicare-allowed amount of $20,394. 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 $20,394Billed $240,774
About 8¢ was paid for every $1 hospitals in Kentucky billed for this service.
Kentucky hospitals: level 3 electrophysiologic procedures
Every Kentucky hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Central Baptist HospitalLexington | 234 | $448,807 | $20,436 | $18,799 |
| Norton Healthcare PavilionLouisville | 177 | $157,830 | $20,025 | $18,396 |
| Baptist Hospital EastLouisville | 133 | $324,442 | $19,973 | $18,338 |
| St Elizabeth Med Center-SouthEdgewood | 125 | $92,669 | $19,931 | $18,290 |
| Western Baptist HospitalPaducah | 117 | $353,514 | $21,159 | $19,527 |
| Saint Joseph HospitalLexington | 60 | $61,114 | $20,202 | $18,570 |
| Owensboro Medical Health SystemOwensboro | 58 | $169,624 | $21,917 | $20,285 |
| King's Daughters' Medical CenterAshland | 57 | $82,644 | $19,071 | $17,439 |
| Jewish HospitalLouisville | 57 | $98,141 | $20,082 | $18,446 |
| University of Kentucky HospLexington | 36 | $153,692 | $20,517 | $18,885 |
| Pikeville Medical CenterPikeville | 31 | $114,514 | $21,517 | $19,879 |
| Lourdes HospitalPaducah | 23 | $164,730 | $21,673 | $20,031 |
| Baptist Health Deaconess MadisonvilleMadisonville | 18 | $298,764 | $21,917 | $20,285 |
| Saint Joseph LondonLondon | – | – | – | – |
| The Medical Center at Bowling GreenBowling Green | – | – | – | – |
| Hazard Arh Regional Medical CenterHazard | – | – | – | – |
Lowest and highest allowed amounts in Kentucky
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
| King's Daughters' Medical CenterAshland, KY | $19,071 |
|---|---|
| St Elizabeth Med Center-SouthEdgewood, KY | $19,931 |
| Baptist Hospital EastLouisville, KY | $19,973 |
| Norton Healthcare PavilionLouisville, KY | $20,025 |
| Jewish HospitalLouisville, KY | $20,082 |
Highest
| Owensboro Medical Health SystemOwensboro, KY | $21,917 |
|---|---|
| Baptist Health Deaconess MadisonvilleMadisonville, KY | $21,917 |
| Lourdes HospitalPaducah, KY | $21,673 |
| Pikeville Medical CenterPikeville, KY | $21,517 |
| Western Baptist HospitalPaducah, KY | $21,159 |
Level 3 Electrophysiologic Procedures in other states
Questions
How much does level 3 electrophysiologic procedures cost in Kentucky?
In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 16 hospitals in Kentucky was billed at $240,774 on average, while the average medicare-allowed amount was $20,394, of which Medicare paid $18,759. 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 Kentucky, average charges were 11.8 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.