Level 3 Electrophysiologic Procedures in Massachusetts
What 23 hospitals in Massachusetts charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.
Average charge
$108,387
Hospital list price billed
Average allowed
$25,211
Medicare's payment + patient's share
Medicare paid
$23,579
Average per service
State rank
#39 of 46
1 = lowest average payment
Hospitals in Massachusetts billed an average of $108,387 for level 3 electrophysiologic procedures, about 4.3 times the average medicare-allowed amount of $25,211. That payment is 11% above 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 $25,211Billed $108,387
About 23¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 3 electrophysiologic procedures
Every Massachusetts hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Massachusetts General HospitalBoston | 760 | $108,829 | $25,280 | $23,647 |
| Brigham and Women's HosptialBoston | 447 | $103,252 | $25,223 | $23,590 |
| Beth Israel Deaconess Medical CenterBoston | 401 | $134,011 | $25,168 | $23,537 |
| Lahey Clinic HospitalBurlington | 359 | $79,946 | $25,017 | $23,389 |
| Baystate Medical CenterSpringfield | 271 | $83,717 | $25,348 | $23,714 |
| Southcoast Hospital Group, INCFall River | 263 | $139,226 | $25,114 | $23,488 |
| Tufts Medical CenterBoston | 239 | $91,808 | $25,237 | $23,605 |
| Umass Memorial Medical Center INCWorcester | 174 | $159,991 | $25,162 | $23,527 |
| Boston Medical Center-BrightonBrighton | 125 | $75,289 | $25,246 | $23,606 |
| Cape Cod HospitalHyannis | 117 | $102,258 | $25,436 | $23,804 |
| St Vincent HospitalWorcester | 82 | $243,219 | $25,148 | $23,514 |
| Mount Auburn HospitalCambridge | 70 | $68,039 | $25,436 | $23,804 |
| Boston Medical Center CorporationBoston | 57 | $73,111 | $25,436 | $23,804 |
| Mercy Medical CenterSpringfield | 54 | $59,226 | $24,555 | $22,914 |
| South Shore HospitalSouth Weymouth | 26 | $37,554 | $24,635 | $22,999 |
| Lowell General HospitalLowell | 23 | $60,141 | $25,436 | $23,794 |
| Metrowest Medical CenterFramingham | 22 | $187,473 | $25,436 | $23,804 |
| Union HospitalLynn | 18 | $53,609 | $24,115 | $22,483 |
| Berkshire Medical Center INCPittsfield | 18 | $49,428 | $26,712 | $25,080 |
| Anna Jaques HospitalNewburyport | – | – | – | – |
| Beverly Hospital CorporationBeverly | – | – | – | – |
| Melrosewakefield HealthcareMelrose | – | – | – | – |
| Children's Hospital BostonBoston | – | – | – | – |
Lowest and highest allowed amounts in Massachusetts
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
| Union HospitalLynn, MA | $24,115 |
|---|---|
| Mercy Medical CenterSpringfield, MA | $24,555 |
| South Shore HospitalSouth Weymouth, MA | $24,635 |
| Lahey Clinic HospitalBurlington, MA | $25,017 |
| Southcoast Hospital Group, INCFall River, MA | $25,114 |
Highest
| Berkshire Medical Center INCPittsfield, MA | $26,712 |
|---|---|
| Lowell General HospitalLowell, MA | $25,436 |
| Mount Auburn HospitalCambridge, MA | $25,436 |
| Cape Cod HospitalHyannis, MA | $25,436 |
| Boston Medical Center CorporationBoston, MA | $25,436 |
Level 3 Electrophysiologic Procedures in other states
Questions
How much does level 3 electrophysiologic procedures cost in Massachusetts?
In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 23 hospitals in Massachusetts was billed at $108,387 on average, while the average medicare-allowed amount was $25,211, of which Medicare paid $23,579. 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 Massachusetts, average charges were 4.3 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.