What 38 hospitals in Michigan charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.
Hospitals in Michigan billed an average of $102,554 for level 3 electrophysiologic procedures, about 4.9 times the average medicare-allowed amount of $21,144. That payment is 7% 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.
About 21¢ was paid for every $1 hospitals in Michigan billed for this service.
Every Michigan hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Univ of Michigan HospitalsAnn Arbor | 290 | $120,591 | $21,844 | $20,212 |
| Trinity Health Ann Arbor HospitalAnn Arbor | 213 | $96,364 | $21,570 | $19,935 |
| William Beaumont HospitalRoyal Oak | 171 | $182,192 | $20,886 | $19,254 |
| Providence Hospital and Medical CentersSouthfield | 158 | $80,566 | $21,031 | $19,395 |
| Spectrum Health - Butterworth CampusGrand Rapids | 147 | $101,507 | $20,203 | $18,570 |
| Munson Medical CenterTraverse City | 146 | $78,043 | $21,708 | $20,076 |
| Henry Ford HospitalDetroit | 132 | $65,957 | $20,564 | $18,929 |
| Allegiance HealthJackson | 77 | $66,214 | $21,154 | $19,522 |
| Beaumont Hospital - DearbornDearborn | 71 | $173,894 | $21,154 | $19,518 |
| Borgess Medical CenterKalamazoo | 69 | $128,393 | $20,144 | $18,511 |
| St John Hospital and Medical CenterDetroit | 68 | $85,941 | $20,867 | $19,235 |
| Midmichigan Medical Center-MidlandMidland | 67 | $61,731 | $22,243 | $20,611 |
| Bronson Methodist HospitalKalamazoo | 65 | $49,626 | $19,637 | $18,017 |
| Mymichigan Medical Center SaginawSaginaw | 56 | $87,784 | $21,114 | $19,472 |
| Henry Ford Macomb HospitalClinton Twp | 54 | $60,818 | $20,509 | $18,877 |
| Edward W Sparrow HospitalLansing | 54 | $107,028 | $19,949 | $18,312 |
| Marquette General Hlth SystemMarquette | 50 | $135,577 | $22,654 | $21,022 |
| Northern Michigan Regional HospitalPetoskey | 44 | $49,708 | $22,243 | $20,611 |
| Covenant Medical Center, INCSaginaw | 42 | $80,422 | $20,811 | $19,190 |
| William Beaumont Hospital-TroyTroy | 39 | $164,043 | $21,114 | $19,482 |
| McLaren Regional Medical CenterFlint | 33 | $138,010 | $21,627 | $19,988 |
| Port Huron HospitalPort Huron | 30 | $73,422 | $20,286 | $18,642 |
| St Joseph Mercy OaklandPontiac | 29 | $89,219 | $21,114 | $19,480 |
| Trinity Health Muskegon HospitalMuskegon | 27 | $64,346 | $20,810 | $19,178 |
| Genesys Regional Medical Center - Health ParkGrand Blanc | 27 | $109,287 | $22,252 | $20,620 |
| Ascension Providence Rochester HospitalRochester | 27 | $135,853 | $21,114 | $19,482 |
| McLaren MacombMt Clemens | 20 | $94,927 | $20,866 | $19,222 |
| Lakeland Hospital, St JosephSt Joseph | – | – | – | – |
| Bay Regional Medical CenterBay City | – | – | – | – |
| Saint Mary's Health CareGrand Rapids | – | – | – | – |
| Harper University HospitalDetroit | – | – | – | – |
| Hurley Medical CenterFlint | – | – | – | – |
| Henry Ford Wyandotte HospitalWyandotte | – | – | – | – |
| McLaren Greater LansingLansing | – | – | – | – |
| Henry Ford Health Warren HospitalWarren | – | – | – | – |
| University of Michigan Health - WestWyoming | – | – | – | – |
| Henry Ford West Bloomfield HospitalWest Bloomfield Twp | – | – | – | – |
| Children's Hospital of MichiganDetroit | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Bronson Methodist HospitalKalamazoo, MI | $19,637 |
|---|---|
| Edward W Sparrow HospitalLansing, MI | $19,949 |
| Borgess Medical CenterKalamazoo, MI | $20,144 |
| Spectrum Health - Butterworth CampusGrand Rapids, MI | $20,203 |
| Port Huron HospitalPort Huron, MI | $20,286 |
| Marquette General Hlth SystemMarquette, MI | $22,654 |
|---|---|
| Genesys Regional Medical Center - Health ParkGrand Blanc, MI | $22,252 |
| Northern Michigan Regional HospitalPetoskey, MI | $22,243 |
| Midmichigan Medical Center-MidlandMidland, MI | $22,243 |
| Univ of Michigan HospitalsAnn Arbor, MI | $21,844 |
In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 38 hospitals in Michigan was billed at $102,554 on average, while the average medicare-allowed amount was $21,144, of which Medicare paid $19,511. Your own cost depends on your insurance, deductible and the hospital.
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 Michigan, average charges were 4.9 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.