facebook tracking Level 3 Electrophysiologic Procedures cost in Michigan: 38 hospitals compared (APC 5213)

Level 3 Electrophysiologic Procedures in Michigan

What 38 hospitals in Michigan charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.

APC 5213 Outpatient 2024 Medicare data
Average charge $102,554 Hospital list price billed
Average allowed $21,144 Medicare's payment + patient's share
Medicare paid $19,511 Average per service
State rank #20 of 46 1 = lowest average payment

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.

Paid $21,144Billed $102,554

About 21¢ was paid for every $1 hospitals in Michigan billed for this service.

Michigan hospitals: level 3 electrophysiologic procedures

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 – – – –
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Lowest and highest allowed amounts in Michigan

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

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

Level 3 Electrophysiologic Procedures in other states

Questions

How much does level 3 electrophysiologic procedures cost in Michigan?

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.

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 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.