facebook tracking Level 3 Electrophysiologic Procedures cost in Minnesota: 16 hospitals compared (APC 5213)

Level 3 Electrophysiologic Procedures in Minnesota

What 16 hospitals in Minnesota charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.

APC 5213 Outpatient 2024 Medicare data
Average charge $106,637 Hospital list price billed
Average allowed $22,881 Medicare's payment + patient's share
Medicare paid $21,248 Average per service
State rank #33 of 46 1 = lowest average payment

Hospitals in Minnesota billed an average of $106,637 for level 3 electrophysiologic procedures, about 4.7 times the average medicare-allowed amount of $22,881. That payment is about the same as 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 $22,881Billed $106,637

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

Minnesota hospitals: level 3 electrophysiologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Mayo Clinic - Saint Marys HospitalRochester 421 $90,163 $24,345 $22,713
Abbott Northwestern Hospital INCMinneapolis 369 $130,935 $22,529 $20,896
Essentia Health St Mary's Medical CenterDuluth 237 $91,352 $22,473 $20,840
St John's HospitalSt Paul 157 $128,038 $22,248 $20,615
Park Nicollet Methodist HospitalSaint Louis Park 126 $96,940 $22,310 $20,677
Mercy HospitalCoon Rapids 98 $139,040 $22,429 $20,797
United HospitalSt Paul 91 $125,592 $22,181 $20,549
St Lukes HospitalDuluth 89 $88,328 $22,241 $20,606
Regions HospitalSt Paul 89 $89,988 $22,407 $20,772
St Cloud HospitalSt Cloud 67 $78,253 $23,731 $22,099
Fairview Southdale HospitalEdina 59 $109,511 $22,643 $21,011
University of Minnesota Medical Center, FairviewMinneapolis 39 $113,467 $22,275 $20,636
North Memorial Medical CenterRobbinsdale 38 $83,742 $22,090 $20,458
Hennepin County Medical CenterMinneapolis – – – –
Mayo Clinic Health System - MankatoMankato – – – –
Sanford Bemidji Medical CenterBemidji – – – –
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Lowest and highest allowed amounts in Minnesota

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

North Memorial Medical CenterRobbinsdale, MN$22,090
United HospitalSt Paul, MN$22,181
St Lukes HospitalDuluth, MN$22,241
St John's HospitalSt Paul, MN$22,248
University of Minnesota Medical Center, FairviewMinneapolis, MN$22,275

Highest

Level 3 Electrophysiologic Procedures in other states

Questions

How much does level 3 electrophysiologic procedures cost in Minnesota?

In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 16 hospitals in Minnesota was billed at $106,637 on average, while the average medicare-allowed amount was $22,881, of which Medicare paid $21,248. 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 Minnesota, average charges were 4.7 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.