Level 3 Electrophysiologic Procedures in Missouri
What 26 hospitals in Missouri charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.
Average charge
$147,650
Hospital list price billed
Average allowed
$20,444
Medicare's payment + patient's share
Medicare paid
$18,810
Average per service
State rank
#11 of 46
1 = lowest average payment
Hospitals in Missouri billed an average of $147,650 for level 3 electrophysiologic procedures, about 7.2 times the average medicare-allowed amount of $20,444. 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 $20,444Billed $147,650
About 14¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 3 electrophysiologic procedures
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| St Lukes Hospital of Kansas CityKansas City | 275 | $174,478 | $20,343 | $18,711 |
| Boone Hospital CenterColumbia | 229 | $117,335 | $20,098 | $18,457 |
| Missouri Baptist Medical CenterTown and Country | 177 | $132,649 | $20,072 | $18,437 |
| St Lukes HospitalChesterfield | 147 | $99,899 | $21,008 | $19,374 |
| Lester E Cox Medical CentersSpringfield | 145 | $123,339 | $19,485 | $17,863 |
| St John's Mercy Medical CenterSt Louis | 143 | $129,367 | $20,812 | $19,176 |
| Barnes Jewish HospitalSt Louis | 99 | $122,870 | $20,887 | $19,253 |
| Research Medical CenterKansas City | 93 | $319,423 | $20,690 | $19,058 |
| Mercy Hospital SouthSt Louis | 89 | $107,121 | $20,867 | $19,233 |
| Centerpoint Medical CenterIndependence | 89 | $309,428 | $20,262 | $18,626 |
| Mercy Hospital SpringfieldSpringfield | 73 | $115,131 | $19,424 | $17,789 |
| University Hospitals & ClinicsColumbia | 65 | $153,700 | $19,875 | $18,243 |
| Nkc HealthNorth Kansas City | 59 | $132,134 | $20,044 | $18,412 |
| St Francis Medical CenterCape Girardeau | 57 | $158,022 | $21,673 | $20,040 |
| Southeast Missouri HospitalCape Girardeau | 49 | $101,963 | $21,264 | $19,632 |
| Mosaic Life Care at St JosephSt Joseph | 47 | $70,245 | $22,283 | $20,651 |
| St Joseph Medical CenterKansas City | 36 | $205,659 | $20,690 | $19,058 |
| Christian Hospital NortheastSt Louis | 20 | $109,409 | $19,755 | $18,119 |
| St Louis University HospitalSt Louis | 19 | $122,831 | $20,708 | $19,076 |
| SSM St Joseph Health CenterSt Charles | 18 | $79,818 | $20,708 | $19,076 |
| Freeman Health System - Freeman WestJoplin | 16 | $119,175 | $19,922 | $18,290 |
| Hannibal Regional HospitalHannibal | 14 | $152,706 | $22,578 | $20,946 |
| Mercy Hospital JoplinJoplin | – | – | – | – |
| SSM Depaul Health CenterBridgeton | – | – | – | – |
| Liberty HospitalLiberty | – | – | – | – |
| Saint Luke's East Lee's Summit HospitalLee's Summit | – | – | – | – |
Lowest and highest allowed amounts in Missouri
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
| Mercy Hospital SpringfieldSpringfield, MO | $19,424 |
|---|---|
| Lester E Cox Medical CentersSpringfield, MO | $19,485 |
| Christian Hospital NortheastSt Louis, MO | $19,755 |
| University Hospitals & ClinicsColumbia, MO | $19,875 |
| Freeman Health System - Freeman WestJoplin, MO | $19,922 |
Highest
| Hannibal Regional HospitalHannibal, MO | $22,578 |
|---|---|
| Mosaic Life Care at St JosephSt Joseph, MO | $22,283 |
| St Francis Medical CenterCape Girardeau, MO | $21,673 |
| Southeast Missouri HospitalCape Girardeau, MO | $21,264 |
| St Lukes HospitalChesterfield, MO | $21,008 |
Level 3 Electrophysiologic Procedures in other states
Questions
How much does level 3 electrophysiologic procedures cost in Missouri?
In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 26 hospitals in Missouri was billed at $147,650 on average, while the average medicare-allowed amount was $20,444, of which Medicare paid $18,810. 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 Missouri, average charges were 7.2 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.