facebook tracking Level 3 Electrophysiologic Procedures cost in Nebraska: 7 hospitals compared (APC 5213)

Level 3 Electrophysiologic Procedures in Nebraska

What 7 hospitals in Nebraska charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.

APC 5213 Outpatient 2024 Medicare data
Average charge $106,357 Hospital list price billed
Average allowed $21,144 Medicare's payment + patient's share
Medicare paid $19,510 Average per service
State rank #19 of 46 1 = lowest average payment

Hospitals in Nebraska billed an average of $106,357 for level 3 electrophysiologic procedures, about 5.0 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 $106,357

About 20¢ was paid for every $1 hospitals in Nebraska billed for this service.

Nebraska hospitals: level 3 electrophysiologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Bryan Medical CenterLincoln 339 $111,601 $21,231 $19,599
The Nebraska Medical CenterOmaha 163 $138,152 $21,105 $19,472
Nebraska Heart Hospital, LLCLincoln 145 $83,533 $21,023 $19,389
The Nebraska Methodist HospitalOmaha 105 $87,853 $21,347 $19,712
Alegent Health Bergan Mercy Medical CenterOmaha 87 $96,723 $21,347 $19,708
Kearney Regional Medical CenterKearney 75 $101,956 $20,413 $18,781
Faith Regional Health ServicesNorfolk 14 $67,844 $21,860 $20,228
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Lowest and highest allowed amounts in Nebraska

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Level 3 Electrophysiologic Procedures in other states

Questions

How much does level 3 electrophysiologic procedures cost in Nebraska?

In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 7 hospitals in Nebraska was billed at $106,357 on average, while the average medicare-allowed amount was $21,144, of which Medicare paid $19,510. 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 Nebraska, average charges were 5.0 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.