facebook tracking Level 3 Electrophysiologic Procedures cost in Nevada: 12 hospitals compared (APC 5213)

Level 3 Electrophysiologic Procedures in Nevada

What 12 hospitals in Nevada charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.

APC 5213 Outpatient 2024 Medicare data
Average charge $268,880 Hospital list price billed
Average allowed $25,275 Medicare's payment + patient's share
Medicare paid $23,641 Average per service
State rank #41 of 46 1 = lowest average payment

Hospitals in Nevada billed an average of $268,880 for level 3 electrophysiologic procedures, about 10.6 times the average medicare-allowed amount of $25,275. That payment is 11% above 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 $25,275Billed $268,880

About 9¢ was paid for every $1 hospitals in Nevada billed for this service.

Nevada hospitals: level 3 electrophysiologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Renown Regional Medical CenterReno 165 $234,941 $25,223 $23,591
Mountainview HospitalLas Vegas 105 $434,330 $24,934 $23,297
Sunrise Hospital and Medical CenterLas Vegas 90 $352,440 $25,102 $23,467
Carson Tahoe HospitalCarson City 90 $160,241 $25,176 $23,544
Saint Rose Dominican Hospital - Siena CampusHenderson 41 $243,426 $25,365 $23,733
Northern Nevada Sierra Medical CenterReno 40 $203,510 $25,366 $23,728
Saint Mary's Regional Medical CenterReno 39 $161,026 $25,365 $23,733
University Medical CenterLas Vegas 37 $182,633 $25,365 $23,733
Summerlin Hospital Medical CenterLas Vegas 37 $351,146 $24,731 $23,097
Northern Nevada Medical CenterSparks 21 $218,861 $28,752 $27,120
Saint Rose Dominican Hospital - San Martin CampusLas Vegas 20 $246,252 $25,365 $23,733
Southern Hills Hospital and Medical CenterLas Vegas – – – –
Advertisement

Lowest and highest allowed amounts in Nevada

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

Summerlin Hospital Medical CenterLas Vegas, NV$24,731
Mountainview HospitalLas Vegas, NV$24,934
Sunrise Hospital and Medical CenterLas Vegas, NV$25,102
Carson Tahoe HospitalCarson City, NV$25,176
Renown Regional Medical CenterReno, NV$25,223

Highest

Northern Nevada Medical CenterSparks, NV$28,752
Northern Nevada Sierra Medical CenterReno, NV$25,366
University Medical CenterLas Vegas, NV$25,365
Saint Mary's Regional Medical CenterReno, NV$25,365
Saint Rose Dominican Hospital - Siena CampusHenderson, NV$25,365

Level 3 Electrophysiologic Procedures in other states

Questions

How much does level 3 electrophysiologic procedures cost in Nevada?

In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 12 hospitals in Nevada was billed at $268,880 on average, while the average medicare-allowed amount was $25,275, of which Medicare paid $23,641. 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 Nevada, average charges were 10.6 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.