facebook tracking Level 3 Electrophysiologic Procedures cost in New Jersey: 18 hospitals compared (APC 5213)

Level 3 Electrophysiologic Procedures in New Jersey

What 18 hospitals in New Jersey charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.

APC 5213 Outpatient 2024 Medicare data
Average charge $156,802 Hospital list price billed
Average allowed $25,576 Medicare's payment + patient's share
Medicare paid $23,942 Average per service
State rank #42 of 46 1 = lowest average payment

Hospitals in New Jersey billed an average of $156,802 for level 3 electrophysiologic procedures, about 6.1 times the average medicare-allowed amount of $25,576. That payment is 12% 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 $25,576Billed $156,802

About 16¢ was paid for every $1 hospitals in New Jersey billed for this service.

New Jersey hospitals: level 3 electrophysiologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Jersey Shore University Medical CenterNeptune City 395 $95,696 $24,988 $23,349
Valley HospitalRidgewood 332 $81,342 $26,873 $25,239
Cooper University HospitalCamden 323 $132,645 $24,727 $23,093
Morristown Memorial HospitalMorristown 309 $197,670 $26,415 $24,782
Our Lady of Lourdes Medical CenterCamden 301 $227,612 $24,532 $22,899
Deborah Heart and Lung CenterBrowns Mills 194 $239,174 $24,796 $23,164
Englewood Hospital and Medical CenterEnglewood 186 $346,342 $26,949 $25,314
Hackensack University Medical CenterHackensack 175 $89,825 $26,135 $24,506
Robert Wood Johnson University HospitalNew Brunswick 164 $117,741 $26,043 $24,409
Saint Barnabas Medical CenterLivingston 132 $103,756 $25,079 $23,445
Atlanticare Regional Medical Center - City DivAtlantic City 86 $122,319 $24,796 $23,162
Capital Health System-Fuld CampusTrenton 44 $229,266 $24,796 $23,164
St Joseph's Regional Medical CenterPaterson 29 $116,392 $26,076 $24,444
Jersey City Medical CenterJersey City 24 $117,669 $25,894 $24,249
Newark Beth Israel Medical CenterNewark 23 $106,043 $25,440 $23,808
St Mary's HospitalPassaic – – – –
Saint Michael's Medical CenterNewark – – – –
Umdnj University HospitalNewark – – – –
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Lowest and highest allowed amounts in New Jersey

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

Highest

Englewood Hospital and Medical CenterEnglewood, NJ$26,949
Valley HospitalRidgewood, NJ$26,873
Morristown Memorial HospitalMorristown, NJ$26,415
Hackensack University Medical CenterHackensack, NJ$26,135
St Joseph's Regional Medical CenterPaterson, NJ$26,076

Level 3 Electrophysiologic Procedures in other states

Questions

How much does level 3 electrophysiologic procedures cost in New Jersey?

In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 18 hospitals in New Jersey was billed at $156,802 on average, while the average medicare-allowed amount was $25,576, of which Medicare paid $23,942. 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 New Jersey, average charges were 6.1 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.