What 45 hospitals in New York charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.
Hospitals in New York billed an average of $168,706 for level 3 electrophysiologic procedures, about 6.4 times the average medicare-allowed amount of $26,183. That payment is 15% 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.
About 16¢ was paid for every $1 hospitals in New York billed for this service.
Every New York hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| NYU Hospitals CenterNew York | 1,080 | $358,685 | $26,587 | $24,954 |
| Mount Sinai HospitalNew York | 621 | $84,988 | $26,746 | $25,112 |
| St Francis Hospital, RoslynRoslyn | 613 | $212,810 | $26,563 | $24,931 |
| New York-Presbyterian HospitalNew York | 479 | $113,179 | $26,744 | $25,112 |
| University HospitalStony Brook | 256 | $112,703 | $26,063 | $24,431 |
| Mount Sinai WestNew York | 215 | $96,439 | $26,560 | $24,926 |
| White Plains Hospital CtrWhite Plains | 215 | $161,373 | $26,949 | $25,315 |
| St Joseph's Hospital Health CenterSyracuse | 174 | $80,789 | $24,707 | $23,071 |
| Vassar Brothers Medical CenterPoughkeepsie | 170 | $104,780 | $25,622 | $23,989 |
| North Shore University HospitalManhasset | 170 | $200,246 | $25,798 | $24,166 |
| Buffalo General HospitalBuffalo | 162 | $38,591 | $24,595 | $22,970 |
| Montefiore Medical CenterBronx | 159 | $124,110 | $26,282 | $24,648 |
| Good Samaritan Hospital Medical CenterWest Islip | 129 | $193,574 | $26,451 | $24,817 |
| Albany Medical Center HospitalAlbany | 117 | $82,657 | $25,111 | $23,479 |
| Rochester General HospitalRochester | 115 | $100,001 | $24,907 | $23,268 |
| Maimonides Medical CenterBrooklyn | 114 | $163,187 | $26,727 | $25,095 |
| Crouse HospitalSyracuse | 100 | $53,988 | $24,876 | $23,244 |
| St Peter's HospitalAlbany | 95 | $116,908 | $24,617 | $22,983 |
| Long Island Jewish Medical CenterNew Hyde Park | 95 | $199,314 | $26,623 | $24,991 |
| Good Samaritan Hospital of SuffernSuffern | 93 | $183,879 | $26,949 | $25,313 |
| Westchester Medical CenterValhalla | 93 | $216,293 | $26,677 | $25,040 |
| University Hospital S U N Y Health Science CenterSyracuse | 83 | $87,702 | $24,828 | $23,196 |
| Strong Memorial HospitalRochester | 79 | $100,502 | $24,517 | $22,881 |
| New York Hospital Medical Center of QueensNew York | 73 | $71,499 | $26,949 | $25,316 |
| Lenox Hill HospitalNew York | 66 | $101,207 | $25,006 | $23,374 |
| Mercy HospitalBuffalo | 65 | $81,921 | $24,750 | $23,114 |
| Ellis HospitalSchenectady | 54 | $92,725 | $24,681 | $23,044 |
| United Health Services HospsBinghamton | 50 | $60,188 | $24,642 | $23,010 |
| Wynn HospitalUtica | 29 | $90,569 | $25,111 | $23,479 |
| Mary Imogene Bassett HospitalCooperstown | 28 | $49,204 | $26,892 | $25,260 |
| Garnet Health Medical CenterGoshen | 27 | $94,060 | $26,281 | $24,649 |
| Northern Westchester HospitalMt Kisco | 15 | $128,627 | $24,586 | $22,954 |
| Huntington HospitalHuntington | 12 | $133,543 | $26,038 | $24,406 |
| Richmond University Medical CenterStaten Island | 11 | $83,381 | $26,949 | $25,317 |
| Southside HospitalBay Shore | 11 | $163,748 | $24,378 | $22,746 |
| South Nassau Communities HospitalOceanside | 11 | $113,288 | $26,685 | $25,053 |
| Champlain Valley Physicians Hospital Medical CtrPlattsburgh | 11 | $70,609 | $26,892 | $25,260 |
| Arnot Ogden Medical CenterElmira | – | – | – | – |
| Peconic Bay Medical CenterRiverhead | – | – | – | – |
| Staten Island University HospitalStaten Island | – | – | – | – |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | – | – | – | – |
| Glens Falls HospitalGlens Falls | – | – | – | – |
| Bellevue Hospital CenterNew York | – | – | – | – |
| University Hospital of Brooklyn ( Downstate )Brooklyn | – | – | – | – |
| St Catherine of Siena HospitalSmithtown | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Southside HospitalBay Shore, NY | $24,378 |
|---|---|
| Strong Memorial HospitalRochester, NY | $24,517 |
| Northern Westchester HospitalMt Kisco, NY | $24,586 |
| Buffalo General HospitalBuffalo, NY | $24,595 |
| St Peter's HospitalAlbany, NY | $24,617 |
| Good Samaritan Hospital of SuffernSuffern, NY | $26,949 |
|---|---|
| White Plains Hospital CtrWhite Plains, NY | $26,949 |
| New York Hospital Medical Center of QueensNew York, NY | $26,949 |
| Richmond University Medical CenterStaten Island, NY | $26,949 |
| Mary Imogene Bassett HospitalCooperstown, NY | $26,892 |
In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 45 hospitals in New York was billed at $168,706 on average, while the average medicare-allowed amount was $26,183, of which Medicare paid $24,550. Your own cost depends on your insurance, deductible and the hospital.
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 York, average charges were 6.4 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.