facebook tracking Level 3 Electrophysiologic Procedures cost in New York: 45 hospitals compared (APC 5213)

Level 3 Electrophysiologic Procedures in New York

What 45 hospitals in New York charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.

APC 5213 Outpatient 2024 Medicare data
Average charge $168,706 Hospital list price billed
Average allowed $26,183 Medicare's payment + patient's share
Medicare paid $24,550 Average per service
State rank #43 of 46 1 = lowest average payment

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.

Paid $26,183Billed $168,706

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

New York hospitals: level 3 electrophysiologic procedures

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 – – – –
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Lowest and highest allowed amounts in New York

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

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

Highest

Level 3 Electrophysiologic Procedures in other states

Questions

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

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.

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 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.