Level 3 Electrophysiologic Procedures in North Carolina
What 26 hospitals in North Carolina charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.
Average charge
$145,758
Hospital list price billed
Average allowed
$21,038
Medicare's payment + patient's share
Medicare paid
$19,405
Average per service
State rank
#16 of 46
1 = lowest average payment
Hospitals in North Carolina billed an average of $145,758 for level 3 electrophysiologic procedures, about 6.9 times the average medicare-allowed amount of $21,038. That payment is 8% 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 $21,038Billed $145,758
About 14¢ was paid for every $1 hospitals in North Carolina billed for this service.
North Carolina hospitals: level 3 electrophysiologic procedures
Every North Carolina hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 378 | $199,368 | $20,466 | $18,832 |
| Duke University Medical CenterDurham | 360 | $129,769 | $21,094 | $19,462 |
| Rex HospitalRaleigh | 344 | $121,388 | $20,928 | $19,295 |
| New Hanover Regional Medical CenterWilmington | 284 | $88,301 | $21,817 | $20,186 |
| Carolinas Medical Center/Behav HealthCharlotte | 273 | $238,806 | $21,143 | $19,509 |
| Forsyth Memorial HospitalWinston-Salem | 241 | $106,238 | $21,428 | $19,795 |
| Wakemed, Raleigh CampusRaleigh | 204 | $165,825 | $20,942 | $19,310 |
| ECU Health Medical CenterGreenville | 173 | $102,364 | $20,507 | $18,873 |
| UNC HospitalsChapel Hill | 156 | $106,118 | $21,247 | $19,615 |
| Presbyterian HospitalCharlotte | 148 | $114,029 | $21,072 | $19,440 |
| North Carolina Baptist HospitalWinston-Salem | 146 | $186,729 | $21,311 | $19,675 |
| Moses H Cone Memorial Hospital, theGreensboro | 144 | $109,715 | $20,482 | $18,847 |
| Caromont Regional Medical CenterGastonia | 102 | $118,084 | $20,516 | $18,884 |
| Carolina East Medical CenterNew Bern | 88 | $146,531 | $21,846 | $20,214 |
| Carolinas Medical Center-NortheastConcord | 86 | $224,240 | $21,287 | $19,655 |
| Duke Regional HospitalDurham | 70 | $130,028 | $20,804 | $19,172 |
| Atrium Health PinevilleCharlotte | 69 | $250,268 | $21,002 | $19,370 |
| Firsthealth Moore Regional HospitalPinehurst | 63 | $111,353 | $20,694 | $19,062 |
| Duke Health Raleigh HospitalRaleigh | 49 | $136,214 | $21,328 | $19,696 |
| Wakemed, Cary HospitalCary | 46 | $162,723 | $21,328 | $19,696 |
| High Point Regional Hlth SystHigh Point | 42 | $159,038 | $20,588 | $18,956 |
| Frye Regional Medical CenterHickory | 41 | $166,218 | $21,065 | $19,433 |
| Cape Fear Valley Medical CenterFayetteville | 27 | $92,408 | $20,949 | $19,308 |
| Catawba Valley Medical CenterHickory | 16 | $121,442 | $20,861 | $19,229 |
| Johnston Memorial HospitalSmithfield | – | – | – | – |
| Presbyterian Hospital HuntersvilleHuntersville | – | – | – | – |
Lowest and highest allowed amounts in North Carolina
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
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | $20,466 |
|---|---|
| Moses H Cone Memorial Hospital, theGreensboro, NC | $20,482 |
| ECU Health Medical CenterGreenville, NC | $20,507 |
| Caromont Regional Medical CenterGastonia, NC | $20,516 |
| High Point Regional Hlth SystHigh Point, NC | $20,588 |
Highest
| Carolina East Medical CenterNew Bern, NC | $21,846 |
|---|---|
| New Hanover Regional Medical CenterWilmington, NC | $21,817 |
| Forsyth Memorial HospitalWinston-Salem, NC | $21,428 |
| Duke Health Raleigh HospitalRaleigh, NC | $21,328 |
| Wakemed, Cary HospitalCary, NC | $21,328 |
Level 3 Electrophysiologic Procedures in other states
Questions
How much does level 3 electrophysiologic procedures cost in North Carolina?
In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 26 hospitals in North Carolina was billed at $145,758 on average, while the average medicare-allowed amount was $21,038, of which Medicare paid $19,405. 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 North Carolina, average charges were 6.9 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.