facebook tracking Level 3 Electrophysiologic Procedures cost in Ohio: 52 hospitals compared (APC 5213)

Level 3 Electrophysiologic Procedures in Ohio

What 52 hospitals in Ohio charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.

APC 5213 Outpatient 2024 Medicare data
Average charge $110,383 Hospital list price billed
Average allowed $20,178 Medicare's payment + patient's share
Medicare paid $18,545 Average per service
State rank #7 of 46 1 = lowest average payment

Hospitals in Ohio billed an average of $110,383 for level 3 electrophysiologic procedures, about 5.5 times the average medicare-allowed amount of $20,178. That payment is 11% 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 $20,178Billed $110,383

About 18¢ was paid for every $1 hospitals in Ohio billed for this service.

Ohio hospitals: level 3 electrophysiologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Cleveland Clinic - Main CampusCleveland 561 $121,614 $20,125 $18,493
Riverside Methodist HospitalColumbus 404 $122,073 $21,040 $19,404
Christ HospitalCincinnati 317 $110,083 $20,340 $18,704
Ohio State University HospitalsColumbus 283 $103,788 $20,984 $19,352
Miami Valley HospitalDayton 281 $81,303 $20,470 $18,835
Kettering Medical CenterKettering 228 $111,654 $21,020 $19,389
Bethesda North HospitalCincinnati 169 $89,805 $20,501 $18,869
Toledo Hospital theToledo 167 $117,805 $19,882 $18,243
University Hospitals of ClevelandCleveland 152 $98,066 $19,736 $18,102
Aultman HospitalCanton 128 $106,385 $19,726 $18,092
Mount Carmel HealthColumbus 121 $79,293 $20,936 $19,304
Genesis Healthcare SystemZanesville 115 $111,398 $21,851 $20,218
Mercy Hospital FairfieldFairfield 114 $143,994 $20,256 $18,637
University Hospital, INCCincinnati 105 $105,588 $20,423 $18,791
Hillcrest HospitalCleveland 103 $116,753 $20,225 $18,593
Fairview HospitalCleveland 93 $111,889 $20,025 $18,393
Grant Medical CenterColumbus 89 $122,778 $20,745 $19,113
Summa Health System - Akron CampusAkron 70 $188,623 $18,693 $17,072
University Hospitals Ahuja Medical CenterBeachwood 70 $94,175 $20,225 $18,593
Metrohealth SystemCleveland 67 $117,373 $6,889 $5,269
University Hospitals - Elyria Medical CenterElyria 66 $94,422 $20,225 $18,593
Ohiohealth Mansfield HospitalMansfield 60 $131,666 $20,738 $19,105
Lake Hospital SystemPainesville 59 $89,495 $19,282 $17,644
St Rita's Medical CenterLima 57 $151,839 $19,608 $17,972
Kettering Health DaytonDayton 56 $92,909 $20,397 $18,758
Mount Carmel St Ann's HospitalWesterville 54 $97,614 $21,185 $19,553
Fairfield Medical CenterLancaster 53 $98,471 $21,185 $19,553
Parma Community General HospitalParma 48 $93,689 $19,537 $17,917
University of Toledo Medical CenterToledo 43 $91,859 $20,288 $18,656
Atrium Medical CenterMiddletown 43 $84,468 $20,136 $18,500
Springfield Regional Medical CenterSpringfield 40 $109,621 $21,092 $19,460
Cleveland Clinic - Akron GeneralAkron 39 $139,367 $20,160 $18,528
St Elizabeth Health CenterYoungstown 31 $122,270 $20,160 $18,528
Mercy St Vincent Medical CenterToledo 26 $123,099 $21,154 $19,504
Marietta Memorial HospitalMarietta 26 $80,805 $10,896 $9,264
Mercy Franciscan Hospital - Mt AiryCincinnati 24 $132,653 $20,603 $18,971
Good Samaritan HospitalCincinnati 20 $91,948 $20,603 $18,971
Mercy Hospital AndersonCincinnati 19 $130,547 $19,605 $17,973
Trinity Medical Ctr East&Trinity Medical Ctr WestSteubenville 13 $67,356 $20,160 $18,528
Adena Regional Medical CenterChillicothe 12 $87,206 $20,738 $19,106
Southwest General Health CenterMiddleburg Heights 11 $107,071 $20,226 $18,584
Lima Memorial Health SystemLima – – – –
Jewish Hospital, LLCCincinnati – – – –
Mercy Medical CenterCanton – – – –
University Hospitals Portage Medical CenterRavenna – – – –
Blanchard Valley Health AssnFindlay – – – –
St John Medical CenterWestlake – – – –
Licking Memorial HospitalNewark – – – –
West Chester Medical CenterWest Chester – – – –
Children's Hosp Medical CenterCincinnati – – – –
Children's Hosp Medical CenterAkron – – – –
Nationwide Children's HospitalColumbus – – – –
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Lowest and highest allowed amounts in Ohio

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

Metrohealth SystemCleveland, OH$6,889
Marietta Memorial HospitalMarietta, OH$10,896
Summa Health System - Akron CampusAkron, OH$18,693
Lake Hospital SystemPainesville, OH$19,282
Parma Community General HospitalParma, OH$19,537

Highest

Genesis Healthcare SystemZanesville, OH$21,851
Mount Carmel St Ann's HospitalWesterville, OH$21,185
Fairfield Medical CenterLancaster, OH$21,185
Mercy St Vincent Medical CenterToledo, OH$21,154
Springfield Regional Medical CenterSpringfield, OH$21,092

Level 3 Electrophysiologic Procedures in other states

Questions

How much does level 3 electrophysiologic procedures cost in Ohio?

In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 52 hospitals in Ohio was billed at $110,383 on average, while the average medicare-allowed amount was $20,178, of which Medicare paid $18,545. 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 Ohio, average charges were 5.5 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.