facebook tracking Level 3 Electrophysiologic Procedures cost in Oregon: 11 hospitals compared (APC 5213)

Level 3 Electrophysiologic Procedures in Oregon

What 11 hospitals in Oregon charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.

APC 5213 Outpatient 2024 Medicare data
Average charge $115,426 Hospital list price billed
Average allowed $25,212 Medicare's payment + patient's share
Medicare paid $23,579 Average per service
State rank #40 of 46 1 = lowest average payment

Hospitals in Oregon billed an average of $115,426 for level 3 electrophysiologic procedures, about 4.6 times the average medicare-allowed amount of $25,212. That payment is 11% 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 $25,212Billed $115,426

About 22¢ was paid for every $1 hospitals in Oregon billed for this service.

Oregon hospitals: level 3 electrophysiologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Providence St Vincent Medical CenterPortland 211 $75,713 $24,742 $23,109
Legacy Emanuel Medical CenterPortland 157 $118,208 $24,704 $23,071
Sacred Heart Medical Center - RiverbendSpringfield 138 $163,323 $24,636 $23,003
Rogue Valley Medical CenterMedford 135 $127,770 $28,752 $27,120
Adventist Medical CenterPortland 97 $160,640 $24,373 $22,741
Good Samaritan Regional Medical CenterCorvallis 80 $73,082 $23,732 $22,091
Salem HospitalSalem 78 $99,527 $26,017 $24,382
OHSU Hospital and ClinicsPortland 74 $87,308 $24,852 $23,217
McKenzie-Willamette Medical CenterSpringfield 58 $172,855 $24,424 $22,806
St Charles Medical Center - BendBend 55 $91,022 $25,026 $23,394
Kaiser Sunnyside Medical CenterClackamas – – – –
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Lowest and highest allowed amounts in Oregon

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

Highest

Level 3 Electrophysiologic Procedures in other states

Questions

How much does level 3 electrophysiologic procedures cost in Oregon?

In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 11 hospitals in Oregon was billed at $115,426 on average, while the average medicare-allowed amount was $25,212, of which Medicare paid $23,579. 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 Oregon, average charges were 4.6 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.