facebook tracking Level 3 Electrophysiologic Procedures cost in Pennsylvania: 57 hospitals compared (APC 5213)

Level 3 Electrophysiologic Procedures in Pennsylvania

What 57 hospitals in Pennsylvania charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.

APC 5213 Outpatient 2024 Medicare data
Average charge $181,876 Hospital list price billed
Average allowed $22,356 Medicare's payment + patient's share
Medicare paid $20,722 Average per service
State rank #29 of 46 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $181,876 for level 3 electrophysiologic procedures, about 8.1 times the average medicare-allowed amount of $22,356. That payment is 2% 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 $22,356Billed $181,876

About 12¢ was paid for every $1 hospitals in Pennsylvania billed for this service.

Pennsylvania hospitals: level 3 electrophysiologic procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Hospital of the Univ of PaPhiladelphia 437 $303,323 $23,812 $22,180
Lehigh Valley HospitalAllentown 365 $269,605 $22,871 $21,236
Lancaster General HospitalLancaster 288 $180,074 $21,893 $20,261
York HospitalYork 271 $159,737 $22,227 $20,593
Doylestown HospitalDoylestown 254 $99,312 $22,768 $21,133
Penn Presbyterian Medical CenterPhiladelphia 215 $230,635 $23,563 $21,930
Geisinger Medical CenterDanville 190 $241,442 $21,159 $19,527
Main Line Hospital LankenauWynnewood 174 $82,929 $22,620 $20,987
St Luke's Hospital BethlehemBethlehem 164 $199,367 $22,972 $21,340
Allegheny General HospitalPittsburgh 154 $154,018 $20,570 $18,931
UPMC Pinnacle HospitalsHarrisburg 142 $99,421 $21,229 $19,596
UPMC Presbyterian ShadysidePittsburgh 104 $237,220 $21,159 $19,527
Hamot Medical CenterErie 101 $193,341 $24,731 $23,097
Milton S Hershey Medical CenterHershey 97 $209,205 $22,297 $20,665
St Joseph Medical CenterReading 90 $209,629 $21,601 $19,967
Thomas Jefferson University HospitalPhiladelphia 90 $142,793 $22,591 $20,959
Altoona Regional Health SystemAltoona 88 $94,267 $22,659 $21,025
Geisinger Wyoming Vly Med CtrWilkes-Barre 88 $207,195 $20,717 $19,079
Temple University HospitalPhiladelphia 85 $202,376 $23,653 $22,031
Reading Hospital and Med CtrWest Reading 82 $147,926 $21,400 $19,766
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia 80 $316,626 $23,585 $21,952
Main Line Hospital Bryn Mawr CampusBryn Mawr 76 $84,728 $22,852 $21,215
Chester County HospitalWest Chester 73 $80,475 $22,852 $21,220
Butler Health SystemButler 72 $146,765 $20,888 $19,254
Abington Memorial HospitalAbington 70 $123,190 $22,223 $20,587
Good Samaritan HospitalLebanon 67 $142,269 $22,462 $20,827
Jefferson Health- NortheastPhiladelphia 61 $144,863 $23,013 $21,379
St Mary Medical CenterLanghorne 55 $97,696 $23,541 $21,907
Jefferson Einstein Montgomery HospitalEast Norriton 53 $86,867 $22,223 $20,591
Williamsport Hospital & Medical CenterWilliamsport 52 $85,279 $21,159 $19,527
Main Line Hospital PaoliPaoli 52 $89,435 $22,852 $21,215
Holy Spirit HospitalCamp Hill 48 $229,254 $21,448 $19,814
Jefferson Regional Medical CenterClairton 47 $158,698 $20,744 $19,112
Geisinger-Community Medical CenterScranton 43 $219,945 $20,705 $19,073
Excela Health Westmoreland Regional HospitalGreensburg 39 $87,483 $21,159 $19,524
Heritage Valley BeaverBeaver 37 $83,571 $21,160 $19,513
Phoenixville HospitalPhoenixville 36 $127,492 $22,263 $20,622
Washington Hospital, theWashington 35 $90,078 $21,159 $19,527
UPMC PassavantPittsburgh 30 $237,196 $20,509 $18,869
Western Pennsylvania Hosp Forbes Regional CampusMonroeville 27 $139,005 $21,160 $19,519
Wilkes-Barre General HospitalWilkes-Barre 26 $235,410 $21,160 $19,518
St Clair Memorial HospitalPittsburgh 26 $93,486 $20,565 $18,964
Robert Packer HospitalSayre 25 $44,473 $21,761 $20,129
Mercy Hospital ScrantonScranton 25 $221,116 $19,616 $17,965
Crozer Chester Medical CenterChester 24 $86,874 $21,456 $19,858
Pocono Medical CenterEast Stroudsburg 19 $215,827 $23,104 $21,463
UPMC MemorialYork 16 $76,292 $20,618 $18,986
Saint Vincent Health CenterErie 14 $239,550 $24,963 $23,315
Sharon Regional Health SystemSharon 14 $111,180 $19,848 $18,216
Conemaugh Valley Memorial HospitalJohnstown – – – –
Albert Einstein Medical CenterPhiladelphia – – – –
Chambersburg HospitalChambersburg – – – –
Mercy Health SystemConshohocken – – – –
Nazareth HospitalPhiladelphia – – – –
Ephrata Community HospitalEphrata – – – –
Mount Nittany Medical CenterState College – – – –
Children's Hosp of PittsburghPittsburgh – – – –
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Lowest and highest allowed amounts in Pennsylvania

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

Mercy Hospital ScrantonScranton, PA$19,616
Sharon Regional Health SystemSharon, PA$19,848
UPMC PassavantPittsburgh, PA$20,509
St Clair Memorial HospitalPittsburgh, PA$20,565
Allegheny General HospitalPittsburgh, PA$20,570

Highest

Saint Vincent Health CenterErie, PA$24,963
Hamot Medical CenterErie, PA$24,731
Hospital of the Univ of PaPhiladelphia, PA$23,812
Temple University HospitalPhiladelphia, PA$23,653
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA$23,585

Level 3 Electrophysiologic Procedures in other states

Questions

How much does level 3 electrophysiologic procedures cost in Pennsylvania?

In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 57 hospitals in Pennsylvania was billed at $181,876 on average, while the average medicare-allowed amount was $22,356, of which Medicare paid $20,722. 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 Pennsylvania, average charges were 8.1 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.