Level 3 Electrophysiologic Procedures in Vermont
What 1 hospital in Vermont charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.
Average charge
$116,354
Hospital list price billed
Average allowed
$11,237
Medicare's payment + patient's share
Medicare paid
$9,605
Average per service
Volume
108
Medicare services
Hospitals in Vermont billed an average of $116,354 for level 3 electrophysiologic procedures, about 10.4 times the average medicare-allowed amount of $11,237. That payment is 51% 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 $11,237Billed $116,354
About 10¢ was paid for every $1 hospitals in Vermont billed for this service.
Vermont hospitals: level 3 electrophysiologic procedures
Every Vermont hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Fletcher Allen Hospital of VermontBurlington | 108 | $116,354 | $11,237 | $9,605 |
Level 3 Electrophysiologic Procedures in other states
Questions
How much does level 3 electrophysiologic procedures cost in Vermont?
In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 1 hospital in Vermont was billed at $116,354 on average, while the average medicare-allowed amount was $11,237, of which Medicare paid $9,605. 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 Vermont, average charges were 10.4 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.