Level 3 Electrophysiologic Procedures in Virginia
What 31 hospitals in Virginia charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.
Average charge
$167,615
Hospital list price billed
Average allowed
$21,219
Medicare's payment + patient's share
Medicare paid
$19,584
Average per service
State rank
#21 of 46
1 = lowest average payment
Hospitals in Virginia billed an average of $167,615 for level 3 electrophysiologic procedures, about 7.9 times the average medicare-allowed amount of $21,219. That payment is 7% 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 $21,219Billed $167,615
About 13¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: level 3 electrophysiologic procedures
Every Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Inova Fairfax HospitalFalls Church | 639 | $83,805 | $21,956 | $20,321 |
| Sentara Norfolk General HospitalNorfolk | 461 | $89,697 | $20,243 | $18,611 |
| Cjw Medical CenterRichmond | 433 | $514,039 | $20,269 | $18,636 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 358 | $162,128 | $21,841 | $20,208 |
| Medical College of Virginia HospitalsRichmond | 329 | $138,703 | $20,197 | $18,556 |
| Winchester Medical Center INCWinchester | 265 | $102,871 | $22,885 | $21,247 |
| Henrico Doctors' HospitalRichmond | 218 | $503,432 | $20,496 | $18,863 |
| Sentara Virginia Beach General HospitalVirginia Beach | 211 | $88,090 | $20,344 | $18,709 |
| University of Virginia Medical CenterCharlottesville | 207 | $103,564 | $21,566 | $19,932 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 206 | $170,319 | $21,353 | $19,729 |
| Mary Washington Hospital, INCFredericksburg | 192 | $93,428 | $21,999 | $20,366 |
| Sentara Careplex HospitalHampton | 179 | $90,106 | $20,190 | $18,558 |
| Sentara Rmh Medical CenterHarrisonburg | 163 | $73,168 | $23,028 | $21,396 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 154 | $177,245 | $21,621 | $19,982 |
| Virginia Hospital Center - ArlingtonArlington | 110 | $151,032 | $22,026 | $20,389 |
| Augusta HealthFishersville | 99 | $97,006 | $22,681 | $21,049 |
| Carilion Medical CenterRoanoke | 99 | $119,999 | $20,396 | $18,764 |
| Martha Jefferson HospitalCharlottesville | 91 | $73,176 | $20,390 | $18,756 |
| Riverside Regional Medical CenterNewport News | 71 | $66,017 | $19,870 | $18,224 |
| Inova Loudoun HospitalLeesburg | 68 | $80,421 | $22,213 | $20,581 |
| Spotsylvania Regional Medical CenterFredericksburg | 56 | $196,800 | $21,481 | $19,849 |
| Bon Secours - Maryview Medical CenterPortsmouth | 51 | $174,900 | $20,397 | $18,762 |
| Lewisgale Medical CenterSalem | 38 | $289,392 | $20,007 | $18,369 |
| Southside Regional Medical CenterPetersburg | 28 | $239,948 | $20,614 | $18,982 |
| Inova Alexandria HospitalAlexandria | 27 | $74,419 | $22,213 | $20,573 |
| Chesapeake General HospitalChesapeake | 21 | $60,148 | $20,614 | $18,978 |
| Sentara Northern Virginia Medical CenterWoodbridge | 18 | $78,957 | $22,214 | $20,568 |
| Bon Secours - St Francis Medical CenterMidlothian | 13 | $120,348 | $20,585 | $18,934 |
| Prince William HospitalManassas | – | – | – | – |
| Reston Hospital CenterReston | – | – | – | – |
| Stafford Hospital CenterStafford | – | – | – | – |
Lowest and highest allowed amounts in Virginia
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
| Riverside Regional Medical CenterNewport News, VA | $19,870 |
|---|---|
| Lewisgale Medical CenterSalem, VA | $20,007 |
| Sentara Careplex HospitalHampton, VA | $20,190 |
| Medical College of Virginia HospitalsRichmond, VA | $20,197 |
| Sentara Norfolk General HospitalNorfolk, VA | $20,243 |
Highest
| Sentara Rmh Medical CenterHarrisonburg, VA | $23,028 |
|---|---|
| Winchester Medical Center INCWinchester, VA | $22,885 |
| Augusta HealthFishersville, VA | $22,681 |
| Sentara Northern Virginia Medical CenterWoodbridge, VA | $22,214 |
| Inova Alexandria HospitalAlexandria, VA | $22,213 |
Level 3 Electrophysiologic Procedures in other states
Questions
How much does level 3 electrophysiologic procedures cost in Virginia?
In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 31 hospitals in Virginia was billed at $167,615 on average, while the average medicare-allowed amount was $21,219, of which Medicare paid $19,584. 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 Virginia, average charges were 7.9 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.