Level 3 Electrophysiologic Procedures in Wisconsin
What 30 hospitals in Wisconsin charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.
Average charge
$114,169
Hospital list price billed
Average allowed
$21,780
Medicare's payment + patient's share
Medicare paid
$20,147
Average per service
State rank
#25 of 46
1 = lowest average payment
Hospitals in Wisconsin billed an average of $114,169 for level 3 electrophysiologic procedures, about 5.2 times the average medicare-allowed amount of $21,780. That payment is 4% 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 $21,780Billed $114,169
About 19¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Wisconsin hospitals: level 3 electrophysiologic procedures
Every Wisconsin hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University of Wi Hospitals & Clinics AuthorityMadison | 252 | $101,748 | $22,032 | $20,399 |
| Aurora St Lukes Medical CenterMilwaukee | 151 | $197,162 | $22,113 | $20,481 |
| Bellin Memorial HsptlGreen Bay | 118 | $100,320 | $20,866 | $19,234 |
| Froedtert Mem Lutheran HsptlMilwaukee | 116 | $112,794 | $21,636 | $20,011 |
| St Mary's HospitalMadison | 102 | $93,689 | $21,754 | $20,130 |
| Gundersen Luth Med CtrLa Crosse | 79 | $90,141 | $22,317 | $20,685 |
| Aurora Medical CenterGrafton | 74 | $159,847 | $21,568 | $19,928 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 69 | $175,021 | $22,290 | $20,658 |
| Mercy Hlth Sys CorpJanesville | 62 | $133,176 | $21,581 | $19,945 |
| Aurora Baycare Med CtrGreen Bay | 61 | $126,315 | $21,007 | $19,371 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | 60 | $72,085 | $22,317 | $20,685 |
| Waukesha Memorial HospitalWaukesha | 52 | $120,524 | $21,581 | $19,945 |
| Luther Hospital Mayo Health SystemEau Claire | 51 | $80,140 | $22,473 | $20,841 |
| Marshfield Medical CenterMarshfield | 50 | $68,328 | $22,701 | $21,069 |
| Aspirus Wausau HospitalWausau | 43 | $68,490 | $21,198 | $19,566 |
| St Clare's Hospital of Weston INCWeston | 40 | $68,251 | $21,198 | $19,557 |
| St Agnes HsptlFond du Lac | 31 | $95,747 | $22,438 | $20,798 |
| St Elizabeth HsptlAppleton | 29 | $131,008 | $20,715 | $19,083 |
| St Marys Hsptl Med CtrGreen Bay | 27 | $76,160 | $21,306 | $19,666 |
| Community Mem HsptlMenomonee Falls | 21 | $87,702 | $21,581 | $19,949 |
| Ascension SE Wisconsin HospitalMilwaukee | 20 | $104,413 | $21,581 | $19,948 |
| Meriter HsptlMadison | 18 | $94,687 | $22,113 | $20,479 |
| Appleton Med CtrAppleton | 17 | $74,198 | $20,191 | $18,559 |
| Froedtert SouthKenosha | 16 | $101,329 | $22,278 | $20,646 |
| Ministry St Michaels Hospital of Stevens PointStevens Point | – | – | – | – |
| Wheaton Franciscan Healthcare- All SaintsRacine | – | – | – | – |
| Beloit Mem HsptlBeloit | – | – | – | – |
| Aurora Med Ctr KenoshaKenosha | – | – | – | – |
| Aurora Med Ctr OshkoshOshkosh | – | – | – | – |
| Children's Hosp of WisconsinMilwaukee | – | – | – | – |
Lowest and highest allowed amounts in Wisconsin
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
| Appleton Med CtrAppleton, WI | $20,191 |
|---|---|
| St Elizabeth HsptlAppleton, WI | $20,715 |
| Bellin Memorial HsptlGreen Bay, WI | $20,866 |
| Aurora Baycare Med CtrGreen Bay, WI | $21,007 |
| Aspirus Wausau HospitalWausau, WI | $21,198 |
Highest
| Marshfield Medical CenterMarshfield, WI | $22,701 |
|---|---|
| Luther Hospital Mayo Health SystemEau Claire, WI | $22,473 |
| St Agnes HsptlFond du Lac, WI | $22,438 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse, WI | $22,317 |
| Gundersen Luth Med CtrLa Crosse, WI | $22,317 |
Level 3 Electrophysiologic Procedures in other states
Questions
How much does level 3 electrophysiologic procedures cost in Wisconsin?
In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 30 hospitals in Wisconsin was billed at $114,169 on average, while the average medicare-allowed amount was $21,780, of which Medicare paid $20,147. 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 Wisconsin, average charges were 5.2 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.