Outpatient / APC 5212
APC 5212 · 178 hospitals · 6,691 services
Level 2 Electrophysiologic Procedures
Hospital outpatient departments billed Medicare for 6,691 services in APC 5212 in 2024. They charged an average of $53,665; Medicare allowed $7,095 — a ratio of 7.6 to 1 — and paid $5,664 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $10,253 to $195,876 across hospitals.
- 1Average charge $53,665
- 2Medicare allowed $7,095
- 3Reporting hospitals 178
- 4Services 6,691
By state
The average charge for this service was highest in Nevada ($91,612) and lowest in Arkansas ($27,185). The allowed amount is set by Medicare's outpatient fee schedule, adjusted for local wages, so it varies much less.
| State | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Nevada | 47 | $91,612 | $8,024 |
| California | 462 | $81,604 | $9,420 |
| South Carolina | 154 | $72,064 | $6,428 |
| Texas | 564 | $68,843 | $6,647 |
| Florida | 556 | $67,392 | $6,748 |
| Kentucky | 89 | $66,389 | $6,484 |
| Colorado | 122 | $65,446 | $7,113 |
| Idaho | 63 | $64,272 | $6,869 |
| New Hampshire | 21 | $61,760 | $7,321 |
| Alabama | 75 | $61,523 | $6,102 |
| New York | 414 | $56,955 | $8,231 |
| Pennsylvania | 302 | $54,935 | $7,070 |
| New Jersey | 142 | $54,925 | $7,972 |
| Arizona | 249 | $53,661 | $7,283 |
| Virginia | 316 | $53,196 | $6,652 |
| New Mexico | 23 | $53,178 | $6,374 |
| Indiana | 153 | $53,114 | $6,662 |
| Tennessee | 151 | $52,180 | $6,210 |
| Maine | 31 | $51,513 | $6,968 |
| Illinois | 267 | $50,984 | $6,938 |
| District of Columbia | 27 | $50,297 | $7,641 |
| Utah | 40 | $48,012 | $6,637 |
| Missouri | 139 | $46,982 | $6,463 |
| Georgia | 152 | $45,298 | $6,771 |
| South Dakota | 52 | $44,575 | $7,106 |
| Oklahoma | 84 | $43,445 | $6,386 |
| Kansas | 92 | $42,586 | $6,509 |
| North Carolina | 255 | $41,797 | $6,648 |
| Iowa | 63 | $40,226 | $6,551 |
| Wisconsin | 100 | $40,030 | $6,915 |
| Ohio | 196 | $40,024 | $6,354 |
| Louisiana | 85 | $39,903 | $6,247 |
| Washington | 151 | $39,296 | $7,629 |
| Delaware | 27 | $37,541 | $7,267 |
| Connecticut | 48 | $35,959 | $8,242 |
| Oregon | 71 | $35,774 | $7,669 |
| Montana | 73 | $35,236 | $7,158 |
| Michigan | 131 | $34,460 | $6,722 |
| Massachusetts | 109 | $33,830 | $7,973 |
| Mississippi | 71 | $33,282 | $6,287 |
| West Virginia | 29 | $30,859 | $6,107 |
| Nebraska | 73 | $30,392 | $6,704 |
| Minnesota | 152 | $30,148 | $7,289 |
| North Dakota | 24 | $29,378 | $7,146 |
| Hawaii | 12 | $28,823 | $8,587 |
| Arkansas | 207 | $27,185 | $6,296 |
Highest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Cedars-Sinai Medical Center Los Angeles, CA | $195,876 | $9,177 |
| Eastern Idaho Regional Medical Center Idaho Falls, ID | $191,329 | $6,721 |
| Stanford Health Care Stanford, CA | $183,481 | $10,506 |
| Cjw Medical Center Richmond, VA | $150,674 | $6,429 |
| NYU Langone Hospitals New York, NY | $140,140 | $8,406 |
| Hospital of Univ of Pennsylvania Philadelphia, PA | $134,773 | $7,524 |
| Grand Strand Regional Medical Center Myrtle Beach, SC | $124,326 | $6,396 |
| John Muir Medical Center - Concord Campus Concord, CA | $120,953 | $9,916 |
| Trident Medical Center Charleston, SC | $116,056 | $6,158 |
| Enloe Health Chico, CA | $111,451 | $9,177 |
Lowest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| St Joseph's Hospital Health Center Syracuse, NY | $10,253 | $7,918 |
| Kaleida Health Buffalo, NY | $12,937 | $7,918 |
| Arkansas Heart Hospital, LLC Little Rock, AR | $15,638 | $6,234 |
| Emory University Hospital Atlanta, GA | $17,425 | $6,931 |
| CHI Health Nebraska Heart Lincoln, NE | $19,152 | $6,669 |
| Saint Joseph's Hospital of Atlanta, Inc Atlanta, GA | $19,561 | $6,711 |
| Prov Sacred Hrt Med Ctr & Childs Hosp. Spokane, WA | $19,810 | $7,496 |
| Riverside Regional Medical Center Newport News, VA | $20,336 | $6,430 |
| Mymichigan Medical Center Midland Midland, MI | $20,921 | $7,013 |
| Mayo Clinic Health System in La Crosse La Crosse, WI | $20,970 | $7,036 |
An APC groups services of similar cost, so a hospital's average mixes the specific procedures it does most. Charges are list prices; the allowed amount is the fee-schedule total that Medicare and the patient together pay the hospital.
Source: CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Checked 2026-10-24. Methodology.