Outpatient / APC 5213
APC 5213 · 955 hospitals · 113,395 services
Level 3 Electrophysiologic Procedures
Hospital outpatient departments billed Medicare for 113,395 services in APC 5213 in 2024. They charged an average of $163,578; Medicare allowed $22,752 — a ratio of 7.2 to 1 — and paid $21,118 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $34,623 to $736,670 across hospitals.
- 1Average charge $163,578
- 2Medicare allowed $22,752
- 3Reporting hospitals 955
- 4Services 113,395
By state
The average charge for this service was highest in Nevada ($269,469) and lowest in Rhode Island ($62,970). 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 | 695 | $269,469 | $25,276 |
| Kentucky | 1,136 | $239,428 | $20,393 |
| Utah | 1,125 | $223,258 | $21,049 |
| Texas | 9,149 | $221,522 | $21,056 |
| South Carolina | 2,787 | $218,121 | $20,269 |
| California | 10,513 | $205,167 | $30,366 |
| Florida | 9,787 | $195,231 | $21,300 |
| Colorado | 2,116 | $192,784 | $22,535 |
| Pennsylvania | 4,757 | $181,283 | $22,361 |
| Alabama | 1,711 | $180,164 | $19,323 |
| Alaska | 331 | $178,608 | $24,447 |
| Indiana | 2,644 | $177,300 | $21,342 |
| New Hampshire | 578 | $177,268 | $23,121 |
| Kansas | 1,340 | $177,128 | $20,582 |
| Tennessee | 2,876 | $176,464 | $19,838 |
| New York | 5,925 | $168,194 | $26,175 |
| Virginia | 4,821 | $167,325 | $21,218 |
| New Jersey | 2,730 | $156,740 | $25,581 |
| Arizona | 3,755 | $155,808 | $23,044 |
| Missouri | 1,983 | $147,115 | $20,446 |
| North Carolina | 3,555 | $145,631 | $21,038 |
| Louisiana | 1,252 | $145,356 | $19,761 |
| Idaho | 782 | $143,946 | $22,057 |
| Delaware | 331 | $141,710 | $23,452 |
| Georgia | 2,924 | $134,007 | $20,867 |
| Illinois | 4,945 | $133,114 | $22,275 |
| Maine | 360 | $129,569 | $21,454 |
| Oklahoma | 1,586 | $129,379 | $20,013 |
| West Virginia | 387 | $125,946 | $19,417 |
| District of Columbia | 689 | $123,458 | $23,889 |
| Washington | 2,674 | $122,380 | $24,244 |
| Oregon | 1,085 | $115,356 | $25,209 |
| Mississippi | 1,165 | $115,191 | $19,766 |
| Wisconsin | 1,579 | $113,636 | $21,779 |
| Ohio | 4,480 | $110,148 | $20,178 |
| Massachusetts | 3,542 | $108,274 | $25,212 |
| Minnesota | 1,900 | $106,456 | $22,884 |
| Nebraska | 928 | $106,357 | $21,144 |
| South Dakota | 581 | $105,949 | $22,635 |
| Iowa | 1,460 | $105,141 | $20,504 |
| Michigan | 2,260 | $101,887 | $21,142 |
| New Mexico | 548 | $101,884 | $20,725 |
| Connecticut | 784 | $96,092 | $26,264 |
| Arkansas | 1,391 | $95,287 | $20,224 |
| Montana | 707 | $88,571 | $22,242 |
| North Dakota | 263 | $88,159 | $22,574 |
| Hawaii | 185 | $85,604 | $26,974 |
| Rhode Island | 177 | $62,970 | $23,658 |
Highest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Good Samaritan Hospital San Jose, CA | $736,670 | $32,935 |
| UCLA West Valley Medical Center West Hills, CA | $589,604 | $29,114 |
| Medical City Fort Worth Fort Worth, TX | $576,582 | $21,387 |
| Los Robles Hospital & Medical Center Thousand Oaks, CA | $526,935 | $28,840 |
| HCA Healthone Rose Denver, CO | $520,747 | $22,550 |
| Trident Medical Center Charleston, SC | $520,706 | $20,308 |
| Cjw Medical Center Richmond, VA | $514,039 | $20,269 |
| HCA Houston Healthcare Medical Center Houston, TX | $510,260 | $21,966 |
| Henrico Doctors' Hospital Richmond, VA | $503,432 | $20,496 |
| Alaska Regional Hospital Anchorage, AK | $500,080 | $24,447 |
Lowest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| St Francis Hospital- Emory Healthcare Columbus, GA | $34,623 | $18,428 |
| South Shore Hospital South Weymouth, MA | $37,554 | $24,635 |
| Kaleida Health Buffalo, NY | $38,591 | $24,595 |
| Robert Packer Hospital Sayre, PA | $44,473 | $21,761 |
| Emory University Hospital Atlanta, GA | $48,291 | $21,984 |
| Kent County Memorial Hospital Warwick, RI | $48,612 | $24,037 |
| Mary Imogene Bassett Hospital Cooperstown, NY | $49,204 | $26,892 |
| Berkshire Medical Center Inc - 1 Pittsfield, MA | $49,428 | $26,712 |
| Bronson Methodist Hospital Kalamazoo, MI | $49,626 | $19,637 |
| Mclaren Northern Michigan Petoskey, MI | $49,708 | $22,243 |
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.