Outpatient procedure · APC 5213 · Surgery or procedure

Level 3 Electrophysiologic Procedures

In 2024, Medicare and patients paid an average of $22,751 per procedure at 955 hospitals. Half of hospitals averaged between $20,689 and $23,098.

Also known as: Cardiac ablation, EP study

National figures, 2024

Average payment per case: $22,751
Typical range (middle half of hospitals): $20,689–$23,098
Medicare’s share: $21,11793% of the payment
Average billed charge: $163,748
Hospitals reporting: 955112,680 procedures

Hospitals in Virginia

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

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Virginia

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Year of care

Average payment across these 28 hospitals: $21,219National $22,751 · Virginia $21,219
Median hospital: $20,983
Lowest to highest: $19,870–$23,028
Medicare procedures: 4,805

28 hospitals reported at least 11 Medicare procedures for this in 2024. Download as CSV

Medicare payments per case for Level 3 Electrophysiologic Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Riverside Regional Medical CenterNewport News, VA · CCN 490052	71	$19,870	13% below the national average	$18,224	$66,017
Lewisgale Medical CenterSalem, VA · CCN 490048	38	$20,007	12% below the national average	$18,369	$289,392
Sentara Careplex HospitalHampton, VA · CCN 490093	179	$20,190	11% below the national average	$18,558	$90,106
Medical College Of Virginia HospitalsRichmond, VA · CCN 490032 · +$1,683 outlier payments per case	329	$20,197	11% below the national average	$18,556	$138,703
Sentara Norfolk General HospitalNorfolk, VA · CCN 490007	461	$20,243	11% below the national average	$18,611	$89,697
CJW Medical CenterRichmond, VA · CCN 490112	433	$20,269	11% below the national average	$18,636	$514,039
Sentara Virginia Beach General HospitalVirginia Beach, VA · CCN 490057	211	$20,344	11% below the national average	$18,709	$88,090
Sentara Martha Jefferson HospitalCharlottesville, VA · CCN 490077	91	$20,389	10% below the national average	$18,756	$73,176
Carilion Medical CenterRoanoke, VA · CCN 490024	99	$20,396	10% below the national average	$18,764	$119,999
Bon Secours Maryview Medical CenterPortsmouth, VA · CCN 490017	51	$20,397	10% below the national average	$18,762	$174,900
Henrico Doctors' HospitalRichmond, VA · CCN 490118	218	$20,496	About average	$18,863	$503,432
Bon Secours St Francis Medical CenterMidlothian, VA · CCN 490136	13	$20,585	About average	$18,934	$120,348
Bon Secours Southside Medical CenterPetersburg, VA · CCN 490067	28	$20,614	About average	$18,982	$239,948
Chesapeake General HospitalChesapeake, VA · CCN 490120	21	$20,614	About average	$18,978	$60,148
Bon Secours Memorial Regional Medical CenterMechanicsville, VA · CCN 490069	206	$21,353	About average	$19,729	$170,319
Spotsylvania Regional Medical CenterFredericksburg, VA · CCN 490141	56	$21,481	About average	$19,849	$196,800
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009	207	$21,566	About average	$19,932	$103,564
Bon Secours St Marys HospitalRichmond, VA · CCN 490059 · +$279 outlier payments per case	154	$21,621	About average	$19,982	$177,245
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 490021 · +$162 outlier payments per case	358	$21,841	About average	$20,208	$162,128
Inova Fairfax HospitalFalls Church, VA · CCN 490063	639	$21,956	About average	$20,321	$83,805
Mary Washington HospitalFredericksburg, VA · CCN 490022	192	$21,999	About average	$20,366	$93,428
Virginia Hospital CenterArlington, VA · CCN 490050 · +$146 outlier payments per case	110	$22,026	About average	$20,389	$151,032
Inova Loudoun HospitalLeesburg, VA · CCN 490043	68	$22,213	About average	$20,581	$80,421
Inova Alexandria HospitalAlexandria, VA · CCN 490040	27	$22,213	About average	$20,573	$74,419
Sentara Northern Virginia Medical CenterWoodbridge, VA · CCN 490113	18	$22,213	About average	$20,568	$78,957
Augusta HealthFishersville, VA · CCN 490018	99	$22,681	About average	$21,049	$97,006
Winchester Medical CenterWinchester, VA · CCN 490005 · +$341 outlier payments per case	265	$22,885	About average	$21,247	$102,871
Sentara RMH Medical CenterHarrisonburg, VA · CCN 490004	163	$23,028	About average	$21,396	$73,168

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

Average payment
Average billed charge

2020: 66,770 procedures at 858 hospitals · 2021: 80,404 procedures at 901 hospitals · 2022: 87,485 procedures at 913 hospitals · 2023: 96,057 procedures at 932 hospitals · 2024: 112,680 procedures at 955 hospitals

View data as a table

National average payment and billed charge for Level 3 Electrophysiologic Procedures
Year of care	Average payment	Average billed charge
2020	$20K	$131K
2021	$22K	$139K
2022	$22K	$137K
2023	$23K	$146K
2024	$23K	$164K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 49 states

Average payment by state for Level 3 Electrophysiologic Procedures, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	1	108	$11,237	$11,237–$11,237
Alabama	18	1,696	$19,326	$18,917–$19,708
West Virginia	5	387	$19,417	$19,479–$19,576
Louisiana	14	1,234	$19,760	$19,512–$20,034
Mississippi	10	1,165	$19,766	$19,438–$19,719
Tennessee	17	2,866	$19,845	$19,539–$20,317
Oklahoma	11	1,586	$20,013	$19,717–$20,335
Ohio	41	4,437	$20,178	$20,025–$20,738
Arkansas	11	1,384	$20,224	$19,955–$20,855
South Carolina	18	2,787	$20,269	$20,016–$20,367
Kentucky	13	1,126	$20,394	$20,025–$21,517
Missouri	22	1,959	$20,444	$20,051–$20,882
Iowa	13	1,460	$20,504	$20,221–$20,996
Kansas	11	1,338	$20,582	$20,386–$20,690
New Mexico	5	537	$20,721	$20,232–$20,968
Georgia	26	2,895	$20,859	$20,221–$21,754
North Carolina	24	3,550	$21,038	$20,777–$21,293
Utah	9	1,125	$21,049	$20,778–$21,222
Texas	93	9,075	$21,057	$20,557–$21,487
Nebraska	7	928	$21,144	$21,064–$21,347
Michigan	27	2,206	$21,144	$20,687–$21,598
Virginia	28	4,805	$21,219	$20,378–$22,006
Florida	75	9,751	$21,299	$21,183–$21,459
Indiana	30	2,626	$21,349	$21,117–$21,816
Maine	3	360	$21,454	$21,043–$22,028
Wisconsin	24	1,559	$21,780	$21,279–$22,281
Idaho	7	782	$22,057	$21,319–$22,634
Montana	6	707	$22,242	$22,064–$22,209
Illinois	54	4,932	$22,279	$21,893–$22,490
Pennsylvania	49	4,721	$22,356	$21,159–$22,852
Colorado	21	2,088	$22,544	$22,338–$22,550
North Dakota	5	263	$22,574	$22,209–$22,209
South Dakota	3	581	$22,635	$21,957–$22,777
Minnesota	13	1,880	$22,881	$22,248–$22,529
Arizona	22	3,740	$23,035	$22,878–$23,098
New Hampshire	4	560	$23,167	$22,872–$23,630
Delaware	5	331	$23,452	$23,304–$23,415
Rhode Island	2	171	$23,644	$23,720–$23,932
District of Columbia	2	689	$23,889	$23,968–$24,146
Washington	18	2,668	$24,244	$23,636–$25,058
Alaska	2	331	$24,447	$24,447–$24,447
Massachusetts	19	3,526	$25,211	$25,131–$25,436
Oregon	10	1,083	$25,212	$24,477–$24,983
Nevada	11	685	$25,275	$25,139–$25,365
New Jersey	15	2,717	$25,576	$24,796–$26,105
New York	37	5,890	$26,183	$24,828–$26,685
Connecticut	8	761	$26,284	$25,800–$26,658
Hawaii	3	179	$26,965	$26,816–$27,069
California	83	10,445	$30,363	$29,114–$30,024

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. For outpatient procedures it is Medicare’s allowed amount, which leaves out extra “outlier” payments for unusually costly cases; those are shown under the hospital name where CMS reported any, and included in the CSV. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Outpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 procedures. More in the glossary.