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Cardioversion: what insurers pay

An electrical shock to reset an abnormal heart rhythm. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 92960: Cardioversion

1611 hospitals in 82 markets. National Medicare rate $675, surgery center $364.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)29$590$713$947$322–$1,520
Alaska (statewide)5$390$622$1,375$390–$1,688
Arizona (statewide)28$1,188$1,452$1,626$419–$3,357
Arkansas (statewide)22$593$678$829$330–$1,563
Atlanta GA10$1,952$2,360$2,360$1,952–$3,042
Austin TX13$634$993$2,012$515–$2,012
Boston MA15$824$1,167$1,318$602–$1,962
California (statewide)84$899$1,374$2,476$446–$4,563
Charlotte NC9$778$778$1,360$767–$2,195
Chicago IL10$1,248$1,727$2,283$806–$5,138
Cleveland OH11$804$1,420$1,804$656–$2,532
Colorado (statewide)22$690$1,176$1,496$500–$2,592
Columbus OH2———$2,377–$2,377
Connecticut (statewide)3———$1,082–$4,076
Dallas-Fort Worth TX15$1,502$1,667$2,000$1,108–$2,694
Delaware (statewide)1———$1,430–$1,430
Denver CO15$1,418$2,158$2,582$1,405–$3,603
Detroit MI16$391$703$1,286$391–$2,775
Florida (statewide)76$1,089$2,194$2,821$423–$3,898
Georgia (statewide)44$1,102$2,328$2,535$450–$3,293
Hawaii (statewide)9$1,488$2,334$2,368$1,194–$2,645
Houston TX19$1,632$1,953$2,226$880–$2,656
Idaho (statewide)17$1,178$1,469$1,688$488–$2,120
Illinois (statewide)47$972$1,393$1,767$450–$2,612
Indiana (statewide)41$1,050$1,378$1,832$656–$3,203
Indianapolis IN3———$438–$2,966
Iowa (statewide)46$675$1,117$1,381$370–$2,006
Kansas (statewide)44$482$622$1,131$342–$2,286
Kentucky (statewide)23$828$1,058$1,570$322–$2,813
Las Vegas NV2———$1,606–$1,898
Los Angeles CA16$1,501$1,605$2,017$1,020–$6,417
Louisiana (statewide)27$716$998$1,103$455–$2,673
Maine (statewide)18$2,385$2,944$3,113$652–$3,914
Maryland (statewide)1———$528–$528
Massachusetts (statewide)11$809$940$1,186$597–$1,714
Miami-Fort Lauderdale FL8$741$752$988$704–$1,291
Michigan (statewide)29$688$835$1,127$364–$2,993
Minneapolis-St. Paul MN15$1,242$1,486$1,615$754–$2,501
Minnesota (statewide)20$666$1,737$2,327$384–$3,564
Mississippi (statewide)29$1,029$1,152$1,308$309–$1,802
Missouri (statewide)32$842$1,276$1,788$443–$5,182
Montana (statewide)8$1,112$1,434$1,866$482–$1,919
Nashville TN8$1,239$1,682$2,144$830–$2,144
Nebraska (statewide)22$933$1,476$1,680$484–$2,749
Nevada (statewide)8$1,364$1,721$1,980$779–$2,521
New Hampshire (statewide)4———$1,983–$3,826
New Jersey (statewide)29$724$926$1,447$619–$2,500
New Mexico (statewide)12$831$1,228$2,185$431–$2,991
New York (statewide)44$827$1,141$1,516$431–$2,926
New York City8$984$1,036$1,216$688–$2,508
North Carolina (statewide)20$829$1,350$1,637$612–$2,619
North Dakota (statewide)8$766$1,080$1,493$648–$3,135
Ohio (statewide)44$1,329$1,670$2,006$552–$2,908
Oklahoma (statewide)20$1,106$1,292$1,475$675–$2,128
Oregon (statewide)19$1,370$1,613$2,297$435–$2,994
Pennsylvania (statewide)54$888$1,420$1,948$564–$2,923
Philadelphia PA11$880$953$1,464$619–$1,603
Phoenix AZ11$1,413$1,438$1,570$1,302–$1,626
Pittsburgh PA12$945$1,248$1,360$775–$1,808
Portland OR9$2,479$2,479$2,742$2,117–$2,742
Research Triangle NC3———$633–$1,664
Rhode Island (statewide)6$899$1,162$1,582$748–$2,371
Richmond VA3———$3,138–$3,138
Rio Grande Valley TX6$867$1,067$2,004$859–$2,270
Salt Lake City UT9$370$370$382$364–$517
San Antonio TX3———$937–$2,012
San Diego CA7$1,445$1,445$1,454$1,216–$1,568
San Francisco Bay Area CA5$1,162$1,806$2,576$1,162–$3,599
Seattle-Tacoma WA16$1,888$1,929$2,167$1,713–$2,366
South Carolina (statewide)30$1,234$1,881$2,118$855–$2,766
South Dakota (statewide)5$1,536$1,565$1,617$809–$1,695
St. Louis MO5$1,140$1,241$1,241$1,140–$5,086
Tampa FL6$2,114$2,114$2,114$1,304–$3,270
Tennessee (statewide)41$709$918$1,524$393–$3,686
Texas (statewide)93$830$1,262$2,012$425–$3,593
Utah (statewide)10$394$559$607$336–$2,241
Vermont (statewide)5$486$1,709$2,138$337–$2,643
Virginia (statewide)28$1,993$2,322$3,123$859–$5,074
Washington (statewide)20$691$1,724$1,929$378–$3,342
Washington DC11$1,652$2,114$2,958$1,313–$2,958
West Virginia (statewide)13$970$1,113$2,158$555–$4,400
Wisconsin (statewide)48$1,038$2,030$2,191$525–$4,875

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
South Sunflower County HospitalMississippi (statewide)$3090.5×12026-09-10
Monroe County HospitalAlabama (statewide)$3220.6×12026-08-14
Monroe County Medical CenterKentucky (statewide)$3220.5×12026-08-14
Little River Memorial HospitalArkansas (statewide)$3300.5×12026-03-29
Intermountain Health Park City HospitalUtah (statewide)$3360.5×12026-08-05
Intermountain Health Heber Valley HospitalUtah (statewide)$3360.5×12026-08-05
Northeastern Vermont Regional HospitalVermont (statewide)$3370.5×12026-08-27
Mcpherson Hospital IncKansas (statewide)$3420.6×32026-06-08
Usa Health Children'S & Women'S HospitalAlabama (statewide)$3590.6×12026-04-30
Helen Newberry Joy HospitalMichigan (statewide)$3640.6×12026-09-02
Intermountain Health Spanish Fork HospitalSalt Lake City UT$3640.5×22026-08-05
Clay County Medical CenterKansas (statewide)$3680.6×12026-07-22
Logan Regional Medical CenterWest Virginia (statewide)$4,4006.9×12026-04-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$4,5285.3×22026-09-01
Watsonville Community HospitalCalifornia (statewide)$4,5495.0×132026-09-15
Rady Children'S Hospital - San DiegoCalifornia (statewide)$4,5635.4×32026-04-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$4,7547.2×32026-01-01
River Falls Area HospitalWisconsin (statewide)$4,8757.0×32026-06-15
Lewisgale Medical CenterVirginia (statewide)$4,9467.7×12026-09-01
Lewisgale Hospital MontgomeryVirginia (statewide)$5,0747.9×12026-09-01
Barnes Jewish HospitalSt. Louis MO$5,0867.7×12025-12-15
University of Illinois Hospital and ClinicsChicago IL$5,1387.3×12026-04-01
Citizens Memorial HospitalMissouri (statewide)$5,1827.8×12026-03-25
Cedars-Sinai Medical CenterLos Angeles CA$6,4177.5×12025-11-26

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for cardioversion?

Across 1611 hospitals in 82 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 92960, hospital outpatient is $1,369, 2.0× the same hospital's local Medicare base rate. The middle half of hospitals runs $865 to $2,012. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for cardioversion?

Medicare's national hospital outpatient rate for CPT 92960 is $675 and its surgery-center rate is $364, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for cardioversion?

Lowest medians: South Sunflower County Hospital ($309), Monroe County Hospital ($322), Monroe County Medical Center ($322). Highest: Cedars-Sinai Medical Center ($6,417), Citizens Memorial Hospital ($5,182), University of Illinois Hospital and Clinics ($5,138). Coverage: every hospital whose price file we could read.