Level 2 Pacemaker and Similar Procedures
What 1,811 hospitals in the U.S. charged and were paid for level 2 pacemaker and similar procedures (APC 5222), from 2024 Medicare claims.
Average charge
$44,213
Hospital list price billed
Average allowed
$8,088
Medicare's payment + patient's share
Medicare paid
$6,514
Average per service
Volume
32,558
Medicare services
Hospitals in the U.S. billed an average of $44,213 for level 2 pacemaker and similar procedures, about 5.5 times the average medicare-allowed amount of $8,088.
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.
Lowest and highest allowed amounts
Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Fletcher Allen Hospital of VermontBurlington, VT | $2,951 |
|---|---|
| Marietta Memorial HospitalMarietta, OH | $4,352 |
| UNC HospitalsChapel Hill, NC | $5,072 |
| Temple University HospitalPhiladelphia, PA | $6,311 |
| Houston Medical CenterWarner Robins, GA | $6,519 |
| St Dominic-Jackson Memorial HospitalJackson, MS | $6,548 |
| Moses H Cone Memorial Hospital, theGreensboro, NC | $6,597 |
| Wesley Medical CenterWichita, KS | $6,658 |
| Delray Medical CenterDelray Beach, FL | $6,674 |
| Univ of Tn Mem HospitalKnoxville, TN | $6,732 |
Highest
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $12,127 |
|---|---|
| Community Hospital of the Monterey PeninsulaMonterey, CA | $11,947 |
| Salinas Valley Memorial HospitalSalinas, CA | $11,947 |
| UCSF Medical CenterSan Francisco, CA | $11,947 |
| Stanford HospitalPalo Alto, CA | $11,947 |
| Marinhealth Medical CenterGreenbrae, CA | $11,849 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA | $11,814 |
| John Muir Medical Center - Concord CampusConcord, CA | $11,814 |
| Queen of the Valley Medical CenterNapa, CA | $11,783 |
| Alta Bates Summit Medical CenterOakland, CA | $11,782 |
Level 2 Pacemaker and Similar Procedures cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 32 | $52,001 | $7,129 | $6,749 – $7,746 |
| Alaska | 4 | $37,599 | $8,766 | $8,766 – $8,766 |
| Arizona | 35 | $51,279 | $8,340 | $7,804 – $8,869 |
| Arkansas | 22 | $29,294 | $7,264 | $6,836 – $7,804 |
| California | 138 | $56,459 | $11,006 | $9,971 – $12,127 |
| Colorado | 36 | $53,959 | $8,104 | $7,729 – $8,659 |
| Connecticut | 23 | $35,171 | $9,459 | $8,964 – $9,564 |
| Delaware | 6 | $26,260 | $8,454 | $8,384 – $8,544 |
| Florida | 125 | $48,560 | $7,612 | $6,087 – $7,696 |
| Georgia | 54 | $37,714 | $7,511 | $6,519 – $7,884 |
| Hawaii | 7 | $25,513 | $9,764 | $9,764 – $9,764 |
| Idaho | 11 | $28,770 | $7,828 | $7,466 – $8,223 |
| Illinois | 80 | $44,088 | $8,005 | $7,370 – $8,408 |
| Indiana | 42 | $40,776 | $7,634 | $7,260 – $7,870 |
| Iowa | 20 | $30,808 | $7,406 | $7,069 – $7,887 |
| Kansas | 24 | $32,550 | $7,434 | $6,658 – $7,946 |
| Kentucky | 32 | $64,787 | $7,272 | $6,825 – $7,773 |
| Louisiana | 40 | $43,735 | $7,046 | $6,890 – $7,363 |
| Maine | 11 | $35,690 | $7,636 | $7,142 – $7,982 |
| Massachusetts | 43 | $32,703 | $9,098 | $8,811 – $9,576 |
| Michigan | 54 | $35,603 | $7,611 | $6,563 – $8,124 |
| Minnesota | 19 | $30,021 | $8,206 | $7,695 – $8,705 |
| Mississippi | 23 | $38,321 | $7,147 | $6,548 – $7,619 |
| Missouri | 54 | $41,682 | $7,447 | $6,888 – $8,097 |
| Montana | 10 | $28,758 | $8,060 | $7,822 – $8,529 |
| Nebraska | 18 | $32,993 | $7,615 | $7,320 – $8,111 |
| Nevada | 16 | $76,978 | $9,156 | $8,479 – $10,306 |
| New Hampshire | 12 | $41,593 | $8,313 | $8,103 – $8,676 |
| New Jersey | 50 | $42,412 | $9,168 | $8,430 – $9,661 |
| New Mexico | 10 | $44,538 | $7,692 | $7,255 – $8,601 |
| New York | 88 | $55,740 | $9,374 | $8,720 – $9,661 |
| North Carolina | 57 | $35,109 | $7,466 | $5,072 – $7,918 |
| North Dakota | 6 | $30,240 | $8,162 | $7,965 – $8,529 |
| Ohio | 78 | $31,676 | $7,192 | $3,999 – $7,742 |
| Oklahoma | 33 | $39,218 | $7,302 | $7,190 – $7,727 |
| Oregon | 21 | $33,315 | $9,355 | $8,249 – $10,306 |
| Pennsylvania | 82 | $54,803 | $8,068 | $6,311 – $8,950 |
| Rhode Island | 6 | $23,697 | $8,619 | $8,619 – $8,619 |
| South Carolina | 27 | $47,932 | $7,253 | $7,099 – $7,932 |
| South Dakota | 7 | $36,108 | $8,020 | $7,811 – $8,358 |
| Tennessee | 48 | $41,050 | $7,099 | $4,304 – $7,793 |
| Texas | 146 | $61,178 | $7,561 | $6,683 – $7,931 |
| Utah | 16 | $49,570 | $7,539 | $7,246 – $8,151 |
| Vermont | 5 | $29,929 | $2,951 | $2,951 – $2,951 |
| Virginia | 43 | $42,528 | $7,623 | $6,986 – $8,353 |
| Washington | 34 | $33,679 | $8,744 | $8,464 – $9,158 |
| West Virginia | 14 | $42,200 | $7,027 | $6,817 – $7,490 |
| Wisconsin | 41 | $29,917 | $7,777 | $7,245 – $8,262 |
| Wyoming | 3 | – | – | – – – |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| NYU Hospitals CenterNew York, NY | 596 | $108,649 | $9,532 |
| New York-Presbyterian HospitalNew York, NY | 282 | $39,416 | $9,646 |
| St Bernards Medical CenterJonesboro, AR | 217 | $24,855 | $7,166 |
| Valley HospitalRidgewood, NJ | 214 | $20,564 | $9,586 |
| Good Samaritan Hospital Medical CenterWest Islip, NY | 202 | $63,149 | $9,290 |
| Scripps Memorial Hospital la JollaLa Jolla, CA | 199 | $43,354 | $10,435 |
| Palmetto Richland Mem HospColumbia, SC | 195 | $55,249 | $7,122 |
| University of Kansas HospitalKansas City, KS | 175 | $24,963 | $7,447 |
| Mount Sinai HospitalNew York, NY | 167 | $22,333 | $9,613 |
| New Hanover Regional Medical CenterWilmington, NC | 159 | $29,080 | $7,878 |
| Baptist Medical CenterJacksonville, FL | 157 | $20,342 | $7,657 |
| University HospitalStony Brook, NY | 157 | $46,932 | $9,384 |
| Massachusetts General HospitalBoston, MA | 154 | $36,825 | $9,071 |
| Hospital of the Univ of PaPhiladelphia, PA | 152 | $118,728 | $8,512 |
| Oklahoma Heart Hospital SouthOklahoma City, OK | 137 | $34,226 | $7,190 |
Questions
How much does level 2 pacemaker and similar procedures cost in the U.S.?
In 2024 Medicare data, level 2 pacemaker and similar procedures (APC 5222) at 1,811 hospitals in the U.S. was billed at $44,213 on average, while the average medicare-allowed amount was $8,088, of which Medicare paid $6,514. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 2 pacemaker and similar procedures?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($11,006), Hawaii ($9,764), Connecticut ($9,459) and lowest in Vermont ($2,951), West Virginia ($7,027), Louisiana ($7,046).
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 the U.S., average charges were 5.5 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.