facebook tracking Level 2 Pacemaker and Similar Procedures cost in California: 138 hospitals compared (APC 5222)

Level 2 Pacemaker and Similar Procedures in California

What 138 hospitals in California charged and were paid for level 2 pacemaker and similar procedures (APC 5222), from 2024 Medicare claims.

APC 5222 Outpatient 2024 Medicare data
Average charge $56,459 Hospital list price billed
Average allowed $11,006 Medicare's payment + patient's share
Medicare paid $9,370 Average per service
State rank #48 of 48 1 = lowest average payment

Hospitals in California billed an average of $56,459 for level 2 pacemaker and similar procedures, about 5.1 times the average medicare-allowed amount of $11,006. That payment is 36% above the U.S. average 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.

Paid $11,006Billed $56,459

About 19¢ was paid for every $1 hospitals in California billed for this service.

California hospitals: level 2 pacemaker and similar procedures

Every California hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Scripps Memorial Hospital la JollaLa Jolla 199 $43,354 $10,435 $8,796
University of California San Diego Medical CenterSan Diego 96 $28,099 $10,435 $8,793
Eisenhower Memorial HospitalRancho Mirage 90 $46,000 $10,337 $8,697
Marinhealth Medical CenterGreenbrae 74 $101,575 $11,849 $10,214
John Muir Medical Center - Concord CampusConcord 63 $55,137 $11,814 $10,181
Good Samaritan HospitalSan Jose 51 $142,065 $11,745 $10,112
Saint John's Health CenterSanta Monica 48 $20,971 $10,435 $8,801
John Muir Medical Center - Walnut Creek CampusWalnut Creek 47 $56,120 $11,814 $10,173
Salinas Valley Memorial HospitalSalinas 45 $88,385 $11,947 $10,309
Stanford HospitalPalo Alto 45 $83,192 $11,947 $10,315
Queen of the Valley Medical CenterNapa 41 $58,087 $11,783 $10,144
Santa Barbara Cottage HospitalSanta Barbara 39 $39,658 $11,174 $9,538
Cedars-Sinai Medical CenterLos Angeles 38 $126,727 $10,435 $8,803
Sequoia HospitalRedwood City 36 $58,767 $11,781 $10,172
University of California Davis Medical CenterSacramento 36 $40,698 $10,580 $8,936
Alta Bates Summit Medical CenterOakland 31 $42,012 $11,782 $10,147
Mercy General HospitalSacramento 28 $44,373 $10,839 $9,196
UCLA Medical CenterLos Angeles 28 $41,004 $10,435 $8,795
USC University HospitalLos Angeles 28 $37,355 $10,435 $8,795
Torrance Memorial Medical CenterTorrance 27 $50,687 $10,435 $8,803
Sutter General HospitalSacramento 26 $52,137 $10,992 $9,352
El Camino HospitalMountain View 26 $71,351 $11,560 $9,917
UCSF Medical CenterSan Francisco 26 $58,153 $11,947 $10,310
Hoag Memorial Hospital PresbyterianNewport Beach 24 $41,304 $10,435 $8,797
California Pacific Medical Ctr-Pacific Campus HospSan Francisco 23 $46,972 $12,127 $10,495
Enloe Medical CenterChico 22 $61,388 $10,071 $8,423
Temecula Valley HospitalTemecula 21 $39,061 $10,187 $8,594
Community Hospital of the Monterey PeninsulaMonterey 20 $47,140 $11,947 $10,306
Bakersfield Memorial HospitalBakersfield 18 $49,423 $10,435 $8,803
San Antonio Community HospitalUpland 18 $66,809 $10,435 $8,803
Dominican HospitalSanta Cruz 18 $44,277 $11,118 $9,486
Peninsula Medical CenterBurlingame 15 $52,491 $12,127 $10,495
Loma Linda University Medical CenterLoma Linda 15 $37,828 $9,971 $8,339
UCI Health-OrangeOrange 15 $28,955 $10,436 $8,774
Mercy San Juan Medical CenterCarmichael 15 $39,114 $10,839 $9,207
Memorial Medical CenterModesto 15 $48,035 $10,435 $8,803
Kaweah Delta Medical CenterVisalia 14 $37,230 $10,435 $8,803
Stanford Health Care Tri-ValleyPleasanton 14 $51,560 $11,947 $10,315
Sonora Community HospitalSonora 14 $33,968 $11,174 $9,542
Doctors Medical CenterModesto 13 $131,655 $10,435 $8,803
Mission Hospital Regional Med CenterMission Viejo 13 $38,017 $10,436 $8,785
Sharp Memorial HospitalSan Diego 12 $53,557 $10,435 $8,803
Loma Linda University Medical Center-MurrietaMurrieta 12 $43,965 $10,435 $8,794
Santa Rosa Memorial HospitalSanta Rosa 11 $83,269 $11,883 $10,251
Sutter Auburn Faith HospitalAuburn 11 $42,969 $10,839 $9,207
St Rose HospitalHayward – – – –
St Joseph HospitalEureka – – – –
St Helena HospitalDeer Park – – – –
Riverside Community HospitalRiverside – – – –
Grossmont HospitalLa Mesa – – – –
Oroville HospitalOroville – – – –
Santa Clara Valley Medical CenterSan Jose – – – –
Lac/Olive View-UCLA Medical CenterSylmar – – – –
El Centro Regional Medical CenterEl Centro – – – –
Glendale Mem Hospital & Hlth CenterGlendale – – – –
Community Regional Medical CenterFresno – – – –
Hollywood Presbyterian Medical CenterLos Angeles – – – –
St Joseph HospitalOrange – – – –
Scripps Mercy HospitalSan Diego – – – –
St Johns Regional Medical CenterOxnard – – – –
St Josephs Med Center of StocktonStockton – – – –
Saint Agnes Medical CenterFresno – – – –
Sutter Solano Medical CenterVallejo – – – –
White Memorial Medical CenterLos Angeles – – – –
Saint Francis Medical CenterLynwood – – – –
Marian Medical CenterSanta Maria – – – –
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica – – – –
Palomar Medical CenterEscondido – – – –
Northridge Hospital Medical CenterNorthridge – – – –
Hanford Community Medical CenterHanford – – – –
Dameron HospitalStockton – – – –
Verdugo Hills HospitalGlendale – – – –
Valley Presbyterian HospitalVan Nuys – – – –
Woodland Memorial HospitalWoodland – – – –
Tri-City Medical CenterOceanside – – – –
St Bernardine Medical CenterSan Bernardino – – – –
Rideout Memorial HospitalMarysville – – – –
Kaiser Foundation Hospital FontanaFontana – – – –
California Hospital Medical Center laLos Angeles – – – –
Sierra Nevada Memorial HospitalGrass Valley – – – –
San Joaquin General HospitalFrench Camp – – – –
St Jude Medical CenterFullerton – – – –
PIH Health Hospital-WhittierWhittier – – – –
Emanuel Medical Center INCTurlock – – – –
Washington HospitalFremont – – – –
Palmdale Regional Medical CenterLancaster – – – –
Sharp Chula Vista Medical CenterChula Vista – – – –
San Francisco General HospitalSan Francisco – – – –
Pomona Valley Hospital Medical CenterPomona – – – –
French Hospital Medical CenterSan Luis Obispo – – – –
Providence Saint Joseph Medical CtrBurbank – – – –
Simi Valley Hospital & Health Care ServicesSimi Valley – – – –
USC Arcadia HospitalArcadia – – – –
Glendale Adventist Medical CtrGlendale – – – –
Desert Regional Medical CenterPalm Springs – – – –
Arrowhead Regional Medical CenterColton – – – –
Natividad Medical CenterSalinas – – – –
Marshall Medical Center (1-Rh)Placerville – – – –
Sierra View District HospitalPorterville – – – –
Redlands Community HospitalRedlands – – – –
Mercy Medical Center ReddingRedding – – – –
Sutter Medical Center of Santa RosaSanta Rosa – – – –
Riverside County Regional Medical CenterMoreno Valley – – – –
St Mary Medical CenterApple Valley – – – –
Sutter Roseville Medical CenterRoseville – – – –
Sutter Tracy Community HospitalTracy – – – –
Highland HospitalOakland – – – –
Corona Regional Medical CenterCorona – – – –
Pioneers Memorial Healthcare DistrictBrawley – – – –
Providence Little Company of Mary Med Ctr TorranceTorrance – – – –
Emanate Health Inter-Community HospitalCovina – – – –
Downey Regional Medical CenterDowney – – – –
Community Memorial Hospital - VenturaVentura – – – –
Scripps Green HospitalLa Jolla – – – –
Huntington Memorial HospitalPasadena – – – –
Mercy Medical Ctr MercedMerced – – – –
Adventist Health BakersfieldBakersfield – – – –
West Hills Hospital & Medical CenterWest Hills – – – –
Long Beach Memorial Medical CenterLong Beach – – – –
Clovis Community Medical CenterClovis – – – –
Sierra Vista Regional Medical CenterSan Luis Obispo – – – –
Sutter Delta Medical CenterAntioch – – – –
John F Kennedy Memorial HospIndio – – – –
Los Robles Hospital & Medical CenterThousand Oaks – – – –
Los Alamitos Medical CenterLos Alamitos – – – –
Fountain Valley Regional Hospital & Medical CenterFountain Valley – – – –
Lakewood Regional Medical CenterLakewood – – – –
Saddleback Memorial Medical CenterLaguna Hills – – – –
Henry Mayo Newhall Memorial HospitalValencia – – – –
Orange Coast Memorial Medical CenterFountain Valley – – – –
San Ramon Regional Medical CtrSan Ramon – – – –
Southwest Healthcare SystemMurrieta – – – –
Desert Valley HospitalVictorville – – – –
Garfield Medical CenterMonterey Park – – – –
Providence Tarzana Medical CenterTarzana – – – –
Shasta Regional Medical CenterRedding – – – –
Sutter Surgical Hospital - North ValleyYuba City – – – –
Adventist Health TulareTulare – – – –
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Lowest and highest allowed amounts in California

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Loma Linda University Medical CenterLoma Linda, CA$9,971
Enloe Medical CenterChico, CA$10,071
Temecula Valley HospitalTemecula, CA$10,187
Eisenhower Memorial HospitalRancho Mirage, CA$10,337
Bakersfield Memorial HospitalBakersfield, CA$10,435

Highest

Level 2 Pacemaker and Similar Procedures in other states

Questions

How much does level 2 pacemaker and similar procedures cost in California?

In 2024 Medicare data, level 2 pacemaker and similar procedures (APC 5222) at 138 hospitals in California was billed at $56,459 on average, while the average medicare-allowed amount was $11,006, of which Medicare paid $9,370. Your own cost depends on your insurance, deductible and the hospital.

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 California, average charges were 5.1 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.