facebook tracking Level 2 Pacemaker and Similar Procedures cost in Idaho: 11 hospitals compared (APC 5222)

Level 2 Pacemaker and Similar Procedures in Idaho

What 11 hospitals in Idaho 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 $28,770 Hospital list price billed
Average allowed $7,828 Medicare's payment + patient's share
Medicare paid $6,226 Average per service
State rank #27 of 48 1 = lowest average payment

Hospitals in Idaho billed an average of $28,770 for level 2 pacemaker and similar procedures, about 3.7 times the average medicare-allowed amount of $7,828. That payment is 3% below 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 $7,828Billed $28,770

About 27¢ was paid for every $1 hospitals in Idaho billed for this service.

Idaho hospitals: level 2 pacemaker and similar procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
St Lukes Regional Medical CenterBoise 101 $15,150 $7,466 $5,908
Kootenai Medical CenterCoeur D'alene 77 $32,953 $7,990 $6,348
St Alphonsus Regional Medical CenterBoise 50 $15,035 $8,223 $6,575
Treasure Valley HospitalBoise 35 $50,257 $7,645 $6,086
St Lukes Magic Valley RMCTwin Falls 29 $14,718 $7,962 $6,330
Idaho Falls Community Hospital, LLCIdaho Falls 29 $39,736 $7,645 $6,091
Portneuf Medical CenterPocatello 22 $63,273 $8,188 $6,541
Saint Alphonsus Medical Center - NampaNampa 16 $12,906 $8,222 $6,590
Eastern Idaho Regional Medical CenterIdaho Falls 12 $76,488 $7,645 $6,091
St Joseph Regional Medical CenterLewiston – – – –
West Valley Medical CenterCaldwell – – – –
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Lowest and highest allowed amounts in Idaho

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

Highest

Level 2 Pacemaker and Similar Procedures in other states

Questions

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

In 2024 Medicare data, level 2 pacemaker and similar procedures (APC 5222) at 11 hospitals in Idaho was billed at $28,770 on average, while the average medicare-allowed amount was $7,828, of which Medicare paid $6,226. 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 Idaho, average charges were 3.7 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.