What 11 hospitals in Idaho charged and were paid for level 2 pacemaker and similar procedures (APC 5222), from 2024 Medicare claims.
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.
About 27¢ was paid for every $1 hospitals in Idaho billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| St Lukes Regional Medical CenterBoise, ID | $7,466 |
|---|---|
| Eastern Idaho Regional Medical CenterIdaho Falls, ID | $7,645 |
| Idaho Falls Community Hospital, LLCIdaho Falls, ID | $7,645 |
| Treasure Valley HospitalBoise, ID | $7,645 |
| St Lukes Magic Valley RMCTwin Falls, ID | $7,962 |
| St Alphonsus Regional Medical CenterBoise, ID | $8,223 |
|---|---|
| Saint Alphonsus Medical Center - NampaNampa, ID | $8,222 |
| Portneuf Medical CenterPocatello, ID | $8,188 |
| Kootenai Medical CenterCoeur D'alene, ID | $7,990 |
| St Lukes Magic Valley RMCTwin Falls, ID | $7,962 |
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.
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.