facebook tracking Level 2 Pacemaker and Similar Procedures cost in Illinois: 80 hospitals compared (APC 5222)

Level 2 Pacemaker and Similar Procedures in Illinois

What 80 hospitals in Illinois 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 $44,088 Hospital list price billed
Average allowed $8,005 Medicare's payment + patient's share
Medicare paid $6,384 Average per service
State rank #28 of 48 1 = lowest average payment

Hospitals in Illinois billed an average of $44,088 for level 2 pacemaker and similar procedures, about 5.5 times the average medicare-allowed amount of $8,005. That payment is 1% 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 $8,005Billed $44,088

About 18¢ was paid for every $1 hospitals in Illinois billed for this service.

Illinois hospitals: level 2 pacemaker and similar procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Saint Francis Medical CenterPeoria 127 $49,321 $7,802 $6,205
Evanston HospitalEvanston 84 $27,010 $7,879 $6,257
Blessing HospitalQuincy 79 $58,886 $8,407 $6,766
St Johns HospitalSpringfield 67 $40,768 $7,795 $6,210
Northwestern Memorial HospitalChicago 67 $45,558 $8,262 $6,624
Memorial Hospital of CarbondaleCarbondale 60 $41,926 $7,747 $6,139
Heartland Regional Medical CenterMarion 58 $91,829 $7,851 $6,253
Edward HospitalNaperville 55 $53,939 $7,944 $6,303
St Elizabeth HospitalBelleville 53 $39,684 $7,734 $6,129
Sarah Bush Lincoln Health CenterMattoon 49 $42,625 $8,407 $6,772
Carle Foundation HospitalUrbana 44 $34,555 $7,637 $6,085
Riverside Medical CenterKankakee 44 $41,774 $7,845 $6,221
Sherman HospitalElgin 43 $26,027 $8,298 $6,654
Lake Forest HospitalLake Forest 34 $55,799 $8,017 $6,388
Advocate Good Samaritan HospitalDowners Grove 33 $45,091 $8,066 $6,430
Hinsdale HospitalHinsdale 31 $40,197 $8,066 $6,428
Memorial Medical CenterSpringfield 31 $45,828 $7,852 $6,248
Methodist Medical Center of IllinoisPeoria 30 $39,311 $7,851 $6,256
Northwest Community HospitalArlington Heights 29 $44,950 $8,066 $6,407
The University of Chicago Medical CenterChicago 28 $47,457 $8,262 $6,620
OSF Saint Elizabeth Mdl CtrOttawa 27 $33,759 $8,262 $6,622
Alexian Brothers Medical CenterElk Grove Village 27 $27,424 $8,262 $6,629
Northwestern Medicine McHenryMcHenry 24 $40,871 $8,066 $6,434
Rush University Medical CenterChicago 24 $37,140 $8,262 $6,630
Advocate Lutheran General HospitalPark Ridge 23 $28,602 $8,066 $6,434
Central Dupage HospitalWinfield 20 $71,434 $8,066 $6,434
Elmhurst Memorial HospitalElmhurst 18 $50,912 $8,066 $6,427
Resurrection Medical CenterChicago 17 $46,683 $8,066 $6,427
Bromenn Healthcare SystemNormal 16 $32,360 $7,851 $6,254
Delnor Community HospitalGeneva 16 $59,608 $8,298 $6,657
Advocate Good Shepherd HospitalBarrington 16 $36,205 $8,017 $6,388
Cgh Medical CenterSterling 15 $37,091 $7,851 $6,256
Provena St Marys HospitalKankakee 15 $48,503 $7,990 $6,366
St Mary & Elizabeth Med Ctr-Division CampusChicago 15 $49,157 $8,066 $6,434
St Anthonys Memorial HospitalEffingham 14 $40,006 $8,408 $6,748
Advocate Illinois Masonic Medical CenterChicago 14 $37,911 $8,066 $6,430
Advocate Christ Hospital & Medical CenterOak Lawn 14 $34,138 $8,066 $6,434
Loyola University Medical CenterMaywood 14 $24,874 $8,262 $6,630
Rhc St Francis HospitalEvanston 13 $47,861 $8,262 $6,622
Saint Anthony Medical CenterRockford 13 $36,543 $8,262 $6,630
Javon Bea HospitalRockford 13 $36,995 $7,370 $5,765
Alton Memorial HospitalAlton 12 $25,795 $7,851 $6,254
OSF Heart of Mary Medical CenterUrbana 12 $37,885 $7,851 $6,251
Swedish Covenant HospitalChicago 12 $28,603 $8,066 $6,427
Memorial HospitalBelleville 12 $26,015 $7,851 $6,256
Good Samaritan Regional Hlth CenterMt Vernon 11 $29,412 $7,851 $6,254
Provena St Joseph Medical CenterJoliet – – – –
Loyola Gottlieb Memorial HospitalMelrose Park – – – –
OSF Saint Katharine Medical CenterDixon – – – –
Mt Sinai Hospital Medical CenterChicago – – – –
Copley Memorial HospitalAurora – – – –
Advocate Trinity HospitalChicago – – – –
Saint Anthony's Health CenterAlton – – – –
Macneal HospitalBerwyn – – – –
Palos Community HospitalPalos Heights – – – –
Rush Oak Park HospitalOak Park – – – –
OSF Sacred Heart Medical CenterDanville – – – –
Saint Anthony HospitalChicago – – – –
Morris Hospital & Healthcare CentersMorris – – – –
John H Stroger Jr HospitalChicago – – – –
Gateway Regional Medical CenterGranite City – – – –
Decatur Memorial HospitalDecatur – – – –
University of Illinois Hospital and ClinicsChicago – – – –
Insight Hospital and Medical Center ChicagoChicago – – – –
Fhn Memorial HospitalFreeport – – – –
St Joseph Medical CenterBloomington – – – –
St Marys HospitalDecatur – – – –
Franciscan Health Olympia & Chicago HeightsOlympia Fields – – – –
Provena Mercy Medical CenterAurora – – – –
Little Company of Mary HospitalEvergreen Park – – – –
Ingalls Memorial HospitalHarvey – – – –
Advocate Condell Medical CenterLibertyville – – – –
Humboldt Park HealthChicago – – – –
Silver Cross HospitalJoliet – – – –
Saint Joseph HospitalChicago – – – –
Swedish American HospitalRockford – – – –
Illini HospitalSilvis – – – –
Trinity Rock IslandRock Island – – – –
Kishwaukee Community HospitalDekalb – – – –
Anderson HospitalMaryville – – – –
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Lowest and highest allowed amounts in Illinois

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

Javon Bea HospitalRockford, IL$7,370
Carle Foundation HospitalUrbana, IL$7,637
St Elizabeth HospitalBelleville, IL$7,734
Memorial Hospital of CarbondaleCarbondale, IL$7,747
St Johns HospitalSpringfield, IL$7,795

Highest

St Anthonys Memorial HospitalEffingham, IL$8,408
Blessing HospitalQuincy, IL$8,407
Sarah Bush Lincoln Health CenterMattoon, IL$8,407
Sherman HospitalElgin, IL$8,298
Delnor Community HospitalGeneva, IL$8,298

Level 2 Pacemaker and Similar Procedures in other states

Questions

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

In 2024 Medicare data, level 2 pacemaker and similar procedures (APC 5222) at 80 hospitals in Illinois was billed at $44,088 on average, while the average medicare-allowed amount was $8,005, of which Medicare paid $6,384. 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 Illinois, 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.