facebook tracking Level 2 Pacemaker and Similar Procedures cost in Indiana: 42 hospitals compared (APC 5222)

Level 2 Pacemaker and Similar Procedures in Indiana

What 42 hospitals in Indiana 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 $40,776 Hospital list price billed
Average allowed $7,634 Medicare's payment + patient's share
Medicare paid $6,061 Average per service
State rank #23 of 48 1 = lowest average payment

Hospitals in Indiana billed an average of $40,776 for level 2 pacemaker and similar procedures, about 5.3 times the average medicare-allowed amount of $7,634. That payment is 6% 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 $7,634Billed $40,776

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

Indiana hospitals: level 2 pacemaker and similar procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Deaconess Hospital INCEvansville 48 $23,570 $7,447 $5,905
St Mary Medical Center INCHobart 46 $25,451 $7,723 $6,100
Ball Memorial Hospital INCMuncie 39 $47,349 $7,524 $5,957
Parkview HospitalFort Wayne 36 $43,339 $7,845 $6,251
Bloomington HospitalBloomington 32 $40,413 $7,674 $6,110
St Mary's Medical Center of Evansville INCEvansville 31 $60,350 $7,378 $5,839
Franciscan Health IndianapolisIndianapolis 30 $45,670 $7,741 $6,168
Good Samaritan HospitalVincennes 28 $19,032 $7,573 $6,029
Reid Hosp & Hlth Care ServicesRichmond 27 $22,476 $7,870 $6,235
Union Hospital INCTerre Haute 23 $25,532 $7,674 $6,106
Community HospitalMunster 21 $25,459 $7,859 $6,252
Elkhart General HospitalElkhart 19 $45,765 $7,846 $6,229
Floyd Memorial Hospital and Health ServicesNew Albany 19 $104,431 $7,573 $6,032
St Vincent Hospital & Health ServicesIndianapolis 19 $41,462 $7,623 $6,064
St Vincent Heart Center of Indiana LLCIndianapolis 19 $35,589 $7,674 $6,110
Lutheran Hospital of IndianaFort Wayne 18 $59,331 $7,691 $6,126
Community Hospital EastIndianapolis 18 $35,680 $7,424 $5,851
Memorial Hospital of South BendSouth Bend 15 $38,655 $7,260 $5,701
Porter, Valparaiso HospitalValparaiso 14 $110,325 $7,578 $6,038
Clarian Health PartnersIndianapolis 12 $39,123 $7,741 $6,157
Memorial Hospital and Health Care CenterJasper 12 $26,823 $7,573 $6,034
Methodist Hospitals, INCGary – – – –
Hendricks Regional HealthDanville – – – –
La Porte Regional Health SystLa Porte – – – –
Howard Regional Health SystemKokomo – – – –
Marion General HospitalMarion – – – –
Saint Joseph Reg Medical CtrSouth Bend – – – –
Franciscan St Anthony Health - Michigan CityMichigan City – – – –
IU Health Goshen HospitalGoshen – – – –
Terre Haute Regional HospitalTerre Haute – – – –
Riverview HospitalNoblesville – – – –
Dearborn County HospitalLawrenceburg – – – –
Franciscan St Margaret Health - DyerDyer – – – –
Franciscan Health LafayetteLafayette – – – –
Columbus Regional HospitalColumbus – – – –
Community Hospital of Anderson and Madison CountyAnderson – – – –
Franciscan St Anthony Health - Crown PointCrown Point – – – –
Kosciusko Community HospitalWarsaw – – – –
Indiana University Health West HospitalAvon – – – –
Indiana University Health North HospitalCarmel – – – –
Franciscan Physicians Hospital LLCMunster – – – –
Indiana University Health Arnett HospitalLafayette – – – –
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Lowest and highest allowed amounts in Indiana

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

Memorial Hospital of South BendSouth Bend, IN$7,260
St Mary's Medical Center of Evansville INCEvansville, IN$7,378
Community Hospital EastIndianapolis, IN$7,424
Deaconess Hospital INCEvansville, IN$7,447
Ball Memorial Hospital INCMuncie, IN$7,524

Highest

Reid Hosp & Hlth Care ServicesRichmond, IN$7,870
Community HospitalMunster, IN$7,859
Elkhart General HospitalElkhart, IN$7,846
Parkview HospitalFort Wayne, IN$7,845
Clarian Health PartnersIndianapolis, IN$7,741

Level 2 Pacemaker and Similar Procedures in other states

Questions

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

In 2024 Medicare data, level 2 pacemaker and similar procedures (APC 5222) at 42 hospitals in Indiana was billed at $40,776 on average, while the average medicare-allowed amount was $7,634, of which Medicare paid $6,061. 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 Indiana, average charges were 5.3 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.