What 20 hospitals in Iowa charged and were paid for level 2 pacemaker and similar procedures (APC 5222), from 2024 Medicare claims.
Hospitals in Iowa billed an average of $30,808 for level 2 pacemaker and similar procedures, about 4.2 times the average medicare-allowed amount of $7,406. That payment is 8% 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 24¢ was paid for every $1 hospitals in Iowa billed for this service.
Every Iowa hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mercy Medical Center-Des MoinesDes Moines | 68 | $33,020 | $7,267 | $5,788 |
| Iowa Methodist Medical CenterDes Moines | 50 | $39,292 | $7,296 | $5,810 |
| University of Iowa Hospital & ClinicsIowa City | 45 | $30,041 | $7,448 | $5,904 |
| Allen Memorial HospitalWaterloo | 44 | $37,953 | $7,069 | $5,628 |
| Mercy Medical Center-North IowaMason City | 38 | $20,923 | $7,887 | $6,251 |
| St Lukes HospitalCedar Rapids | 37 | $27,705 | $7,326 | $5,834 |
| St Lukes Regional Medical CenterSioux City | 20 | $26,970 | $7,289 | $5,798 |
| Ottumwa Regional Health CenterOttumwa | 19 | $46,748 | $7,847 | $6,238 |
| Mary Greeley Medical CenterAmes | 16 | $22,683 | $7,296 | $5,813 |
| Mercyone Waterloo Medical CenterWaterloo | 14 | $32,260 | $7,267 | $5,790 |
| Mercy Medical Center-DubuqueDubuque | 14 | $12,130 | $7,746 | $6,167 |
| Mercyone Siouxland Medical CenterSioux City | 14 | $13,597 | $7,655 | $6,099 |
| Trinity Regional Medical CenterFort Dodge | 13 | $26,430 | $7,784 | $6,191 |
| Jennie Edmundson HospitalCouncil Bluffs | 12 | $37,368 | $7,148 | $5,564 |
| St Anthony Regional Hospital & Nursing HomeCarroll | – | – | – | – |
| Alegent Health Mercy HospitalCouncil Bluffs | – | – | – | – |
| Genesis Medical Center-DavenportDavenport | – | – | – | – |
| Southeast Iowa Regional Medical CenterWest Burlington | – | – | – | – |
| Mercy Medical Center - Cedar RapidsCedar Rapids | – | – | – | – |
| The Finley HospitalDubuque | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Allen Memorial HospitalWaterloo, IA | $7,069 |
|---|---|
| Jennie Edmundson HospitalCouncil Bluffs, IA | $7,148 |
| Mercyone Waterloo Medical CenterWaterloo, IA | $7,267 |
| Mercy Medical Center-Des MoinesDes Moines, IA | $7,267 |
| St Lukes Regional Medical CenterSioux City, IA | $7,289 |
| Mercy Medical Center-North IowaMason City, IA | $7,887 |
|---|---|
| Ottumwa Regional Health CenterOttumwa, IA | $7,847 |
| Trinity Regional Medical CenterFort Dodge, IA | $7,784 |
| Mercy Medical Center-DubuqueDubuque, IA | $7,746 |
| Mercyone Siouxland Medical CenterSioux City, IA | $7,655 |
In 2024 Medicare data, level 2 pacemaker and similar procedures (APC 5222) at 20 hospitals in Iowa was billed at $30,808 on average, while the average medicare-allowed amount was $7,406, of which Medicare paid $5,887. 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 Iowa, average charges were 4.2 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.