facebook tracking Level 2 Pacemaker and Similar Procedures cost in Iowa: 20 hospitals compared (APC 5222)

Level 2 Pacemaker and Similar Procedures in Iowa

What 20 hospitals in Iowa 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 $30,808 Hospital list price billed
Average allowed $7,406 Medicare's payment + patient's share
Medicare paid $5,887 Average per service
State rank #12 of 48 1 = lowest average payment

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.

Paid $7,406Billed $30,808

About 24¢ was paid for every $1 hospitals in Iowa billed for this service.

Iowa hospitals: level 2 pacemaker and similar procedures

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 – – – –
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Lowest and highest allowed amounts in Iowa

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

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

Highest

Level 2 Pacemaker and Similar Procedures in other states

Questions

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

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.

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 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.