facebook tracking Level 2 Pacemaker and Similar Procedures cost in Michigan: 54 hospitals compared (APC 5222)

Level 2 Pacemaker and Similar Procedures in Michigan

What 54 hospitals in Michigan 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 $35,603 Hospital list price billed
Average allowed $7,611 Medicare's payment + patient's share
Medicare paid $6,049 Average per service
State rank #19 of 48 1 = lowest average payment

Hospitals in Michigan billed an average of $35,603 for level 2 pacemaker and similar procedures, about 4.7 times the average medicare-allowed amount of $7,611. 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 $7,611Billed $35,603

About 21¢ was paid for every $1 hospitals in Michigan billed for this service.

Michigan hospitals: level 2 pacemaker and similar procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Edward W Sparrow HospitalLansing 65 $39,678 $7,311 $5,798
Mymichigan Medical Center SaginawSaginaw 57 $27,651 $7,572 $6,012
Trinity Health Ann Arbor HospitalAnn Arbor 56 $22,281 $7,859 $6,259
Northern Michigan Regional HospitalPetoskey 54 $40,209 $7,978 $6,346
Univ of Michigan HospitalsAnn Arbor 51 $43,669 $7,859 $6,252
Allegiance HealthJackson 48 $25,183 $7,586 $6,040
Bay Regional Medical CenterBay City 44 $63,180 $7,572 $6,032
William Beaumont HospitalRoyal Oak 44 $48,580 $7,572 $6,033
Munson Medical CenterTraverse City 42 $35,481 $7,927 $6,313
Borgess Medical CenterKalamazoo 42 $28,683 $7,357 $5,847
Providence Hospital and Medical CentersSouthfield 35 $33,096 $7,586 $6,042
Covenant Medical Center, INCSaginaw 34 $21,660 $7,572 $6,017
Marquette General Hlth SystemMarquette 30 $48,286 $8,124 $6,488
Beaumont Hospital - DearbornDearborn 28 $52,734 $7,370 $5,822
Spectrum Health - Butterworth CampusGrand Rapids 27 $29,507 $7,480 $5,956
Henry Ford Wyandotte HospitalWyandotte 26 $23,715 $7,354 $5,807
Midmichigan Medical Center-MidlandMidland 25 $21,864 $7,977 $6,356
William Beaumont Hospital-TroyTroy 25 $49,402 $7,349 $5,803
Bronson Methodist HospitalKalamazoo 24 $14,731 $7,431 $5,920
Beaumont Hospital - Farmington HillsFarmington Hls 20 $49,837 $7,586 $6,044
St John Hospital and Medical CenterDetroit 15 $26,380 $7,587 $6,025
Lakeland Hospital, St JosephSt Joseph 13 $39,367 $7,403 $5,889
Trinity Health Muskegon HospitalMuskegon 13 $20,068 $8,011 $6,382
McLaren MacombMt Clemens 13 $48,591 $7,482 $5,962
University of Michigan Health - WestWyoming 13 $34,185 $6,563 $5,042
Henry Ford HospitalDetroit 12 $29,948 $7,586 $6,044
Saint Mary's Health CareGrand Rapids 12 $18,007 $6,910 $5,405
Genesys Regional Medical Center - Health ParkGrand Blanc 12 $35,611 $7,980 $6,358
Port Huron HospitalPort Huron 12 $37,558 $7,482 $5,962
Battle Creek Health SystemBattle Creek 11 $15,156 $7,438 $5,927
McLaren Regional Medical CenterFlint 11 $62,629 $7,981 $6,329
St Mary Mercy HospitalLivonia – – – –
Sinai-Grace HospitalDetroit – – – –
St Joseph Mercy OaklandPontiac – – – –
Mymichigan Medical Center AlmaAlma – – – –
St Joseph Mercy Port HuronPort Huron – – – –
Alpena Regional Medical CenterAlpena – – – –
Henry Ford Macomb HospitalClinton Twp – – – –
Dickinson County Memorial HospitalIron Mountain – – – –
Holland Community HospitalHolland – – – –
Central Michigan Community HospitalMt Pleasant – – – –
Beaumont Hospital, Grosse PointeGrosse Pointe – – – –
West Branch Regional Medical CenterWest Branch – – – –
Promedica Monroe Regional HospitalMonroe – – – –
Harper University HospitalDetroit – – – –
Hurley Medical CenterFlint – – – –
McLaren Greater LansingLansing – – – –
Midmichigan Medical Center-ClareClare – – – –
Henry Ford Health Warren HospitalWarren – – – –
McLaren OaklandPontiac – – – –
Garden City HospitalGarden City – – – –
Ascension Providence Rochester HospitalRochester – – – –
Huron Valley-Sinai HospitalCommerce Twp – – – –
Henry Ford West Bloomfield HospitalWest Bloomfield Twp – – – –
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Lowest and highest allowed amounts in Michigan

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Level 2 Pacemaker and Similar Procedures in other states

Questions

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

In 2024 Medicare data, level 2 pacemaker and similar procedures (APC 5222) at 54 hospitals in Michigan was billed at $35,603 on average, while the average medicare-allowed amount was $7,611, of which Medicare paid $6,049. 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 Michigan, average charges were 4.7 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.