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

Level 2 Pacemaker and Similar Procedures in Missouri

What 54 hospitals in Missouri 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 $41,682 Hospital list price billed
Average allowed $7,447 Medicare's payment + patient's share
Medicare paid $5,917 Average per service
State rank #14 of 48 1 = lowest average payment

Hospitals in Missouri billed an average of $41,682 for level 2 pacemaker and similar procedures, about 5.6 times the average medicare-allowed amount of $7,447. 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 $7,447Billed $41,682

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

Missouri hospitals: level 2 pacemaker and similar procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Centerpoint Medical CenterIndependence 68 $78,214 $7,333 $5,819
St Francis Medical CenterCape Girardeau 61 $63,624 $7,773 $6,191
Mercy Hospital SpringfieldSpringfield 46 $30,069 $7,020 $5,563
St John's Mercy Medical CenterSt Louis 44 $20,779 $7,509 $5,966
University Hospitals & ClinicsColumbia 41 $51,659 $7,070 $5,593
Moberly Regional Medical CenterMoberly 40 $55,598 $7,699 $6,134
St Lukes HospitalChesterfield 40 $22,938 $7,260 $5,722
St Lukes Hospital of Kansas CityKansas City 38 $47,338 $7,419 $5,907
Mercy Hospital SouthSt Louis 36 $20,076 $7,561 $6,023
Boone Hospital CenterColumbia 35 $27,691 $7,229 $5,758
Saint Luke's East Lee's Summit HospitalLee's Summit 33 $47,359 $7,419 $5,911
Mosaic Life Care at St JosephSt Joseph 30 $26,718 $7,992 $6,367
Lester E Cox Medical CentersSpringfield 28 $35,740 $7,144 $5,692
Missouri Baptist Medical CenterTown and Country 28 $27,711 $7,426 $5,903
Research Medical CenterKansas City 25 $82,414 $7,420 $5,903
Mercy Hospital JoplinJoplin 24 $23,454 $6,907 $5,447
Barnes Jewish HospitalSt Louis 24 $28,271 $7,314 $5,772
Hannibal Regional HospitalHannibal 23 $34,348 $8,097 $6,465
St Joseph Medical CenterKansas City 23 $80,106 $7,419 $5,907
Fitzgibbon Memorial HospitalMarshall 22 $17,963 $7,651 $6,096
Phelps County Regional Medical CenterRolla 21 $45,224 $8,097 $6,459
SSM St Joseph Health CenterSt Charles 20 $22,899 $7,426 $5,917
St Johns Mercy HospitalWashington 20 $21,210 $7,561 $6,024
Freeman Health System - Freeman WestJoplin 19 $48,580 $6,888 $5,436
Nkc HealthNorth Kansas City 18 $35,617 $7,419 $5,906
Liberty HospitalLiberty 18 $27,261 $7,093 $5,583
Lake Regional Health SystemOsage Beach 16 $48,482 $7,651 $6,092
SSM St Joseph Hospital WestLake St Louis 15 $19,618 $7,561 $6,024
Saint Luke's Northland HospSmithville 13 $44,331 $7,420 $5,902
Bothwell Regional Health CenterSedalia 12 $45,492 $7,946 $6,330
Bates County Memorial HospitalButler 11 $43,151 $7,371 $5,755
Cox Medical Center BransonBranson 11 $51,274 $7,651 $6,096
Southeast Missouri HospitalCape Girardeau 11 $23,843 $7,773 $6,191
St Marys Health CenterJefferson City – – – –
Northeast Regional Medical CenterKirksville – – – –
Jefferson Memorial HospitalCrystal City – – – –
Truman Medical Center Hospital HillKansas City – – – –
Ozarks Medical CenterWest Plains – – – –
SSM St Joseph Hosp of KirkwoodSt Louis – – – –
SSM St Mary's Health CenterSt Louis – – – –
Western Missouri Medical CenterWarrensburg – – – –
SSM Depaul Health CenterBridgeton – – – –
St Louis University HospitalSt Louis – – – –
Poplar Bluff Regional Medical CenterPoplar Bluff – – – –
Parkland Health CenterFarmington – – – –
Golden Valley Memorial HospitalClinton – – – –
St Luke's Des Peres HospitalSaint Louis – – – –
Christian Hospital NortheastSt Louis – – – –
Lee's Summit HospitalLee's Summit – – – –
Barnes-Jewish St Peters HospitalSt Peters – – – –
St Mary's Medical CenterBlue Springs – – – –
Citizens Memorial HospitalBolivar – – – –
Research Belton HospitalBelton – – – –
Progress West Healthcare CenterO'fallon – – – –
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Lowest and highest allowed amounts in Missouri

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

Freeman Health System - Freeman WestJoplin, MO$6,888
Mercy Hospital JoplinJoplin, MO$6,907
Mercy Hospital SpringfieldSpringfield, MO$7,020
University Hospitals & ClinicsColumbia, MO$7,070
Liberty HospitalLiberty, MO$7,093

Highest

Level 2 Pacemaker and Similar Procedures in other states

Questions

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

In 2024 Medicare data, level 2 pacemaker and similar procedures (APC 5222) at 54 hospitals in Missouri was billed at $41,682 on average, while the average medicare-allowed amount was $7,447, of which Medicare paid $5,917. 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 Missouri, average charges were 5.6 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.