facebook tracking Level 2 Pacemaker and Similar Procedures cost in North Carolina: 57 hospitals compared (APC 5222)

Level 2 Pacemaker and Similar Procedures in North Carolina

What 57 hospitals in North Carolina 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 $35,109 Hospital list price billed
Average allowed $7,466 Medicare's payment + patient's share
Medicare paid $5,926 Average per service
State rank #15 of 48 1 = lowest average payment

Hospitals in North Carolina billed an average of $35,109 for level 2 pacemaker and similar procedures, about 4.7 times the average medicare-allowed amount of $7,466. 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 $7,466Billed $35,109

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

North Carolina hospitals: level 2 pacemaker and similar procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
New Hanover Regional Medical CenterWilmington 159 $29,080 $7,878 $6,269
Carolina East Medical CenterNew Bern 125 $28,476 $7,868 $6,254
Rex HospitalRaleigh 91 $27,632 $7,485 $5,927
Memorial Mission Hospital and Asheville Surgery CeAsheville 69 $44,770 $7,222 $5,713
ECU Health Medical CenterGreenville 66 $37,236 $7,304 $5,797
Duke University Medical CenterDurham 62 $42,018 $7,619 $6,068
Forsyth Memorial HospitalWinston-Salem 55 $28,573 $7,744 $6,167
Moses H Cone Memorial Hospital, theGreensboro 54 $25,591 $6,597 $5,255
Wakemed, Raleigh CampusRaleigh 52 $45,517 $7,188 $5,623
Margaret R Pardee Mem HospitalHendersonville 51 $28,776 $7,162 $5,654
Frye Regional Medical CenterHickory 41 $62,419 $7,407 $5,870
Atrium Health PinevilleCharlotte 38 $29,763 $7,634 $6,074
North Carolina Baptist HospitalWinston-Salem 37 $42,625 $7,577 $6,003
Caromont Regional Medical CenterGastonia 35 $56,577 $7,634 $6,081
Carolinas Medical Center/Behav HealthCharlotte 33 $32,966 $7,634 $6,082
Firsthealth Moore Regional HospitalPinehurst 30 $53,404 $7,539 $6,003
UNC HospitalsChapel Hill 26 $25,284 $5,072 $4,040
Presbyterian Hospital-MatthewsMatthews 26 $29,091 $7,634 $6,078
Presbyterian HospitalCharlotte 23 $36,572 $7,369 $5,818
Nash General HospitalRocky Mount 21 $21,014 $7,513 $5,974
Duke Regional HospitalDurham 21 $41,575 $7,372 $5,815
Johnston Memorial HospitalSmithfield 17 $34,262 $7,643 $6,089
Presbyterian Hospital HuntersvilleHuntersville 17 $30,099 $7,634 $6,071
Haywood Regional Medical CenterClyde 17 $43,842 $7,047 $5,544
Catawba Valley Medical CenterHickory 16 $32,896 $7,142 $5,605
Wakemed, Cary HospitalCary 14 $46,078 $7,649 $6,091
Cleveland Regional Medical CenterShelby 12 $27,870 $7,554 $6,019
Watauga Medical CenterBoone 12 $37,710 $7,918 $6,309
Grace Hospital INCMorganton 12 $28,189 $7,393 $5,890
Brunswick Community HospitalSupply 11 $32,743 $7,393 $5,882
Carolinas Medical Center-NortheastConcord – – – –
Northern Hospital of Surry CountyMt Airy – – – –
High Point Regional Hlth SystHigh Point – – – –
Scotland Memorial HospitalLaurinburg – – – –
Wayne Memorial HospitalGoldsboro – – – –
Rowan Regional Medical CenterSalisbury – – – –
Adventhealth HendersonvilleFletcher – – – –
Lenoir Memorial HospitalKinston – – – –
Cape Fear Valley Medical CenterFayetteville – – – –
Iredell Memorial Hospital INCStatesville – – – –
Caldwell Memorial HospitalLenoir – – – –
Onslow Memorial HospitalJacksonville – – – –
Southeastern Regional Medical CenterLumberton – – – –
Columbus Regional Healthcare SystemWhiteville – – – –
Alamance Regional Medical CenterBurlington – – – –
Duke Health Raleigh HospitalRaleigh – – – –
Thomasville Medical CenterThomasville – – – –
Albemarle Hospital AuthorityElizabeth City – – – –
Randolph HospitalAsheboro – – – –
Wilson Medical CenterWilson – – – –
Lake Norman Regional Medical CenterMooresville – – – –
Carolinas Medical Center-UnionMonroe – – – –
Maria Parham HospitalHenderson – – – –
Carteret General HospitalMorehead City – – – –
Carolinas Medical Center-LincolnLincolnton – – – –
ECU Health North HospitalRoanoke Rapids – – – –
Davie Medical CenterBermuda Run – – – –
Advertisement

Lowest and highest allowed amounts in North Carolina

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

UNC HospitalsChapel Hill, NC$5,072
Moses H Cone Memorial Hospital, theGreensboro, NC$6,597
Haywood Regional Medical CenterClyde, NC$7,047
Catawba Valley Medical CenterHickory, NC$7,142
Margaret R Pardee Mem HospitalHendersonville, NC$7,162

Highest

Watauga Medical CenterBoone, NC$7,918
New Hanover Regional Medical CenterWilmington, NC$7,878
Carolina East Medical CenterNew Bern, NC$7,868
Forsyth Memorial HospitalWinston-Salem, NC$7,744
Wakemed, Cary HospitalCary, NC$7,649

Level 2 Pacemaker and Similar Procedures in other states

Questions

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

In 2024 Medicare data, level 2 pacemaker and similar procedures (APC 5222) at 57 hospitals in North Carolina was billed at $35,109 on average, while the average medicare-allowed amount was $7,466, of which Medicare paid $5,926. 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 North Carolina, 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.