What 57 hospitals in North Carolina charged and were paid for level 2 pacemaker and similar procedures (APC 5222), from 2024 Medicare claims.
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.
About 21¢ was paid for every $1 hospitals in North Carolina billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| 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 |
| 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 |
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.
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.