facebook tracking Level 2 Pacemaker and Similar Procedures cost in North Dakota: 6 hospitals compared (APC 5222)

Level 2 Pacemaker and Similar Procedures in North Dakota

What 6 hospitals in North Dakota 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 $30,240 Hospital list price billed
Average allowed $8,162 Medicare's payment + patient's share
Medicare paid $6,536 Average per service
State rank #33 of 48 1 = lowest average payment

Hospitals in North Dakota billed an average of $30,240 for level 2 pacemaker and similar procedures, about 3.7 times the average medicare-allowed amount of $8,162. That payment is about the same as 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 $8,162Billed $30,240

About 27¢ was paid for every $1 hospitals in North Dakota billed for this service.

North Dakota hospitals: level 2 pacemaker and similar procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Altru Health SystemGrand Forks 109 $32,037 $8,529 $6,894
Sanford Medical Center FargoFargo 100 $28,989 $7,965 $6,345
Sanford Medical Center BismarckBismarck 71 $32,108 $7,965 $6,340
Essentia Health-FargoFargo 42 $26,733 $7,965 $6,346
St Alexius Medical CenterBismarck 16 $36,061 $7,965 $6,346
Trinity HospitalsMinot 14 $19,589 $8,529 $6,897
Advertisement

Lowest and highest allowed amounts in North Dakota

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

St Alexius Medical CenterBismarck, ND$7,965
Essentia Health-FargoFargo, ND$7,965
Sanford Medical Center FargoFargo, ND$7,965
Sanford Medical Center BismarckBismarck, ND$7,965
Trinity HospitalsMinot, ND$8,529

Highest

Altru Health SystemGrand Forks, ND$8,529
Trinity HospitalsMinot, ND$8,529
Sanford Medical Center BismarckBismarck, ND$7,965
Sanford Medical Center FargoFargo, ND$7,965
St Alexius Medical CenterBismarck, ND$7,965

Level 2 Pacemaker and Similar Procedures in other states

Questions

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

In 2024 Medicare data, level 2 pacemaker and similar procedures (APC 5222) at 6 hospitals in North Dakota was billed at $30,240 on average, while the average medicare-allowed amount was $8,162, of which Medicare paid $6,536. 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 Dakota, average charges were 3.7 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.