facebook tracking Level 2 Pacemaker and Similar Procedures cost in Oregon: 21 hospitals compared (APC 5222)

Level 2 Pacemaker and Similar Procedures in Oregon

What 21 hospitals in Oregon 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 $33,315 Hospital list price billed
Average allowed $9,355 Medicare's payment + patient's share
Medicare paid $7,717 Average per service
State rank #44 of 48 1 = lowest average payment

Hospitals in Oregon billed an average of $33,315 for level 2 pacemaker and similar procedures, about 3.6 times the average medicare-allowed amount of $9,355. That payment is 16% above 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 $9,355Billed $33,315

About 28¢ was paid for every $1 hospitals in Oregon billed for this service.

Oregon hospitals: level 2 pacemaker and similar procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Rogue Valley Medical CenterMedford 47 $45,417 $10,306 $8,670
Bay Area HospitalCoos Bay 33 $33,566 $9,277 $7,641
Sacred Heart Medical Center - RiverbendSpringfield 25 $24,018 $8,834 $7,186
Legacy Good Samaritan Medical CenterPortland 20 $20,698 $8,911 $7,279
Providence Medford Medical CenterMedford 18 $36,987 $10,306 $8,674
Providence St Vincent Medical CenterPortland 17 $43,763 $8,911 $7,279
Good Samaritan Regional Medical CenterCorvallis 15 $27,055 $8,817 $7,185
St Charles Medical Center - BendBend 14 $23,825 $8,973 $7,334
Mid-Columbia Medical CenterThe Dalles 13 $30,858 $9,441 $7,790
Providence Portland Medical CenterPortland 12 $37,994 $8,911 $7,269
Legacy Meridian Park Medical CenterTualatin 11 $21,177 $8,249 $6,603
Three Rivers Community HospitalGrants Pass – – – –
Legacy Emanuel Medical CenterPortland – – – –
OHSU Hospital and ClinicsPortland – – – –
McKenzie-Willamette Medical CenterSpringfield – – – –
Legacy Mount Hood Medical CenterGresham – – – –
Mercy Medical CenterRoseburg – – – –
Sky Lakes Medical CenterKlamath Falls – – – –
Salem HospitalSalem – – – –
Adventist Medical CenterPortland – – – –
Willamette Valley Medical CtrMcMinnville – – – –
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Lowest and highest allowed amounts in Oregon

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 Oregon?

In 2024 Medicare data, level 2 pacemaker and similar procedures (APC 5222) at 21 hospitals in Oregon was billed at $33,315 on average, while the average medicare-allowed amount was $9,355, of which Medicare paid $7,717. 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 Oregon, average charges were 3.6 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.