facebook tracking Level 2 Pacemaker and Similar Procedures cost in Utah: 16 hospitals compared (APC 5222)

Level 2 Pacemaker and Similar Procedures in Utah

What 16 hospitals in Utah 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 $49,570 Hospital list price billed
Average allowed $7,539 Medicare's payment + patient's share
Medicare paid $5,975 Average per service
State rank #17 of 48 1 = lowest average payment

Hospitals in Utah billed an average of $49,570 for level 2 pacemaker and similar procedures, about 6.6 times the average medicare-allowed amount of $7,539. That payment is 7% 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 $7,539Billed $49,570

About 15¢ was paid for every $1 hospitals in Utah billed for this service.

Utah hospitals: level 2 pacemaker and similar procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
University Health Care/Univ Hospitals and ClinicsSalt Lake City 49 $21,057 $7,487 $5,938
McKay-Dee Hospital CenterOgden 35 $35,749 $7,437 $5,887
St Marks HospitalSalt Lake City 33 $130,007 $7,246 $5,696
Lds HospitalSalt Lake City 23 $32,554 $7,610 $6,064
St. George Regional HospitalSt George 23 $32,952 $8,151 $6,499
Utah Valley Regional Medical CenterProvo – – – –
Salt Lake Regional Medical CenterSalt Lake City – – – –
Ogden Regional Medical CenterOgden – – – –
Logan Regional HospitalLogan – – – –
Brigham City Community HospitalBrigham City – – – –
Uintah Basin Medical CenterRoosevelt – – – –
Davis Hospital and Medical CenterLayton – – – –
Lakeview HospitalBountiful – – – –
Jordan Valley Medical CenterWest Jordan – – – –
Timpanogos Regional HospitalOrem – – – –
Lone Peak HospitalDraper – – – –
Advertisement

Lowest and highest allowed amounts in Utah

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 Marks HospitalSalt Lake City, UT$7,246
McKay-Dee Hospital CenterOgden, UT$7,437
University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT$7,487
Lds HospitalSalt Lake City, UT$7,610
St. George Regional HospitalSt George, UT$8,151

Highest

St. George Regional HospitalSt George, UT$8,151
Lds HospitalSalt Lake City, UT$7,610
University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT$7,487
McKay-Dee Hospital CenterOgden, UT$7,437
St Marks HospitalSalt Lake City, UT$7,246

Level 2 Pacemaker and Similar Procedures in other states

Questions

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

In 2024 Medicare data, level 2 pacemaker and similar procedures (APC 5222) at 16 hospitals in Utah was billed at $49,570 on average, while the average medicare-allowed amount was $7,539, of which Medicare paid $5,975. 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 Utah, average charges were 6.6 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.