facebook tracking Level 2 Pacemaker and Similar Procedures cost in Vermont: 5 hospitals compared (APC 5222)

Level 2 Pacemaker and Similar Procedures in Vermont

What 5 hospitals in Vermont 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 $29,929 Hospital list price billed
Average allowed $2,951 Medicare's payment + patient's share
Medicare paid $1,319 Average per service
State rank #1 of 48 1 = lowest average payment

Hospitals in Vermont billed an average of $29,929 for level 2 pacemaker and similar procedures, about 10.1 times the average medicare-allowed amount of $2,951. That payment is 64% 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 $2,951Billed $29,929

About 10¢ was paid for every $1 hospitals in Vermont billed for this service.

Vermont hospitals: level 2 pacemaker and similar procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Fletcher Allen Hospital of VermontBurlington 61 $29,929 $2,951 $1,319
Central Vermont Medical CenterGraniteville-East Barre – – – –
Rutland Regional Medical CenterRutland – – – –
Southwestern Vermont Medical CenterBennington – – – –
Northwestern Medical CenterSt Albans – – – –
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Level 2 Pacemaker and Similar Procedures in other states

Questions

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

In 2024 Medicare data, level 2 pacemaker and similar procedures (APC 5222) at 5 hospitals in Vermont was billed at $29,929 on average, while the average medicare-allowed amount was $2,951, of which Medicare paid $1,319. 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 Vermont, average charges were 10.1 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.