Level 2 Pacemaker and Similar Procedures in Virginia
What 43 hospitals in Virginia charged and were paid for level 2 pacemaker and similar procedures (APC 5222), from 2024 Medicare claims.
Average charge
$42,528
Hospital list price billed
Average allowed
$7,623
Medicare's payment + patient's share
Medicare paid
$6,055
Average per service
State rank
#22 of 48
1 = lowest average payment
Hospitals in Virginia billed an average of $42,528 for level 2 pacemaker and similar procedures, about 5.6 times the average medicare-allowed amount of $7,623. That payment is 6% 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 $7,623Billed $42,528
About 18¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: level 2 pacemaker and similar procedures
Every Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Centra Health - Lynchburg Gen HospitalLynchburg | 109 | $61,318 | $7,720 | $6,120 |
| Mary Washington Hospital, INCFredericksburg | 65 | $41,902 | $7,771 | $6,146 |
| Inova Fairfax HospitalFalls Church | 63 | $31,571 | $7,735 | $6,142 |
| Carilion Medical CenterRoanoke | 52 | $31,544 | $7,314 | $5,823 |
| University of Virginia Medical CenterCharlottesville | 51 | $30,120 | $7,679 | $6,092 |
| Winchester Medical Center INCWinchester | 38 | $29,113 | $7,823 | $6,184 |
| Augusta HealthFishersville | 37 | $47,476 | $8,211 | $6,574 |
| Prince William HospitalManassas | 35 | $24,364 | $7,854 | $6,216 |
| Riverside Regional Medical CenterNewport News | 35 | $30,943 | $7,315 | $5,807 |
| Sentara Norfolk General HospitalNorfolk | 29 | $29,381 | $6,986 | $5,483 |
| Medical College of Virginia HospitalsRichmond | 29 | $25,710 | $7,333 | $5,823 |
| Sentara Virginia Beach General HospitalVirginia Beach | 27 | $29,389 | $7,392 | $5,888 |
| Inova Alexandria HospitalAlexandria | 25 | $31,379 | $7,967 | $6,333 |
| Bon Secours - St Francis Medical CenterMidlothian | 25 | $55,641 | $7,389 | $5,887 |
| Lewisgale Medical CenterSalem | 24 | $89,037 | $7,314 | $5,827 |
| Virginia Hospital Center - ArlingtonArlington | 22 | $40,748 | $7,967 | $6,347 |
| Sentara Careplex HospitalHampton | 22 | $30,411 | $7,392 | $5,890 |
| Martha Jefferson HospitalCharlottesville | 20 | $24,384 | $7,386 | $5,885 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 18 | $55,972 | $7,801 | $6,215 |
| Sentara Rmh Medical CenterHarrisonburg | 15 | $23,165 | $8,353 | $6,721 |
| Bon Secours - Maryview Medical CenterPortsmouth | 15 | $54,144 | $7,314 | $5,828 |
| Cjw Medical CenterRichmond | 14 | $210,001 | $7,314 | $5,827 |
| Chesapeake General HospitalChesapeake | 12 | $20,579 | $7,392 | $5,879 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 11 | $22,036 | $7,315 | $5,828 |
| Halifax Regional HospitalSouth Boston | – | – | – | – |
| The Fauquier Hospital, INCWarrenton | – | – | – | – |
| Riverside Shore Memorial HospitalNassawadox | – | – | – | – |
| Carilion New River Vly Med CtrChristiansburg | – | – | – | – |
| Inova Loudoun HospitalLeesburg | – | – | – | – |
| Sentara Obici HospitalSuffolk | – | – | – | – |
| Sentara Leigh HospitalNorfolk | – | – | – | – |
| Johnston Memorial HospitalAbingdon | – | – | – | – |
| Clinch Valley Medical CenterRichlands | – | – | – | – |
| Southside Regional Medical CenterPetersburg | – | – | – | – |
| Bon Secours - Memorial Regional MedicalMechanicsville | – | – | – | – |
| Southside Community Hospital, INCFarmville | – | – | – | – |
| Reston Hospital CenterReston | – | – | – | – |
| Montgomery Regional HospitalBlacksburg | – | – | – | – |
| Sentara Northern Virginia Medical CenterWoodbridge | – | – | – | – |
| Henrico Doctors' HospitalRichmond | – | – | – | – |
| Inova Mount Vernon HospitalAlexandria | – | – | – | – |
| Stafford Hospital CenterStafford | – | – | – | – |
| Spotsylvania Regional Medical CenterFredericksburg | – | – | – | – |
Lowest and highest allowed amounts in Virginia
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
| Sentara Norfolk General HospitalNorfolk, VA | $6,986 |
|---|---|
| Lewisgale Medical CenterSalem, VA | $7,314 |
| Cjw Medical CenterRichmond, VA | $7,314 |
| Carilion Medical CenterRoanoke, VA | $7,314 |
| Bon Secours - Maryview Medical CenterPortsmouth, VA | $7,314 |
Highest
| Sentara Rmh Medical CenterHarrisonburg, VA | $8,353 |
|---|---|
| Augusta HealthFishersville, VA | $8,211 |
| Inova Alexandria HospitalAlexandria, VA | $7,967 |
| Virginia Hospital Center - ArlingtonArlington, VA | $7,967 |
| Prince William HospitalManassas, VA | $7,854 |
Level 2 Pacemaker and Similar Procedures in other states
Questions
How much does level 2 pacemaker and similar procedures cost in Virginia?
In 2024 Medicare data, level 2 pacemaker and similar procedures (APC 5222) at 43 hospitals in Virginia was billed at $42,528 on average, while the average medicare-allowed amount was $7,623, of which Medicare paid $6,055. 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 Virginia, average charges were 5.6 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.