Level 2 Pacemaker and Similar Procedures in Wisconsin
What 41 hospitals in Wisconsin charged and were paid for level 2 pacemaker and similar procedures (APC 5222), from 2024 Medicare claims.
Average charge
$29,917
Hospital list price billed
Average allowed
$7,777
Medicare's payment + patient's share
Medicare paid
$6,187
Average per service
State rank
#26 of 48
1 = lowest average payment
Hospitals in Wisconsin billed an average of $29,917 for level 2 pacemaker and similar procedures, about 3.8 times the average medicare-allowed amount of $7,777. That payment is 4% 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 $7,777Billed $29,917
About 26¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Wisconsin hospitals: level 2 pacemaker and similar procedures
Every Wisconsin hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Wisconsin
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
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $7,245 |
|---|---|
| Bellin Memorial HsptlGreen Bay, WI | $7,602 |
| St Clare's Hospital of Weston INCWeston, WI | $7,602 |
| Ministry St Michaels Hospital of Stevens PointStevens Point, WI | $7,602 |
| Aspirus Wausau HospitalWausau, WI | $7,602 |
Highest
| Beloit Mem HsptlBeloit, WI | $8,262 |
|---|---|
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse, WI | $8,004 |
| Gundersen Luth Med CtrLa Crosse, WI | $8,004 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee, WI | $7,994 |
| Luther Hospital Mayo Health SystemEau Claire, WI | $7,974 |
Level 2 Pacemaker and Similar Procedures in other states
Questions
How much does level 2 pacemaker and similar procedures cost in Wisconsin?
In 2024 Medicare data, level 2 pacemaker and similar procedures (APC 5222) at 41 hospitals in Wisconsin was billed at $29,917 on average, while the average medicare-allowed amount was $7,777, of which Medicare paid $6,187. 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 Wisconsin, average charges were 3.8 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.