Level 3 Pacemaker and Similar Procedures
What 1,843 hospitals in the U.S. charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
Average charge
$60,973
Hospital list price billed
Average allowed
$10,202
Medicare's payment + patient's share
Medicare paid
$8,569
Average per service
Volume
63,028
Medicare services
Hospitals in the U.S. billed an average of $60,973 for level 3 pacemaker and similar procedures, about 6.0 times the average medicare-allowed amount of $10,202.
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 $10,202Billed $60,973
About 17¢ was paid for every $1 hospitals in the U.S. billed for this service.
Lowest and highest allowed amounts
Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Fletcher Allen Hospital of VermontBurlington, VT | $4,161 |
|---|---|
| Baptist Memorial Hospital HuntingdonHuntingdon, TN | $4,979 |
| Marietta Memorial HospitalMarietta, OH | $5,294 |
| Parrish Medical CenterTitusville, FL | $7,812 |
| Shelby Baptist Medical CenterAlabaster, AL | $8,102 |
| Brookwood Medical CenterBirmingham, AL | $8,202 |
| Delray Medical CenterDelray Beach, FL | $8,393 |
| Hazard Arh Regional Medical CenterHazard, KY | $8,466 |
| Terrebonne General Medical CenterHouma, LA | $8,498 |
| Fort Sanders Reg Medical CtrKnoxville, TN | $8,504 |
Highest
| Northbay Medical CenterFairfield, CA | $15,334 |
|---|---|
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $15,234 |
| Peninsula Medical CenterBurlingame, CA | $15,234 |
| Regional Medical Center of San JoseSan Jose, CA | $15,010 |
| Sequoia HospitalRedwood City, CA | $15,008 |
| Salinas Valley Memorial HospitalSalinas, CA | $15,008 |
| Stanford HospitalPalo Alto, CA | $15,008 |
| Stanford Health Care Tri-ValleyPleasanton, CA | $15,008 |
| El Camino HospitalMountain View, CA | $15,008 |
| Good Samaritan HospitalSan Jose, CA | $15,008 |
Level 3 Pacemaker and Similar Procedures cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 31 | $74,884 | $8,860 | $8,102 – $9,717 |
| Alaska | 4 | $48,954 | $11,300 | $11,010 – $11,743 |
| Arizona | 38 | $66,509 | $10,492 | $10,079 – $11,544 |
| Arkansas | 26 | $34,754 | $9,183 | $8,747 – $9,801 |
| California | 177 | $78,984 | $13,531 | $8,742 – $15,334 |
| Colorado | 36 | $76,744 | $10,175 | $9,769 – $10,875 |
| Connecticut | 22 | $36,311 | $11,923 | $11,147 – $12,012 |
| Delaware | 6 | $42,655 | $10,654 | $10,496 – $10,730 |
| Florida | 122 | $78,805 | $9,599 | $7,812 – $10,350 |
| Georgia | 56 | $56,299 | $9,511 | $8,587 – $10,044 |
| Hawaii | 9 | $33,264 | $12,250 | $12,048 – $13,133 |
| Idaho | 10 | $46,408 | $9,869 | $9,219 – $10,326 |
| Illinois | 81 | $54,965 | $10,032 | $9,113 – $10,559 |
| Indiana | 46 | $58,080 | $9,672 | $9,258 – $10,320 |
| Iowa | 22 | $39,824 | $9,364 | $9,052 – $10,341 |
| Kansas | 23 | $47,268 | $9,313 | $8,865 – $9,980 |
| Kentucky | 33 | $77,952 | $9,219 | $8,466 – $9,872 |
| Louisiana | 38 | $58,433 | $8,939 | $8,498 – $9,250 |
| Maine | 11 | $55,146 | $9,782 | $9,158 – $10,025 |
| Massachusetts | 41 | $38,803 | $11,444 | $11,090 – $12,028 |
| Michigan | 53 | $46,911 | $9,572 | $9,178 – $10,203 |
| Minnesota | 19 | $47,021 | $10,368 | $9,946 – $10,934 |
| Mississippi | 25 | $53,793 | $8,949 | $8,285 – $9,589 |
| Missouri | 49 | $47,923 | $9,340 | $8,873 – $10,169 |
| Montana | 9 | $37,786 | $10,172 | $9,943 – $10,711 |
| Nebraska | 18 | $39,457 | $9,598 | $9,161 – $9,984 |
| Nevada | 17 | $119,148 | $11,434 | $11,189 – $12,945 |
| New Hampshire | 11 | $48,258 | $10,471 | $10,177 – $10,897 |
| New Jersey | 48 | $67,027 | $11,502 | $9,944 – $12,134 |
| New Mexico | 12 | $69,425 | $9,616 | $9,114 – $10,533 |
| New York | 79 | $64,266 | $11,704 | $8,721 – $12,134 |
| North Carolina | 50 | $49,378 | $9,570 | $9,020 – $10,213 |
| North Dakota | 6 | $41,666 | $10,210 | $10,003 – $10,711 |
| Ohio | 75 | $41,280 | $9,097 | $2,255 – $9,890 |
| Oklahoma | 29 | $49,793 | $9,172 | $8,925 – $9,705 |
| Oregon | 21 | $44,635 | $11,536 | $10,918 – $13,862 |
| Pennsylvania | 82 | $66,851 | $10,079 | $9,259 – $11,241 |
| Rhode Island | 5 | $31,360 | $10,745 | $10,186 – $10,825 |
| South Carolina | 30 | $77,418 | $9,243 | $8,859 – $10,160 |
| South Dakota | 6 | $55,255 | $10,035 | $9,810 – $10,711 |
| Tennessee | 47 | $60,567 | $8,976 | $4,979 – $9,788 |
| Texas | 161 | $83,240 | $9,482 | $8,545 – $10,283 |
| Utah | 13 | $62,894 | $9,629 | $9,289 – $10,236 |
| Vermont | 4 | $41,439 | $4,280 | $3,260 – $5,663 |
| Virginia | 43 | $59,341 | $9,590 | $9,079 – $10,374 |
| Washington | 33 | $40,482 | $10,983 | $10,524 – $11,857 |
| West Virginia | 15 | $47,903 | $9,116 | $8,876 – $10,192 |
| Wisconsin | 42 | $42,564 | $9,836 | $9,393 – $10,418 |
| Wyoming | 4 | $46,894 | $10,682 | $10,504 – $10,711 |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| NYU Hospitals CenterNew York, NY | 405 | $147,084 | $11,955 |
| The Heart Hospital Baylor PlanoPlano, TX | 323 | $61,630 | $9,520 |
| New York-Presbyterian HospitalNew York, NY | 291 | $64,792 | $11,958 |
| Methodist HospitalSan Antonio, TX | 268 | $82,028 | $8,972 |
| Sarasota Memorial HospitalSarasota, FL | 264 | $65,978 | $9,636 |
| Bryan Medical CenterLincoln, NE | 256 | $42,999 | $9,616 |
| St Thomas HospitalNashville, TN | 245 | $56,332 | $9,164 |
| Avera Heart Hospital of South Dakota LLCSioux Falls, SD | 237 | $71,916 | $9,897 |
| New Hanover Regional Medical CenterWilmington, NC | 228 | $38,845 | $9,944 |
| Jersey Shore University Medical CenterNeptune City, NJ | 220 | $48,756 | $11,177 |
| Inova Fairfax HospitalFalls Church, VA | 203 | $33,899 | $9,923 |
| Sanford Usd Medical CenterSioux Falls, SD | 200 | $46,733 | $9,810 |
| Oklahoma Heart HospitalOklahoma City, OK | 199 | $34,228 | $9,195 |
| Baylor Heart and Vascular HospitalDallas, TX | 188 | $56,689 | $9,561 |
| Huntsville HospitalHuntsville, AL | 186 | $46,680 | $8,999 |
Questions
How much does level 3 pacemaker and similar procedures cost in the U.S.?
In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 1,843 hospitals in the U.S. was billed at $60,973 on average, while the average medicare-allowed amount was $10,202, of which Medicare paid $8,569. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 3 pacemaker and similar procedures?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($13,531), Hawaii ($12,250), Connecticut ($11,923) and lowest in Vermont ($4,280), Alabama ($8,860), Louisiana ($8,939).
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 the U.S., average charges were 6.0 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.