What 31 hospitals in Alabama charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
Hospitals in Alabama billed an average of $74,884 for level 3 pacemaker and similar procedures, about 8.5 times the average medicare-allowed amount of $8,860. That payment is 13% below the U.S. average 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.
About 12¢ was paid for every $1 hospitals in Alabama billed for this service.
Every Alabama hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Huntsville HospitalHuntsville | 186 | $46,680 | $8,999 | $7,370 |
| Southeast Alabama Medical CenterDothan | 150 | $52,614 | $9,092 | $7,458 |
| Baptist Medical Center SouthMontgomery | 102 | $29,785 | $8,603 | $6,968 |
| East Alabama Medical Center and SnfOpelika | 77 | $21,786 | $9,317 | $7,703 |
| Grandview Medical CenterBirmingham | 69 | $221,508 | $8,814 | $7,179 |
| Providence HospitalMobile | 67 | $43,319 | $8,743 | $7,111 |
| University of Alabama HospitalBirmingham | 51 | $55,613 | $8,910 | $7,278 |
| Brookwood Medical CenterBirmingham | 51 | $146,194 | $8,202 | $6,562 |
| Mobile InfirmaryMobile | 48 | $34,365 | $8,850 | $7,218 |
| St Vincent's EastBirmingham | 46 | $94,720 | $8,752 | $7,120 |
| Shelby Baptist Medical CenterAlabaster | 45 | $172,091 | $8,102 | $6,468 |
| St Vincent's BirminghamBirmingham | 43 | $90,221 | $8,910 | $7,278 |
| Flowers HospitalDothan | 37 | $190,111 | $8,575 | $6,943 |
| Russell HospitalAlexander City | 37 | $47,786 | $8,633 | $6,996 |
| Crestwood Medical CenterHuntsville | 36 | $175,839 | $8,797 | $7,165 |
| Thomas HospitalFairhope | 34 | $45,090 | $8,854 | $7,222 |
| North Alabama Medical CenterFlorence | 32 | $64,884 | $8,744 | $7,107 |
| Northeast Alabama Regional Med CenterAnniston | 32 | $47,651 | $9,476 | $7,844 |
| Springhill Medical CenterMobile | 31 | $26,438 | $8,650 | $7,018 |
| D C H Regional Medical CenterTuscaloosa | 29 | $27,548 | $9,717 | $8,082 |
| Jackson Hospital & Clinic INCMontgomery | 24 | $45,435 | $8,850 | $7,208 |
| South Baldwin Regional Medical CenterFoley | 17 | $139,276 | $8,860 | $7,226 |
| Andalusia Regional HospitalAndalusia | 14 | $65,090 | $9,134 | $7,485 |
| Gadsden Regional Medical CenterGadsden | 14 | $119,206 | $8,850 | $7,218 |
| Princeton Baptist Medical CenterBirmingham | 12 | $69,095 | $8,304 | $6,672 |
| Dekalb Regional Medical CenterFort Payne | – | – | – | – |
| Dale Medical CenterOzark | – | – | – | – |
| Cullman Regional Medical CenterCullman | – | – | – | – |
| Riverview Regional Medical CenterGadsden | – | – | – | – |
| USA Health University HospitalMobile | – | – | – | – |
| Medical West, an Affiliate of UAB Health SystemBessemer | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Shelby Baptist Medical CenterAlabaster, AL | $8,102 |
|---|---|
| Brookwood Medical CenterBirmingham, AL | $8,202 |
| Princeton Baptist Medical CenterBirmingham, AL | $8,304 |
| Flowers HospitalDothan, AL | $8,575 |
| Baptist Medical Center SouthMontgomery, AL | $8,603 |
| D C H Regional Medical CenterTuscaloosa, AL | $9,717 |
|---|---|
| Northeast Alabama Regional Med CenterAnniston, AL | $9,476 |
| East Alabama Medical Center and SnfOpelika, AL | $9,317 |
| Andalusia Regional HospitalAndalusia, AL | $9,134 |
| Southeast Alabama Medical CenterDothan, AL | $9,092 |
In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 31 hospitals in Alabama was billed at $74,884 on average, while the average medicare-allowed amount was $8,860, of which Medicare paid $7,228. Your own cost depends on your insurance, deductible and the hospital.
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 Alabama, average charges were 8.5 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.