facebook tracking Level 3 Pacemaker and Similar Procedures cost in Alabama: 31 hospitals compared (APC 5223)

Level 3 Pacemaker and Similar Procedures in Alabama

What 31 hospitals in Alabama charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.

APC 5223 Outpatient 2024 Medicare data
Average charge $74,884 Hospital list price billed
Average allowed $8,860 Medicare's payment + patient's share
Medicare paid $7,228 Average per service
State rank #2 of 49 1 = lowest average payment

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.

Paid $8,860Billed $74,884

About 12¢ was paid for every $1 hospitals in Alabama billed for this service.

Alabama hospitals: level 3 pacemaker and similar procedures

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 – – – –
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Lowest and highest allowed amounts in Alabama

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

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

Level 3 Pacemaker and Similar Procedures in other states

Questions

How much does level 3 pacemaker and similar procedures cost in Alabama?

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.

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 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.