facebook tracking Level 3 Pacemaker and Similar Procedures cost in Alaska: 4 hospitals compared (APC 5223)

Level 3 Pacemaker and Similar Procedures in Alaska

What 4 hospitals in Alaska 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 $48,954 Hospital list price billed
Average allowed $11,300 Medicare's payment + patient's share
Medicare paid $9,668 Average per service
State rank #41 of 49 1 = lowest average payment

Hospitals in Alaska billed an average of $48,954 for level 3 pacemaker and similar procedures, about 4.3 times the average medicare-allowed amount of $11,300. That payment is 11% above 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 $11,300Billed $48,954

About 23¢ was paid for every $1 hospitals in Alaska billed for this service.

Alaska hospitals: level 3 pacemaker and similar procedures

Every Alaska hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Providence Alaska Medical CtrAnchorage 52 $40,984 $11,010 $9,378
Fairbanks Memorial HospitalFairbanks 34 $61,144 $11,743 $10,111
Mat-Su Regional Medical CenterPalmer – – – –
Alaska Regional HospitalAnchorage – – – –
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Level 3 Pacemaker and Similar Procedures in other states

Questions

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

In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 4 hospitals in Alaska was billed at $48,954 on average, while the average medicare-allowed amount was $11,300, of which Medicare paid $9,668. 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 Alaska, average charges were 4.3 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.