Level 3 Pacemaker and Similar Procedures in California
What 177 hospitals in California charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
Average charge
$78,984
Hospital list price billed
Average allowed
$13,531
Medicare's payment + patient's share
Medicare paid
$11,896
Average per service
State rank
#49 of 49
1 = lowest average payment
Hospitals in California billed an average of $78,984 for level 3 pacemaker and similar procedures, about 5.8 times the average medicare-allowed amount of $13,531. That payment is 33% 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 $13,531Billed $78,984
About 17¢ was paid for every $1 hospitals in California billed for this service.
California hospitals: level 3 pacemaker and similar procedures
Every California hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Hoag Memorial Hospital PresbyterianNewport Beach | 178 | $48,040 | $13,013 | $11,380 |
| Cedars-Sinai Medical CenterLos Angeles | 178 | $158,541 | $13,108 | $11,474 |
| Scripps Memorial Hospital la JollaLa Jolla | 168 | $85,036 | $13,039 | $11,407 |
| John Muir Medical Center - Concord CampusConcord | 115 | $116,720 | $14,840 | $13,208 |
| El Camino HospitalMountain View | 113 | $100,293 | $15,008 | $13,376 |
| Santa Barbara Cottage HospitalSanta Barbara | 107 | $60,783 | $14,036 | $12,403 |
| French Hospital Medical CenterSan Luis Obispo | 98 | $59,810 | $13,108 | $11,473 |
| Torrance Memorial Medical CenterTorrance | 97 | $79,107 | $13,108 | $11,472 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 96 | $117,995 | $14,840 | $13,208 |
| UCLA Medical CenterLos Angeles | 96 | $51,060 | $12,988 | $11,356 |
| Mission Hospital Regional Med CenterMission Viejo | 96 | $40,603 | $13,108 | $11,474 |
| Santa Rosa Memorial HospitalSanta Rosa | 92 | $60,605 | $14,927 | $13,295 |
| Saint Agnes Medical CenterFresno | 89 | $55,428 | $13,108 | $11,476 |
| Adventist Health BakersfieldBakersfield | 89 | $67,701 | $13,108 | $11,476 |
| Eisenhower Memorial HospitalRancho Mirage | 87 | $43,809 | $13,108 | $11,474 |
| Stanford HospitalPalo Alto | 84 | $122,186 | $15,008 | $13,376 |
| Kaweah Delta Medical CenterVisalia | 82 | $61,196 | $13,108 | $11,475 |
| Shasta Regional Medical CenterRedding | 80 | $71,539 | $12,965 | $11,314 |
| St Helena HospitalDeer Park | 79 | $103,074 | $13,681 | $12,049 |
| Sutter General HospitalSacramento | 77 | $69,012 | $14,774 | $13,139 |
| University of California San Diego Medical CenterSan Diego | 76 | $48,652 | $12,971 | $11,348 |
| Saddleback Memorial Medical CenterLaguna Hills | 74 | $44,851 | $13,108 | $11,474 |
| Good Samaritan HospitalSan Jose | 72 | $267,879 | $15,008 | $13,376 |
| Grossmont HospitalLa Mesa | 71 | $64,996 | $13,108 | $11,469 |
| Enloe Medical CenterChico | 70 | $74,933 | $13,108 | $11,472 |
| Sequoia HospitalRedwood City | 70 | $78,590 | $15,008 | $13,368 |
| Alta Bates Summit Medical CenterOakland | 68 | $56,417 | $14,569 | $12,934 |
| Saint John's Health CenterSanta Monica | 66 | $30,651 | $13,107 | $11,475 |
| Providence Tarzana Medical CenterTarzana | 64 | $34,693 | $13,108 | $11,476 |
| St Joseph HospitalEureka | 63 | $39,303 | $13,108 | $11,475 |
| University of California Davis Medical CenterSacramento | 60 | $49,610 | $13,095 | $11,463 |
| UCSF Medical CenterSan Francisco | 59 | $77,736 | $15,008 | $13,376 |
| St Josephs Med Center of StocktonStockton | 58 | $71,307 | $14,623 | $12,991 |
| USC Arcadia HospitalArcadia | 57 | $72,541 | $10,896 | $9,257 |
| Community Regional Medical CenterFresno | 55 | $48,060 | $13,108 | $11,476 |
| Sutter Roseville Medical CenterRoseville | 55 | $55,418 | $13,434 | $11,802 |
| Salinas Valley Memorial HospitalSalinas | 55 | $89,296 | $15,008 | $13,373 |
| Los Robles Hospital & Medical CenterThousand Oaks | 54 | $202,655 | $13,108 | $11,476 |
| Stanford Health Care Tri-ValleyPleasanton | 53 | $67,686 | $15,008 | $13,376 |
| Clovis Community Medical CenterClovis | 53 | $46,809 | $13,108 | $11,471 |
| Loma Linda University Medical Center-MurrietaMurrieta | 53 | $49,565 | $13,108 | $11,476 |
| Marinhealth Medical CenterGreenbrae | 52 | $179,010 | $14,630 | $12,996 |
| Marian Medical CenterSanta Maria | 51 | $50,721 | $13,108 | $11,476 |
| Scripps Mercy HospitalSan Diego | 50 | $88,697 | $13,108 | $11,471 |
| Queen of the Valley Medical CenterNapa | 48 | $76,460 | $14,927 | $13,295 |
| Bakersfield Memorial HospitalBakersfield | 48 | $63,893 | $13,108 | $11,476 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco | 44 | $65,685 | $15,234 | $13,600 |
| Glendale Adventist Medical CtrGlendale | 44 | $93,513 | $13,108 | $11,475 |
| Palomar Medical CenterEscondido | 42 | $57,924 | $8,742 | $7,087 |
| Rideout Memorial HospitalMarysville | 41 | $57,123 | $14,036 | $12,404 |
| Dominican HospitalSanta Cruz | 41 | $45,127 | $13,966 | $12,334 |
| Mercy General HospitalSacramento | 37 | $56,732 | $13,615 | $11,983 |
| USC University HospitalLos Angeles | 37 | $88,956 | $13,108 | $11,463 |
| Memorial Medical CenterModesto | 36 | $59,956 | $13,030 | $11,398 |
| St Joseph HospitalOrange | 35 | $39,573 | $13,108 | $11,472 |
| Emanuel Medical Center INCTurlock | 35 | $168,807 | $13,393 | $11,754 |
| Northbay Medical CenterFairfield | 34 | $93,897 | $15,334 | $13,702 |
| Community Memorial Hospital - VenturaVentura | 34 | $87,984 | $13,108 | $11,469 |
| Garfield Medical CenterMonterey Park | 34 | $138,426 | $13,108 | $11,461 |
| St Johns Regional Medical CenterOxnard | 33 | $60,487 | $13,108 | $11,473 |
| Providence Saint Joseph Medical CtrBurbank | 33 | $35,371 | $13,108 | $11,462 |
| St Jude Medical CenterFullerton | 31 | $34,724 | $13,108 | $11,470 |
| Sharp Chula Vista Medical CenterChula Vista | 30 | $67,235 | $13,108 | $11,474 |
| Marshall Medical Center (1-Rh)Placerville | 30 | $117,077 | $13,615 | $11,983 |
| Huntington Memorial HospitalPasadena | 30 | $61,282 | $13,108 | $11,470 |
| Tri-City Medical CenterOceanside | 29 | $56,196 | $13,108 | $11,462 |
| Sierra View District HospitalPorterville | 29 | $80,521 | $12,339 | $10,707 |
| Loma Linda University Medical CenterLoma Linda | 29 | $54,228 | $13,108 | $11,476 |
| Riverside Community HospitalRiverside | 27 | $85,324 | $13,108 | $11,451 |
| Long Beach Memorial Medical CenterLong Beach | 27 | $46,791 | $13,108 | $11,476 |
| Peninsula Medical CenterBurlingame | 26 | $66,247 | $15,234 | $13,602 |
| Sharp Memorial HospitalSan Diego | 26 | $62,917 | $13,096 | $11,464 |
| Ukiah Valley Medical Center/Hospital DUkiah | 26 | $60,159 | $14,036 | $12,404 |
| Sonora Community HospitalSonora | 26 | $64,747 | $14,036 | $12,404 |
| St Mary Medical CenterApple Valley | 25 | $42,774 | $13,108 | $11,476 |
| Temecula Valley HospitalTemecula | 25 | $54,521 | $12,649 | $11,017 |
| Scripps Memorial Hospital - EncinitasEncinitas | 24 | $90,133 | $13,108 | $11,476 |
| Los Alamitos Medical CenterLos Alamitos | 24 | $146,586 | $13,108 | $11,476 |
| Orange Coast Memorial Medical CenterFountain Valley | 24 | $57,991 | $13,108 | $11,476 |
| Glendale Mem Hospital & Hlth CenterGlendale | 23 | $66,379 | $13,108 | $11,461 |
| Fountain Valley Regional Hospital & Medical CenterFountain Valley | 23 | $159,639 | $12,619 | $10,958 |
| Hanford Community Medical CenterHanford | 21 | $84,478 | $12,022 | $10,383 |
| Regional Medical Center of San JoseSan Jose | 21 | $185,319 | $15,010 | $13,306 |
| Sutter Medical Center of Santa RosaSanta Rosa | 21 | $63,673 | $13,628 | $11,996 |
| Downey Regional Medical CenterDowney | 21 | $41,310 | $13,108 | $11,469 |
| Good Samaritan HospitalLos Angeles | 21 | $59,150 | $13,108 | $11,470 |
| Mercy San Juan Medical CenterCarmichael | 20 | $35,889 | $13,615 | $11,983 |
| San Ramon Regional Medical CtrSan Ramon | 20 | $104,189 | $14,840 | $13,208 |
| Santa Clara Valley Medical CenterSan Jose | 19 | $89,691 | $15,008 | $13,374 |
| White Memorial Medical CenterLos Angeles | 19 | $123,256 | $13,108 | $11,463 |
| Dameron HospitalStockton | 19 | $169,709 | $13,388 | $11,756 |
| Washington HospitalFremont | 19 | $89,683 | $15,008 | $13,376 |
| Natividad Medical CenterSalinas | 19 | $64,415 | $13,517 | $11,873 |
| St Mary's Medical CenterSan Francisco | 19 | $57,531 | $15,234 | $13,602 |
| Verdugo Hills HospitalGlendale | 18 | $67,912 | $13,108 | $11,476 |
| UCI Health-OrangeOrange | 18 | $59,590 | $13,108 | $11,463 |
| Henry Mayo Newhall Memorial HospitalValencia | 18 | $79,819 | $13,108 | $11,476 |
| San Antonio Community HospitalUpland | 17 | $93,354 | $13,108 | $11,476 |
| Ahmc Anaheim Regional Medical CenterAnaheim | 17 | $96,949 | $12,854 | $11,208 |
| Providence Little Company of Mary Med Ctr TorranceTorrance | 17 | $40,372 | $13,108 | $11,474 |
| California Hospital Medical Center laLos Angeles | 16 | $62,763 | $13,108 | $11,471 |
| Antelope Valley Hospital Med CenterLancaster | 15 | $75,715 | $13,108 | $11,476 |
| Emanate Health Inter-Community HospitalCovina | 15 | $45,630 | $13,108 | $11,470 |
| West Hills Hospital & Medical CenterWest Hills | 15 | $176,696 | $13,108 | $11,476 |
| Northridge Hospital Medical CenterNorthridge | 14 | $52,562 | $13,108 | $11,476 |
| PIH Health Hospital-WhittierWhittier | 14 | $79,064 | $13,108 | $11,476 |
| Mercy Medical Center ReddingRedding | 14 | $55,220 | $13,108 | $11,476 |
| Sutter Surgical Hospital - North ValleyYuba City | 14 | $32,883 | $13,187 | $11,555 |
| Redlands Community HospitalRedlands | 13 | $50,354 | $13,108 | $11,461 |
| Hemet Valley Medical CenterHemet | 13 | $98,727 | $13,108 | $11,476 |
| Doctors Medical CenterModesto | 13 | $169,159 | $13,108 | $11,476 |
| Simi Valley Hospital & Health Care ServicesSimi Valley | 12 | $75,544 | $13,108 | $11,468 |
| Desert Regional Medical CenterPalm Springs | 11 | $68,752 | $12,064 | $10,432 |
| Providence Holy Cross Medical CenterMission Hills | 11 | $38,299 | $13,108 | $11,476 |
| Palomar Medical Center PowayPoway | 11 | $58,050 | $9,137 | $7,502 |
| St Rose HospitalHayward | – | – | – | – |
| Paradise Valley HospitalNational City | – | – | – | – |
| Oroville HospitalOroville | – | – | – | – |
| Lac/Olive View-UCLA Medical CenterSylmar | – | – | – | – |
| El Centro Regional Medical CenterEl Centro | – | – | – | – |
| Hollywood Presbyterian Medical CenterLos Angeles | – | – | – | – |
| Kaiser Foundation Hospital - South San FranciscoMillbrae | – | – | – | – |
| Kaiser Foundation Hospital Oakland/RichmondOakland | – | – | – | – |
| Sonoma Valley HospitalSonoma | – | – | – | – |
| Sutter Solano Medical CenterVallejo | – | – | – | – |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica | – | – | – | – |
| San Mateo Medical CenterSan Mateo | – | – | – | – |
| Doctors Hospital of MantecaManteca | – | – | – | – |
| Valley Presbyterian HospitalVan Nuys | – | – | – | – |
| Woodland Memorial HospitalWoodland | – | – | – | – |
| St Bernardine Medical CenterSan Bernardino | – | – | – | – |
| San Gabriel Valley Medical CenterSan Gabriel | – | – | – | – |
| Kaiser Foundation Hospital - Panorama CityPanorama City | – | – | – | – |
| Kaiser Foundation Hospital FontanaFontana | – | – | – | – |
| Community Hospital of the Monterey PeninsulaMonterey | – | – | – | – |
| St Mary Medical CenterLong Beach | – | – | – | – |
| Palmdale Regional Medical CenterLancaster | – | – | – | – |
| San Francisco General HospitalSan Francisco | – | – | – | – |
| Pomona Valley Hospital Medical CenterPomona | – | – | – | – |
| Sharp Coronado Hospital and Hlthcr CtrCoronado | – | – | – | – |
| Arrowhead Regional Medical CenterColton | – | – | – | – |
| Seton Medical CenterDaly City | – | – | – | – |
| Barstow Community HospitalBarstow | – | – | – | – |
| Sutter Tracy Community HospitalTracy | – | – | – | – |
| Kern Medical CenterBakersfield | – | – | – | – |
| Highland HospitalOakland | – | – | – | – |
| Corona Regional Medical CenterCorona | – | – | – | – |
| Los Angeles General Medical CenterLos Angeles | – | – | – | – |
| Lac/Harbor-UCLA Med CenterTorrance | – | – | – | – |
| Kaiser Foundation Hospital - Harbor CityHarbor City | – | – | – | – |
| Mercy Hospital of FolsomFolsom | – | – | – | – |
| Scripps Green HospitalLa Jolla | – | – | – | – |
| West Anaheim Medical CenterAnaheim | – | – | – | – |
| Mercy Medical Ctr MercedMerced | – | – | – | – |
| Sutter Auburn Faith HospitalAuburn | – | – | – | – |
| Sierra Vista Regional Medical CenterSan Luis Obispo | – | – | – | – |
| Kaiser Foundation HospitalSan Rafael | – | – | – | – |
| Kaiser Foundation Hospital Fremont/HaywardHayward | – | – | – | – |
| Victor Valley Community HospitalVictorville | – | – | – | – |
| Sutter Delta Medical CenterAntioch | – | – | – | – |
| Kaiser Foundation Hospital - Redwood CityRedwood City | – | – | – | – |
| Lakewood Regional Medical CenterLakewood | – | – | – | – |
| Chino Valley Medical CenterChino | – | – | – | – |
| UCI Health-Placentia LindaPlacentia | – | – | – | – |
| Los Angeles Community HospitalLos Angeles | – | – | – | – |
| Kaiser Foundation Hosp So SacramentoSacramento | – | – | – | – |
| Kaiser Foundation Hospital - Woodland HillsWoodland Hills | – | – | – | – |
| Kaiser Foundation Hospital-Santa RosaSanta Rosa | – | – | – | – |
| Southwest Healthcare SystemMurrieta | – | – | – | – |
| Desert Valley HospitalVictorville | – | – | – | – |
| Kaiser Foundation Hospital - Baldwin ParkBaldwin Park | – | – | – | – |
| Marina del Rey HospitalMarina del Rey | – | – | – | – |
| Orange County Global Medical CenterSanta Ana | – | – | – | – |
| Kaiser Foundation Hospital MantecaManteca | – | – | – | – |
| Montclair Hospital Medical CenterMontclair | – | – | – | – |
| Kaiser Foundation Hospital - VacavilleVacaville | – | – | – | – |
| Adventist Health TulareTulare | – | – | – | – |
Lowest and highest allowed amounts in California
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
| Palomar Medical CenterEscondido, CA | $8,742 |
|---|---|
| Palomar Medical Center PowayPoway, CA | $9,137 |
| USC Arcadia HospitalArcadia, CA | $10,896 |
| Hanford Community Medical CenterHanford, CA | $12,022 |
| Desert Regional Medical CenterPalm Springs, CA | $12,064 |
Highest
| Northbay Medical CenterFairfield, CA | $15,334 |
|---|---|
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $15,234 |
| Peninsula Medical CenterBurlingame, CA | $15,234 |
| St Mary's Medical CenterSan Francisco, CA | $15,234 |
| Regional Medical Center of San JoseSan Jose, CA | $15,010 |
Level 3 Pacemaker and Similar Procedures in other states
Questions
How much does level 3 pacemaker and similar procedures cost in California?
In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 177 hospitals in California was billed at $78,984 on average, while the average medicare-allowed amount was $13,531, of which Medicare paid $11,896. 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 California, average charges were 5.8 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.