Level 3 Pacemaker and Similar Procedures in Connecticut
What 22 hospitals in Connecticut charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
Average charge
$36,311
Hospital list price billed
Average allowed
$11,923
Medicare's payment + patient's share
Medicare paid
$10,290
Average per service
State rank
#47 of 49
1 = lowest average payment
Hospitals in Connecticut billed an average of $36,311 for level 3 pacemaker and similar procedures, about 3.0 times the average medicare-allowed amount of $11,923. That payment is 17% 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 $11,923Billed $36,311
About 33¢ was paid for every $1 hospitals in Connecticut billed for this service.
Connecticut hospitals: level 3 pacemaker and similar procedures
Every Connecticut hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Yale-New Haven HospitalNew Haven | 88 | $31,991 | $11,994 | $10,362 |
| Hartford HospitalHartford | 60 | $30,738 | $11,896 | $10,262 |
| Bridgeport HospitalBridgeport | 58 | $33,071 | $12,012 | $10,379 |
| Stamford HospitalStamford | 54 | $47,800 | $12,012 | $10,380 |
| Danbury HospitalDanbury | 54 | $44,543 | $11,962 | $10,328 |
| St Vincent's Medical CenterBridgeport | 44 | $36,943 | $11,776 | $10,144 |
| Lawrence & Memorial HospitalNew London | 36 | $25,682 | $11,896 | $10,264 |
| William W Backus HospitalNorwich | 32 | $30,001 | $11,896 | $10,264 |
| John Dempsey HospitalFarmington | 24 | $47,304 | $11,896 | $10,264 |
| Midstate Medical CenterMeriden | 23 | $33,559 | $11,896 | $10,264 |
| St Francis Hospital & Medical CenterHartford | 21 | $32,419 | $11,896 | $10,261 |
| Saint Marys HospitalWaterbury | 21 | $45,245 | $11,896 | $10,253 |
| Greenwich Hospital AssociationGreenwich | 20 | $33,636 | $12,012 | $10,380 |
| Hospital of Central Connecticut, theNew Britain | 16 | $36,976 | $12,012 | $10,380 |
| Waterbury HospitalWaterbury | 13 | $75,697 | $11,896 | $10,264 |
| Manchester Memorial HospitalCentral Manchester | 13 | $27,690 | $11,896 | $10,264 |
| Charlotte Hungerford HospitalTorrington | 12 | $23,761 | $11,896 | $10,264 |
| Middlesex HospitalMiddletown | 12 | $26,406 | $12,012 | $10,372 |
| Griffin HospitalDerby | 12 | $36,346 | $11,147 | $9,515 |
| Day Kimball HospitalPutnam | – | – | – | – |
| Bristol HospitalBristol | – | – | – | – |
| Norwalk HospitalNorwalk | – | – | – | – |
Lowest and highest allowed amounts in Connecticut
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
| Griffin HospitalDerby, CT | $11,147 |
|---|---|
| St Vincent's Medical CenterBridgeport, CT | $11,776 |
| Waterbury HospitalWaterbury, CT | $11,896 |
| Lawrence & Memorial HospitalNew London, CT | $11,896 |
| Charlotte Hungerford HospitalTorrington, CT | $11,896 |
Highest
| Middlesex HospitalMiddletown, CT | $12,012 |
|---|---|
| Bridgeport HospitalBridgeport, CT | $12,012 |
| Stamford HospitalStamford, CT | $12,012 |
| Greenwich Hospital AssociationGreenwich, CT | $12,012 |
| Hospital of Central Connecticut, theNew Britain, CT | $12,012 |
Level 3 Pacemaker and Similar Procedures in other states
Questions
How much does level 3 pacemaker and similar procedures cost in Connecticut?
In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 22 hospitals in Connecticut was billed at $36,311 on average, while the average medicare-allowed amount was $11,923, of which Medicare paid $10,290. 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 Connecticut, average charges were 3.0 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.