facebook tracking Level 3 Pacemaker and Similar Procedures cost in Georgia: 56 hospitals compared (APC 5223)

Level 3 Pacemaker and Similar Procedures in Georgia

What 56 hospitals in Georgia 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 $56,299 Hospital list price billed
Average allowed $9,511 Medicare's payment + patient's share
Medicare paid $7,877 Average per service
State rank #16 of 49 1 = lowest average payment

Hospitals in Georgia billed an average of $56,299 for level 3 pacemaker and similar procedures, about 5.9 times the average medicare-allowed amount of $9,511. That payment is 7% 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 $9,511Billed $56,299

About 17¢ was paid for every $1 hospitals in Georgia billed for this service.

Georgia hospitals: level 3 pacemaker and similar procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Northeast Georgia Medical Center, INCGainesville 124 $53,481 $9,644 $8,011
Coliseum Medical CenterMacon 117 $76,075 $9,163 $7,530
Piedmont Augusta HospitalAugusta 110 $66,875 $9,032 $7,400
Wellstar Kennestone HospitalMarietta 86 $57,872 $9,902 $8,268
Piedmont HospitalAtlanta 86 $67,177 $9,806 $8,174
Saint Joseph's Hosp of AtlantaAtlanta 85 $20,414 $9,495 $7,855
St Francis Hospital, INCColumbus 82 $21,989 $8,960 $7,326
Northside Hospital ForsythCumming 79 $86,174 $9,902 $8,270
St Joseph's Hospital - SavannahSavannah 74 $36,455 $9,022 $7,381
Gwinnett Medical CenterLawrenceville 73 $83,760 $9,902 $8,269
Piedmont Fayette HospitalFayetteville 67 $66,741 $9,902 $8,270
Atrium Health Navicent the Medical CenterMacon 66 $39,740 $9,541 $7,909
Emory University HospitalAtlanta 59 $21,380 $9,762 $8,128
Southeast Georgia Reg Med CtrBrunswick 49 $42,255 $9,627 $7,995
John D Archbold Memorial HospitalThomasville 49 $39,422 $9,000 $7,368
Northside Hospital CherokeeCanton 47 $86,340 $9,902 $8,270
Henry Medical Center, INCStockbridge 45 $66,031 $9,859 $8,227
Emory University Hospital MidtownAtlanta 42 $22,055 $9,705 $8,067
Redmond Regional Medical CenterRome 42 $82,156 $9,536 $7,904
St Mary's HospitalAthens 40 $77,900 $9,729 $8,096
Medical College of Ga Hospitals and ClinicsAugusta 35 $67,317 $9,032 $7,400
Memorial Health Univ Med Cen, INCSavannah 34 $73,505 $9,022 $7,390
Sgmc HealthValdosta 34 $44,339 $8,587 $6,955
Emory Decatur HospitalDecatur 29 $22,588 $9,902 $8,270
Tift Regional Medical CenterTifton 28 $47,388 $9,145 $7,512
Athens Regional Medical CenterAthens 27 $63,745 $9,585 $7,951
Hamilton Medical CenterDalton 25 $68,192 $9,405 $7,773
Tanner Medical Center - CarrolltonCarrollton 24 $29,806 $9,558 $7,922
Northside HospitalAtlanta 23 $82,168 $9,553 $7,905
Wellstar Cobb HospitalAustell 22 $52,351 $9,902 $8,270
West Georgia Medical CenterLagrange 18 $56,393 $9,729 $8,097
Wellstar Paulding HospitalDallas 18 $48,241 $9,902 $8,270
Phoebe Putney Memorial HospitalAlbany 16 $57,954 $10,044 $8,412
Emory Eastside Medical CenterSnellville 16 $81,265 $9,385 $7,753
Fairview Park HospitalDublin 15 $117,060 $9,502 $7,870
Colquitt Reg Medical CenterMoultrie 14 $41,934 $9,660 $8,028
Union General HospitalBlairsville 13 $34,408 $9,660 $8,022
Coffee Regional Medical CenterDouglas 11 $33,922 $9,660 $8,028
Piedmont Mountainside Hospital INCJasper 11 $75,080 $9,150 $7,518
Upson Regional Medical CenterThomaston – – – –
Satilla Regional Medical CenterWaycross – – – –
Newton Medical CenterCovington – – – –
Spalding Regional Medical CenterGriffin – – – –
Piedmont Columbus Regional MidtownColumbus – – – –
Houston Medical CenterWarner Robins – – – –
East Georgia Regional Medical CenterStatesboro – – – –
Grady Memorial HospitalAtlanta – – – –
Rockdale Medical CenterConyers – – – –
Crisp Regional HospitalCordele – – – –
Burke Medical CenterWaynesboro – – – –
Meadows Regional Medical Center INCVidalia – – – –
Doctors HospitalAugusta – – – –
North Fulton Regional HospitalRoswell – – – –
Piedmont Newnan Hospital, INCNewnan – – – –
Emory Johns Creek HospitalJohns Creek – – – –
Northside Hospital DuluthDuluth – – – –
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Lowest and highest allowed amounts in Georgia

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

Sgmc HealthValdosta, GA$8,587
St Francis Hospital, INCColumbus, GA$8,960
John D Archbold Memorial HospitalThomasville, GA$9,000
Memorial Health Univ Med Cen, INCSavannah, GA$9,022
St Joseph's Hospital - SavannahSavannah, GA$9,022

Highest

Phoebe Putney Memorial HospitalAlbany, GA$10,044
Wellstar Kennestone HospitalMarietta, GA$9,902
Gwinnett Medical CenterLawrenceville, GA$9,902
Northside Hospital ForsythCumming, GA$9,902
Northside Hospital CherokeeCanton, GA$9,902

Level 3 Pacemaker and Similar Procedures in other states

Questions

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

In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 56 hospitals in Georgia was billed at $56,299 on average, while the average medicare-allowed amount was $9,511, of which Medicare paid $7,877. 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 Georgia, average charges were 5.9 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.