Level 3 Pacemaker and Similar Procedures in Hawaii
What 9 hospitals in Hawaii charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
Average charge
$33,264
Hospital list price billed
Average allowed
$12,250
Medicare's payment + patient's share
Medicare paid
$10,618
Average per service
State rank
#48 of 49
1 = lowest average payment
Hospitals in Hawaii billed an average of $33,264 for level 3 pacemaker and similar procedures, about 2.7 times the average medicare-allowed amount of $12,250. That payment is 20% 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 $12,250Billed $33,264
About 37¢ was paid for every $1 hospitals in Hawaii billed for this service.
Hawaii hospitals: level 3 pacemaker and similar procedures
Every Hawaii hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Straub Clinic and HospitalHonolulu | 88 | $28,218 | $12,048 | $10,416 |
| The Queens Medical CenterHonolulu | 48 | $35,242 | $12,264 | $10,632 |
| Hilo Medical CenterHilo | 19 | $60,245 | $13,133 | $11,501 |
| Pali Momi Medical CenterAiea | 13 | $32,959 | $12,264 | $10,632 |
| Kuakini Medical CenterHonolulu | 12 | $19,966 | $12,264 | $10,632 |
| Maui Memorial Medical CenterWailuku | – | – | – | – |
| Castle Medical CenterKailua | – | – | – | – |
| Kaiser Foundation HospitalHonolulu | – | – | – | – |
| Kona Community HospitalKealakekua | – | – | – | – |
Lowest and highest allowed amounts in Hawaii
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
| Straub Clinic and HospitalHonolulu, HI | $12,048 |
|---|---|
| The Queens Medical CenterHonolulu, HI | $12,264 |
| Kuakini Medical CenterHonolulu, HI | $12,264 |
| Pali Momi Medical CenterAiea, HI | $12,264 |
| Hilo Medical CenterHilo, HI | $13,133 |
Highest
| Hilo Medical CenterHilo, HI | $13,133 |
|---|---|
| The Queens Medical CenterHonolulu, HI | $12,264 |
| Kuakini Medical CenterHonolulu, HI | $12,264 |
| Pali Momi Medical CenterAiea, HI | $12,264 |
| Straub Clinic and HospitalHonolulu, HI | $12,048 |
Level 3 Pacemaker and Similar Procedures in other states
Questions
How much does level 3 pacemaker and similar procedures cost in Hawaii?
In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 9 hospitals in Hawaii was billed at $33,264 on average, while the average medicare-allowed amount was $12,250, of which Medicare paid $10,618. 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 Hawaii, average charges were 2.7 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.