What 81 hospitals in Illinois charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
Hospitals in Illinois billed an average of $54,965 for level 3 pacemaker and similar procedures, about 5.5 times the average medicare-allowed amount of $10,032. That payment is 2% 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.
About 18¢ was paid for every $1 hospitals in Illinois billed for this service.
Every Illinois hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Evanston HospitalEvanston | 180 | $52,750 | $9,956 | $8,322 |
| St Johns HospitalSpringfield | 127 | $68,263 | $9,798 | $8,153 |
| Saint Francis Medical CenterPeoria | 113 | $78,349 | $9,788 | $8,155 |
| Alexian Brothers Medical CenterElk Grove Village | 89 | $38,749 | $10,376 | $8,741 |
| Advocate Good Samaritan HospitalDowners Grove | 88 | $44,809 | $10,130 | $8,498 |
| Trinity Rock IslandRock Island | 81 | $43,750 | $9,861 | $8,224 |
| Northwestern Memorial HospitalChicago | 80 | $65,805 | $10,268 | $8,635 |
| Edward HospitalNaperville | 77 | $65,583 | $10,130 | $8,495 |
| Northwest Community HospitalArlington Heights | 65 | $45,489 | $10,130 | $8,487 |
| Sherman HospitalElgin | 62 | $30,685 | $10,422 | $8,786 |
| Memorial Hospital of CarbondaleCarbondale | 62 | $61,958 | $9,861 | $8,213 |
| Central Dupage HospitalWinfield | 60 | $92,765 | $9,988 | $8,356 |
| Riverside Medical CenterKankakee | 59 | $58,900 | $10,034 | $8,402 |
| St Elizabeth HospitalBelleville | 58 | $53,480 | $9,811 | $8,181 |
| Elmhurst Memorial HospitalElmhurst | 58 | $59,349 | $9,983 | $8,349 |
| Blessing HospitalQuincy | 49 | $120,814 | $10,559 | $8,927 |
| Advocate Condell Medical CenterLibertyville | 49 | $54,109 | $10,069 | $8,431 |
| St Marys HospitalDecatur | 48 | $42,452 | $9,692 | $8,055 |
| Advocate Good Shepherd HospitalBarrington | 47 | $41,354 | $10,062 | $8,430 |
| Resurrection Medical CenterChicago | 46 | $55,858 | $10,130 | $8,492 |
| Rush University Medical CenterChicago | 45 | $50,686 | $10,376 | $8,735 |
| Loyola University Medical CenterMaywood | 44 | $42,888 | $10,376 | $8,744 |
| Carle Foundation HospitalUrbana | 43 | $43,970 | $9,670 | $8,038 |
| Hinsdale HospitalHinsdale | 43 | $48,352 | $10,130 | $8,496 |
| Advocate Lutheran General HospitalPark Ridge | 43 | $36,112 | $10,130 | $8,498 |
| Provena St Joseph Medical CenterJoliet | 42 | $56,625 | $9,947 | $8,310 |
| Silver Cross HospitalJoliet | 40 | $26,163 | $9,917 | $8,285 |
| Lake Forest HospitalLake Forest | 38 | $67,853 | $10,069 | $8,437 |
| Saint Anthony Medical CenterRockford | 38 | $51,710 | $10,148 | $8,514 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 37 | $42,861 | $10,118 | $8,480 |
| Methodist Medical Center of IllinoisPeoria | 37 | $66,758 | $9,861 | $8,229 |
| Bromenn Healthcare SystemNormal | 34 | $32,232 | $9,861 | $8,224 |
| Northwestern Medicine McHenryMcHenry | 33 | $48,476 | $10,130 | $8,497 |
| Provena St Marys HospitalKankakee | 31 | $47,030 | $10,034 | $8,402 |
| Palos Community HospitalPalos Heights | 27 | $25,963 | $10,130 | $8,493 |
| Delnor Community HospitalGeneva | 24 | $68,157 | $10,422 | $8,786 |
| Good Samaritan Regional Hlth CenterMt Vernon | 23 | $44,541 | $9,861 | $8,226 |
| The University of Chicago Medical CenterChicago | 22 | $82,089 | $9,979 | $8,347 |
| OSF Heart of Mary Medical CenterUrbana | 22 | $40,425 | $9,861 | $8,229 |
| Memorial Medical CenterSpringfield | 22 | $55,955 | $9,861 | $8,228 |
| Memorial HospitalBelleville | 21 | $27,319 | $9,861 | $8,229 |
| Alton Memorial HospitalAlton | 20 | $31,881 | $9,449 | $7,817 |
| Cgh Medical CenterSterling | 20 | $57,834 | $9,449 | $7,817 |
| Swedish Covenant HospitalChicago | 20 | $45,728 | $10,130 | $8,498 |
| Swedish American HospitalRockford | 20 | $90,946 | $10,376 | $8,744 |
| St Alexius Medical CenterSchaumburg | 19 | $39,960 | $9,916 | $8,284 |
| Copley Memorial HospitalAurora | 16 | $46,343 | $10,416 | $8,770 |
| Kishwaukee Community HospitalDekalb | 16 | $56,256 | $10,376 | $8,744 |
| Ingalls Memorial HospitalHarvey | 15 | $39,781 | $10,130 | $8,498 |
| Javon Bea HospitalRockford | 15 | $42,959 | $9,861 | $8,229 |
| St Joseph Medical CenterBloomington | 13 | $38,116 | $9,861 | $8,229 |
| Rhc St Francis HospitalEvanston | 12 | $48,162 | $10,376 | $8,744 |
| Franciscan Health Olympia & Chicago HeightsOlympia Fields | 12 | $68,496 | $10,130 | $8,498 |
| Little Company of Mary HospitalEvergreen Park | 11 | $53,037 | $10,376 | $8,744 |
| Heartland Regional Medical CenterMarion | 11 | $137,763 | $9,861 | $8,229 |
| Illini HospitalSilvis | 11 | $39,696 | $9,113 | $7,481 |
| Loyola Gottlieb Memorial HospitalMelrose Park | – | – | – | – |
| OSF Saint Katharine Medical CenterDixon | – | – | – | – |
| Mt Sinai Hospital Medical CenterChicago | – | – | – | – |
| Advocate Trinity HospitalChicago | – | – | – | – |
| West Suburban Hosp Med CenterOak Park | – | – | – | – |
| Saint Anthony's Health CenterAlton | – | – | – | – |
| Macneal HospitalBerwyn | – | – | – | – |
| Jersey Community HospitalJerseyville | – | – | – | – |
| Rush Oak Park HospitalOak Park | – | – | – | – |
| St Mary Medical CenterGalesburg | – | – | – | – |
| Louis a Weiss Memorial HospitalChicago | – | – | – | – |
| OSF Sacred Heart Medical CenterDanville | – | – | – | – |
| Saint Anthony HospitalChicago | – | – | – | – |
| Morris Hospital & Healthcare CentersMorris | – | – | – | – |
| John H Stroger Jr HospitalChicago | – | – | – | – |
| Decatur Memorial HospitalDecatur | – | – | – | – |
| University of Illinois Hospital and ClinicsChicago | – | – | – | – |
| Fhn Memorial HospitalFreeport | – | – | – | – |
| St Mary & Elizabeth Med Ctr-Division CampusChicago | – | – | – | – |
| Advocate Illinois Masonic Medical CenterChicago | – | – | – | – |
| Sarah Bush Lincoln Health CenterMattoon | – | – | – | – |
| Humboldt Park HealthChicago | – | – | – | – |
| Provena - Saint Joseph HospitalElgin | – | – | – | – |
| Saint Joseph HospitalChicago | – | – | – | – |
| Anderson HospitalMaryville | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Illini HospitalSilvis, IL | $9,113 |
|---|---|
| Alton Memorial HospitalAlton, IL | $9,449 |
| Cgh Medical CenterSterling, IL | $9,449 |
| Carle Foundation HospitalUrbana, IL | $9,670 |
| St Marys HospitalDecatur, IL | $9,692 |
| Blessing HospitalQuincy, IL | $10,559 |
|---|---|
| Delnor Community HospitalGeneva, IL | $10,422 |
| Sherman HospitalElgin, IL | $10,422 |
| Copley Memorial HospitalAurora, IL | $10,416 |
| Rush University Medical CenterChicago, IL | $10,376 |
In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 81 hospitals in Illinois was billed at $54,965 on average, while the average medicare-allowed amount was $10,032, of which Medicare paid $8,397. Your own cost depends on your insurance, deductible and the hospital.
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 Illinois, average charges were 5.5 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.