facebook tracking Level 3 Pacemaker and Similar Procedures cost in Illinois: 81 hospitals compared (APC 5223)

Level 3 Pacemaker and Similar Procedures in Illinois

What 81 hospitals in Illinois 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 $54,965 Hospital list price billed
Average allowed $10,032 Medicare's payment + patient's share
Medicare paid $8,397 Average per service
State rank #28 of 49 1 = lowest average payment

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.

Paid $10,032Billed $54,965

About 18¢ was paid for every $1 hospitals in Illinois billed for this service.

Illinois hospitals: level 3 pacemaker and similar procedures

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 – – – –
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Lowest and highest allowed amounts in Illinois

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

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

Highest

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

Level 3 Pacemaker and Similar Procedures in other states

Questions

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

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.

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 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.