Level 3 Pacemaker and Similar Procedures in Indiana
What 46 hospitals in Indiana charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
Average charge
$58,080
Hospital list price billed
Average allowed
$9,672
Medicare's payment + patient's share
Medicare paid
$8,038
Average per service
State rank
#24 of 49
1 = lowest average payment
Hospitals in Indiana billed an average of $58,080 for level 3 pacemaker and similar procedures, about 6.0 times the average medicare-allowed amount of $9,672. That payment is 5% 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 $9,672Billed $58,080
About 17¢ was paid for every $1 hospitals in Indiana billed for this service.
Indiana hospitals: level 3 pacemaker and similar procedures
Every Indiana hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| St Vincent Heart Center of Indiana LLCIndianapolis | 126 | $45,571 | $9,572 | $7,928 |
| Union Hospital INCTerre Haute | 109 | $39,038 | $9,638 | $8,002 |
| St Mary's Medical Center of Evansville INCEvansville | 95 | $73,989 | $9,429 | $7,795 |
| Deaconess Hospital INCEvansville | 85 | $32,933 | $9,512 | $7,880 |
| St Vincent Hospital & Health ServicesIndianapolis | 84 | $45,761 | $9,541 | $7,910 |
| Floyd Memorial Hospital and Health ServicesNew Albany | 82 | $134,864 | $9,474 | $7,843 |
| Community Hospital EastIndianapolis | 73 | $61,855 | $9,589 | $7,957 |
| Parkview HospitalFort Wayne | 71 | $65,604 | $9,853 | $8,221 |
| Community HospitalMunster | 67 | $33,971 | $10,034 | $8,399 |
| St Mary Medical Center INCHobart | 64 | $35,675 | $10,034 | $8,401 |
| Reid Hosp & Hlth Care ServicesRichmond | 59 | $33,882 | $10,040 | $8,408 |
| Lutheran Hospital of IndianaFort Wayne | 48 | $92,370 | $9,499 | $7,867 |
| Clarian Health PartnersIndianapolis | 47 | $64,593 | $9,723 | $8,090 |
| Franciscan Health IndianapolisIndianapolis | 45 | $105,207 | $9,548 | $7,911 |
| IU Health Goshen HospitalGoshen | 40 | $45,988 | $9,853 | $8,210 |
| Bloomington HospitalBloomington | 39 | $71,080 | $9,638 | $8,004 |
| Memorial Hospital of South BendSouth Bend | 36 | $35,145 | $9,630 | $7,997 |
| Community Hospital SouthIndianapolis | 36 | $56,939 | $9,723 | $8,091 |
| Memorial Hospital and Health Care CenterJasper | 34 | $32,738 | $9,512 | $7,880 |
| Indiana University Health Arnett HospitalLafayette | 34 | $53,684 | $9,513 | $7,877 |
| Porter, Valparaiso HospitalValparaiso | 29 | $143,910 | $9,258 | $7,665 |
| Franciscan St Margaret Health - DyerDyer | 27 | $57,487 | $10,034 | $8,402 |
| Saint Joseph Reg Medical CtrSouth Bend | 25 | $37,931 | $9,853 | $8,221 |
| Ball Memorial Hospital INCMuncie | 25 | $63,550 | $9,647 | $8,015 |
| Columbus Regional HospitalColumbus | 25 | $24,785 | $9,817 | $8,176 |
| Riverview HospitalNoblesville | 23 | $56,358 | $9,638 | $8,006 |
| Elkhart General HospitalElkhart | 19 | $46,459 | $9,853 | $8,221 |
| Good Samaritan HospitalVincennes | 19 | $42,914 | $9,512 | $7,880 |
| La Porte Regional Health SystLa Porte | 17 | $70,171 | $9,512 | $7,880 |
| Marion General HospitalMarion | 16 | $28,451 | $10,320 | $8,688 |
| Franciscan Health LafayetteLafayette | 15 | $52,615 | $9,512 | $7,880 |
| Franciscan St Anthony Health - Crown PointCrown Point | 15 | $53,586 | $10,034 | $8,402 |
| Methodist Hospitals, INCGary | 12 | $71,242 | $10,034 | $8,402 |
| Howard Regional Health SystemKokomo | – | – | – | – |
| St Catherine Hospital INCEast Chicago | – | – | – | – |
| Clark Memorial HospitalJeffersonville | – | – | – | – |
| Franciscan St Anthony Health - Michigan CityMichigan City | – | – | – | – |
| Terre Haute Regional HospitalTerre Haute | – | – | – | – |
| Dearborn County HospitalLawrenceburg | – | – | – | – |
| Community Hospital of Anderson and Madison CountyAnderson | – | – | – | – |
| Kosciusko Community HospitalWarsaw | – | – | – | – |
| Indiana University Health West HospitalAvon | – | – | – | – |
| Indiana University Health North HospitalCarmel | – | – | – | – |
| Franciscan Physicians Hospital LLCMunster | – | – | – | – |
| Pinnacle HospitalCrown Point | – | – | – | – |
| Physicians' Medical Center LLCNew Albany | – | – | – | – |
Lowest and highest allowed amounts in Indiana
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
| Porter, Valparaiso HospitalValparaiso, IN | $9,258 |
|---|---|
| St Mary's Medical Center of Evansville INCEvansville, IN | $9,429 |
| Floyd Memorial Hospital and Health ServicesNew Albany, IN | $9,474 |
| Lutheran Hospital of IndianaFort Wayne, IN | $9,499 |
| La Porte Regional Health SystLa Porte, IN | $9,512 |
Highest
| Marion General HospitalMarion, IN | $10,320 |
|---|---|
| Reid Hosp & Hlth Care ServicesRichmond, IN | $10,040 |
| Community HospitalMunster, IN | $10,034 |
| St Mary Medical Center INCHobart, IN | $10,034 |
| Methodist Hospitals, INCGary, IN | $10,034 |
Level 3 Pacemaker and Similar Procedures in other states
Questions
How much does level 3 pacemaker and similar procedures cost in Indiana?
In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 46 hospitals in Indiana was billed at $58,080 on average, while the average medicare-allowed amount was $9,672, of which Medicare paid $8,038. 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 Indiana, average charges were 6.0 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.