facebook tracking Level 3 Pacemaker and Similar Procedures cost in Iowa: 22 hospitals compared (APC 5223)

Level 3 Pacemaker and Similar Procedures in Iowa

What 22 hospitals in Iowa 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 $39,824 Hospital list price billed
Average allowed $9,364 Medicare's payment + patient's share
Medicare paid $7,731 Average per service
State rank #14 of 49 1 = lowest average payment

Hospitals in Iowa billed an average of $39,824 for level 3 pacemaker and similar procedures, about 4.3 times the average medicare-allowed amount of $9,364. That payment is 8% 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 $9,364Billed $39,824

About 24¢ was paid for every $1 hospitals in Iowa billed for this service.

Iowa hospitals: level 3 pacemaker and similar procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Mercy Medical Center-Des MoinesDes Moines 137 $46,938 $9,130 $7,496
University of Iowa Hospital & ClinicsIowa City 127 $41,716 $9,400 $7,767
Iowa Methodist Medical CenterDes Moines 86 $43,501 $9,165 $7,532
Mercy Medical Center-North IowaMason City 75 $29,376 $10,341 $8,703
St Lukes Regional Medical CenterSioux City 72 $41,827 $9,052 $7,420
Allen Memorial HospitalWaterloo 61 $41,387 $9,089 $7,459
St Lukes HospitalCedar Rapids 56 $44,214 $9,203 $7,571
Mary Greeley Medical CenterAmes 51 $33,818 $9,165 $7,533
Mercy Medical Center-DubuqueDubuque 48 $20,345 $9,729 $8,097
Mercy Medical Center - Cedar RapidsCedar Rapids 38 $34,864 $9,203 $7,571
Genesis Medical Center-DavenportDavenport 35 $40,856 $9,203 $7,571
Jennie Edmundson HospitalCouncil Bluffs 24 $39,787 $9,616 $7,981
Ottumwa Regional Health CenterOttumwa 24 $58,261 $9,855 $8,223
Mercyone Siouxland Medical CenterSioux City 15 $23,126 $9,616 $7,984
Trinity Regional Medical CenterFort Dodge 11 $40,993 $9,776 $8,144
The Finley HospitalDubuque 11 $35,925 $9,130 $7,498
St Anthony Regional Hospital & Nursing HomeCarroll – – – –
Alegent Health Mercy HospitalCouncil Bluffs – – – –
Southeast Iowa Regional Medical CenterWest Burlington – – – –
Mercyone Waterloo Medical CenterWaterloo – – – –
Mercy Medical Center-ClintonClinton – – – –
Trinity Medical CenterDavenport – – – –
Advertisement

Lowest and highest allowed amounts in Iowa

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

St Lukes Regional Medical CenterSioux City, IA$9,052
Allen Memorial HospitalWaterloo, IA$9,089
The Finley HospitalDubuque, IA$9,130
Mercy Medical Center-Des MoinesDes Moines, IA$9,130
Mary Greeley Medical CenterAmes, IA$9,165

Highest

Mercy Medical Center-North IowaMason City, IA$10,341
Ottumwa Regional Health CenterOttumwa, IA$9,855
Trinity Regional Medical CenterFort Dodge, IA$9,776
Mercy Medical Center-DubuqueDubuque, IA$9,729
Jennie Edmundson HospitalCouncil Bluffs, IA$9,616

Level 3 Pacemaker and Similar Procedures in other states

Questions

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

In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 22 hospitals in Iowa was billed at $39,824 on average, while the average medicare-allowed amount was $9,364, of which Medicare paid $7,731. 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 Iowa, average charges were 4.3 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.