What 22 hospitals in Iowa charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
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.
About 24¢ was paid for every $1 hospitals in Iowa billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| 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 |
| 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 |
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.
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.