Level 3 Pacemaker and Similar Procedures in Kentucky
What 33 hospitals in Kentucky charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
Average charge
$77,952
Hospital list price billed
Average allowed
$9,219
Medicare's payment + patient's share
Medicare paid
$7,586
Average per service
State rank
#10 of 49
1 = lowest average payment
Hospitals in Kentucky billed an average of $77,952 for level 3 pacemaker and similar procedures, about 8.5 times the average medicare-allowed amount of $9,219. That payment is 10% 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 $9,219Billed $77,952
About 12¢ was paid for every $1 hospitals in Kentucky billed for this service.
Kentucky hospitals: level 3 pacemaker and similar procedures
Every Kentucky hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Norton Healthcare PavilionLouisville | 120 | $71,705 | $9,159 | $7,525 |
| Baptist Hospital EastLouisville | 118 | $137,964 | $9,159 | $7,531 |
| Jewish HospitalLouisville | 95 | $47,377 | $9,115 | $7,483 |
| Central Baptist HospitalLexington | 76 | $122,913 | $9,142 | $7,504 |
| St Elizabeth Med Center-SouthEdgewood | 62 | $53,026 | $9,181 | $7,549 |
| King's Daughters' Medical CenterAshland | 48 | $42,131 | $8,936 | $7,299 |
| Owensboro Medical Health SystemOwensboro | 45 | $67,082 | $9,689 | $8,054 |
| Western Baptist HospitalPaducah | 40 | $138,030 | $9,762 | $8,130 |
| Pikeville Medical CenterPikeville | 38 | $73,084 | $9,692 | $8,060 |
| Lourdes HospitalPaducah | 38 | $54,698 | $9,120 | $7,487 |
| Saint Joseph HospitalLexington | 34 | $20,081 | $9,043 | $7,411 |
| Hardin Memorial HospitalElizabethtown | 34 | $115,376 | $8,973 | $7,341 |
| The Medical Center at Bowling GreenBowling Green | 27 | $30,180 | $8,940 | $7,308 |
| University of Kentucky HospLexington | 25 | $58,755 | $9,242 | $7,610 |
| T J Samson Community HospitalGlasgow | 24 | $35,609 | $9,788 | $8,156 |
| Baptist Health Deaconess MadisonvilleMadisonville | 24 | $151,219 | $9,872 | $8,237 |
| Hazard Arh Regional Medical CenterHazard | 21 | $68,466 | $8,466 | $6,826 |
| Lake Cumberland Regional HospitalSomerset | 18 | $116,842 | $9,563 | $7,957 |
| Saint Joseph LondonLondon | 17 | $26,249 | $8,955 | $7,323 |
| Ephraim McDowell Regional Medical CenterDanville | 16 | $47,942 | $9,186 | $7,554 |
| Saint Joseph EastLexington | 15 | $16,580 | $9,242 | $7,610 |
| Baptist Regional Medical CtrCorbin | 12 | $115,999 | $8,955 | $7,323 |
| Greenview Regional HospitalBowling Green | 12 | $49,810 | $9,221 | $7,584 |
| Meadowview Regional Medical CenterMaysville | 11 | $50,406 | $9,588 | $7,956 |
| Murray-Calloway County HospitalMurray | 11 | $71,103 | $8,955 | $7,323 |
| Taylor Regional HospitalCampbellsville | 11 | $17,635 | $8,955 | $7,323 |
| St Claire Regional Medical CenterMorehead | – | – | – | – |
| Memorial HospitalManchester | – | – | – | – |
| Bourbon Community HospitalParis | – | – | – | – |
| Harrison Memorial HospitalCynthiana | – | – | – | – |
| Clark Regional Medical CenterWinchester | – | – | – | – |
| Jackson Purchase Medical CenterMayfield | – | – | – | – |
| University of Louisville HospitalLouisville | – | – | – | – |
Lowest and highest allowed amounts in Kentucky
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
| Hazard Arh Regional Medical CenterHazard, KY | $8,466 |
|---|---|
| King's Daughters' Medical CenterAshland, KY | $8,936 |
| The Medical Center at Bowling GreenBowling Green, KY | $8,940 |
| Saint Joseph LondonLondon, KY | $8,955 |
| Murray-Calloway County HospitalMurray, KY | $8,955 |
Highest
| Baptist Health Deaconess MadisonvilleMadisonville, KY | $9,872 |
|---|---|
| T J Samson Community HospitalGlasgow, KY | $9,788 |
| Western Baptist HospitalPaducah, KY | $9,762 |
| Pikeville Medical CenterPikeville, KY | $9,692 |
| Owensboro Medical Health SystemOwensboro, KY | $9,689 |
Level 3 Pacemaker and Similar Procedures in other states
Questions
How much does level 3 pacemaker and similar procedures cost in Kentucky?
In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 33 hospitals in Kentucky was billed at $77,952 on average, while the average medicare-allowed amount was $9,219, of which Medicare paid $7,586. 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 Kentucky, average charges were 8.5 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.