facebook tracking Level 3 Pacemaker and Similar Procedures cost in Louisiana: 38 hospitals compared (APC 5223)

Level 3 Pacemaker and Similar Procedures in Louisiana

What 38 hospitals in Louisiana 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 $58,433 Hospital list price billed
Average allowed $8,939 Medicare's payment + patient's share
Medicare paid $7,302 Average per service
State rank #3 of 49 1 = lowest average payment

Hospitals in Louisiana billed an average of $58,433 for level 3 pacemaker and similar procedures, about 6.5 times the average medicare-allowed amount of $8,939. That payment is 12% 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 $8,939Billed $58,433

About 15¢ was paid for every $1 hospitals in Louisiana billed for this service.

Louisiana hospitals: level 3 pacemaker and similar procedures

Every Louisiana 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 Francis Medical CenterMonroe 111 $48,118 $8,875 $7,231
Our Lady of Lourdes Regional Medical Center, INCLafayette 90 $55,044 $8,875 $7,235
Willis Knighton Medical CenterShreveport 85 $38,922 $8,984 $7,333
Lafayette General Medical CenterLafayette 74 $68,748 $8,874 $7,239
Our Lady of the Lake Regional Medical CenterBaton Rouge 68 $61,029 $9,025 $7,386
Ochsner Foundation HospitalNew Orleans 61 $55,357 $8,874 $7,242
St Tammany Parish HospitalCovington 56 $64,919 $9,041 $7,406
Tulane Medical CenterNew Orleans 50 $112,485 $8,893 $7,260
CHRISTUS St Frances Cabrini HospitalAlexandria 47 $61,839 $9,240 $7,608
Baton Rouge General Medical CenterBaton Rouge 40 $31,345 $8,964 $7,332
CHRISTUS Schumpert Health SystemShreveport 39 $61,139 $9,250 $7,618
Lake Charles Memorial HospitalLake Charles 37 $29,717 $8,952 $7,320
Terrebonne General Medical CenterHouma 32 $40,362 $8,498 $6,866
Touro InfirmaryNew Orleans 26 $86,945 $9,041 $7,409
Rapides Regional Medical CenterAlexandria 22 $68,449 $8,894 $7,258
Slidell Memorial HospitalSlidell 17 $49,750 $8,605 $6,973
Opelousas General Health SystemOpelousas 14 $46,344 $8,955 $7,323
North Oaks Medical CenterHammond 11 $147,091 $8,889 $7,235
Cypress Pointe Surgical HospitalHammond 11 $70,163 $8,888 $7,256
University Medical Center New OrleansNew Orleans – – – –
Natchitoches Regional Medical CenterNatchitoches – – – –
Ochsner LSU Health MonroeMonroe – – – –
Lane Regional Medical CenterZachary – – – –
CHRISTUS St Patrick HospitalLake Charles – – – –
West Jefferson Medical CenterMarrero – – – –
Jennings American Legion HospitalJennings – – – –
Iberia General Hospital and Medical CenterNew Iberia – – – –
Northern Louisiana Medical CenterRuston – – – –
LSU Medical Center-Univ HospShreveport – – – –
Minden Medical CenterMinden – – – –
Glenwood Regional Medical CenterWest Monroe – – – –
Byrd Regional HospitalLeesville – – – –
Mercy Regional Medical CenterVille Platte – – – –
Leonard J Chabert Medical CenterHouma – – – –
Ochsner Medical Center-Baton RougeBaton Rouge – – – –
Ochsner Medical Center-Kenner LLCKenner – – – –
Our Lady of the Angels HospitalBogalusa – – – –
Acadian Medical CenterEunice – – – –
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Lowest and highest allowed amounts in Louisiana

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Level 3 Pacemaker and Similar Procedures in other states

Questions

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

In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 38 hospitals in Louisiana was billed at $58,433 on average, while the average medicare-allowed amount was $8,939, of which Medicare paid $7,302. 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 Louisiana, average charges were 6.5 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.