What 53 hospitals in Michigan charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
Hospitals in Michigan billed an average of $46,911 for level 3 pacemaker and similar procedures, about 4.9 times the average medicare-allowed amount of $9,572. That payment is 6% 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 20¢ was paid for every $1 hospitals in Michigan billed for this service.
Every Michigan hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| William Beaumont HospitalRoyal Oak | 98 | $46,436 | $9,511 | $7,876 |
| Munson Medical CenterTraverse City | 96 | $47,618 | $9,817 | $8,193 |
| Spectrum Health - Butterworth CampusGrand Rapids | 82 | $36,598 | $9,301 | $7,665 |
| Bay Regional Medical CenterBay City | 80 | $44,719 | $9,270 | $7,656 |
| Univ of Michigan HospitalsAnn Arbor | 77 | $62,429 | $9,871 | $8,237 |
| Borgess Medical CenterKalamazoo | 64 | $41,267 | $9,178 | $7,541 |
| McLaren Regional Medical CenterFlint | 61 | $96,441 | $10,023 | $8,386 |
| Midmichigan Medical Center-MidlandMidland | 57 | $30,437 | $9,962 | $8,334 |
| William Beaumont Hospital-TroyTroy | 57 | $43,087 | $9,413 | $7,778 |
| Providence Hospital and Medical CentersSouthfield | 56 | $51,839 | $9,392 | $7,749 |
| Trinity Health Ann Arbor HospitalAnn Arbor | 50 | $31,010 | $9,871 | $8,239 |
| Edward W Sparrow HospitalLansing | 49 | $59,395 | $9,297 | $7,665 |
| Mymichigan Medical Center SaginawSaginaw | 48 | $49,475 | $9,511 | $7,877 |
| Bronson Methodist HospitalKalamazoo | 40 | $30,681 | $9,334 | $7,702 |
| Marquette General Hlth SystemMarquette | 40 | $63,282 | $10,203 | $8,565 |
| St Joseph Mercy OaklandPontiac | 38 | $30,423 | $9,511 | $7,877 |
| Henry Ford Health Warren HospitalWarren | 38 | $38,357 | $9,297 | $7,662 |
| Northern Michigan Regional HospitalPetoskey | 36 | $45,729 | $10,019 | $8,386 |
| Beaumont Hospital - DearbornDearborn | 34 | $51,866 | $9,529 | $7,882 |
| Henry Ford Wyandotte HospitalWyandotte | 33 | $35,840 | $9,529 | $7,897 |
| Henry Ford Macomb HospitalClinton Twp | 29 | $37,383 | $9,399 | $7,766 |
| Covenant Medical Center, INCSaginaw | 26 | $38,928 | $9,511 | $7,870 |
| McLaren Greater LansingLansing | 25 | $70,732 | $9,213 | $7,559 |
| Allegiance HealthJackson | 24 | $30,707 | $9,200 | $7,558 |
| Trinity Health Muskegon HospitalMuskegon | 21 | $25,870 | $10,060 | $8,423 |
| Genesys Regional Medical Center - Health ParkGrand Blanc | 21 | $71,787 | $10,022 | $8,390 |
| Lakeland Hospital, St JosephSt Joseph | 20 | $47,727 | $9,299 | $7,667 |
| Port Huron HospitalPort Huron | 20 | $50,342 | $9,399 | $7,755 |
| St John Hospital and Medical CenterDetroit | 18 | $44,427 | $9,529 | $7,897 |
| Ascension Providence Rochester HospitalRochester | 18 | $56,064 | $9,511 | $7,879 |
| Henry Ford West Bloomfield HospitalWest Bloomfield Twp | 18 | $37,960 | $9,529 | $7,897 |
| McLaren MacombMt Clemens | 16 | $39,945 | $9,399 | $7,753 |
| Henry Ford HospitalDetroit | 15 | $49,420 | $9,529 | $7,897 |
| Central Michigan Community HospitalMt Pleasant | 14 | $41,838 | $9,357 | $7,707 |
| Hurley Medical CenterFlint | 13 | $29,449 | $10,023 | $8,373 |
| Beaumont Hospital - Farmington HillsFarmington Hls | 13 | $41,403 | $9,529 | $7,879 |
| University of Michigan Health - WestWyoming | 12 | $51,888 | $9,396 | $7,764 |
| Alpena Regional Medical CenterAlpena | 11 | $29,386 | $10,019 | $8,387 |
| St Mary Mercy HospitalLivonia | – | – | – | – |
| Sinai-Grace HospitalDetroit | – | – | – | – |
| Mymichigan Medical Center AlmaAlma | – | – | – | – |
| St Joseph Mercy Port HuronPort Huron | – | – | – | – |
| Hillsdale Community Health CenterHillsdale | – | – | – | – |
| Dickinson County Memorial HospitalIron Mountain | – | – | – | – |
| Saint Mary's Health CareGrand Rapids | – | – | – | – |
| Holland Community HospitalHolland | – | – | – | – |
| Beaumont Hospital, Grosse PointeGrosse Pointe | – | – | – | – |
| West Branch Regional Medical CenterWest Branch | – | – | – | – |
| Promedica Monroe Regional HospitalMonroe | – | – | – | – |
| Harper University HospitalDetroit | – | – | – | – |
| Corewell Health Wayne HospitalWayne | – | – | – | – |
| Corewell Health Trenton HospitalTrenton | – | – | – | – |
| Huron Valley-Sinai HospitalCommerce Twp | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Borgess Medical CenterKalamazoo, MI | $9,178 |
|---|---|
| Allegiance HealthJackson, MI | $9,200 |
| McLaren Greater LansingLansing, MI | $9,213 |
| Bay Regional Medical CenterBay City, MI | $9,270 |
| Edward W Sparrow HospitalLansing, MI | $9,297 |
| Marquette General Hlth SystemMarquette, MI | $10,203 |
|---|---|
| Trinity Health Muskegon HospitalMuskegon, MI | $10,060 |
| Hurley Medical CenterFlint, MI | $10,023 |
| McLaren Regional Medical CenterFlint, MI | $10,023 |
| Genesys Regional Medical Center - Health ParkGrand Blanc, MI | $10,022 |
In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 53 hospitals in Michigan was billed at $46,911 on average, while the average medicare-allowed amount was $9,572, of which Medicare paid $7,938. 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 Michigan, average charges were 4.9 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.