facebook tracking Level 3 Pacemaker and Similar Procedures cost in Michigan: 53 hospitals compared (APC 5223)

Level 3 Pacemaker and Similar Procedures in Michigan

What 53 hospitals in Michigan 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 $46,911 Hospital list price billed
Average allowed $9,572 Medicare's payment + patient's share
Medicare paid $7,938 Average per service
State rank #18 of 49 1 = lowest average payment

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.

Paid $9,572Billed $46,911

About 20¢ was paid for every $1 hospitals in Michigan billed for this service.

Michigan hospitals: level 3 pacemaker and similar procedures

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 – – – –
Advertisement

Lowest and highest allowed amounts in Michigan

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

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

Level 3 Pacemaker and Similar Procedures in other states

Questions

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

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.

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 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.