What 19 hospitals in Minnesota charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
Hospitals in Minnesota billed an average of $47,021 for level 3 pacemaker and similar procedures, about 4.5 times the average medicare-allowed amount of $10,368. That payment is 2% above 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 22¢ was paid for every $1 hospitals in Minnesota billed for this service.
Every Minnesota hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester | 161 | $37,748 | $10,902 | $9,272 |
| Essentia Health St Mary's Medical CenterDuluth | 135 | $40,534 | $10,122 | $8,489 |
| St Cloud HospitalSt Cloud | 115 | $45,666 | $10,838 | $9,206 |
| United HospitalSt Paul | 115 | $56,032 | $10,198 | $8,566 |
| Park Nicollet Methodist HospitalSaint Louis Park | 94 | $68,868 | $10,198 | $8,566 |
| Abbott Northwestern Hospital INCMinneapolis | 89 | $57,460 | $10,198 | $8,565 |
| Mercy HospitalCoon Rapids | 68 | $57,178 | $9,946 | $8,314 |
| Fairview Southdale HospitalEdina | 66 | $44,368 | $10,198 | $8,564 |
| Regions HospitalSt Paul | 64 | $49,410 | $10,198 | $8,566 |
| St Lukes HospitalDuluth | 54 | $33,920 | $10,122 | $8,488 |
| St John's HospitalSt Paul | 50 | $45,053 | $10,198 | $8,566 |
| North Memorial Medical CenterRobbinsdale | 39 | $32,323 | $10,198 | $8,566 |
| Mayo Clinic Health System - MankatoMankato | 36 | $31,347 | $10,934 | $9,302 |
| Sanford Bemidji Medical CenterBemidji | 34 | $42,171 | $10,635 | $9,003 |
| University of Minnesota Medical Center, FairviewMinneapolis | 19 | $44,141 | $10,033 | $8,376 |
| Hennepin County Medical CenterMinneapolis | – | – | – | – |
| Essentia Health DuluthDuluth | – | – | – | – |
| Itasca Medical CenterGrand Rapids | – | – | – | – |
| Essentia Health St Joseph's Medical CenterBrainerd | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Mercy HospitalCoon Rapids, MN | $9,946 |
|---|---|
| University of Minnesota Medical Center, FairviewMinneapolis, MN | $10,033 |
| Essentia Health St Mary's Medical CenterDuluth, MN | $10,122 |
| St Lukes HospitalDuluth, MN | $10,122 |
| North Memorial Medical CenterRobbinsdale, MN | $10,198 |
| Mayo Clinic Health System - MankatoMankato, MN | $10,934 |
|---|---|
| Mayo Clinic - Saint Marys HospitalRochester, MN | $10,902 |
| St Cloud HospitalSt Cloud, MN | $10,838 |
| Sanford Bemidji Medical CenterBemidji, MN | $10,635 |
| Fairview Southdale HospitalEdina, MN | $10,198 |
In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 19 hospitals in Minnesota was billed at $47,021 on average, while the average medicare-allowed amount was $10,368, of which Medicare paid $8,736. 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 Minnesota, average charges were 4.5 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.