facebook tracking Level 3 Pacemaker and Similar Procedures cost in Minnesota: 19 hospitals compared (APC 5223)

Level 3 Pacemaker and Similar Procedures in Minnesota

What 19 hospitals in Minnesota 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 $47,021 Hospital list price billed
Average allowed $10,368 Medicare's payment + patient's share
Medicare paid $8,736 Average per service
State rank #34 of 49 1 = lowest average payment

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.

Paid $10,368Billed $47,021

About 22¢ was paid for every $1 hospitals in Minnesota billed for this service.

Minnesota hospitals: level 3 pacemaker and similar procedures

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 – – – –
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Lowest and highest allowed amounts in Minnesota

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

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

Highest

Level 3 Pacemaker and Similar Procedures in other states

Questions

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

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.

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 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.