Level 3 Pacemaker and Similar Procedures in Missouri
What 49 hospitals in Missouri charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
Average charge
$47,923
Hospital list price billed
Average allowed
$9,340
Medicare's payment + patient's share
Medicare paid
$7,707
Average per service
State rank
#13 of 49
1 = lowest average payment
Hospitals in Missouri billed an average of $47,923 for level 3 pacemaker and similar procedures, about 5.1 times the average medicare-allowed amount of $9,340. That payment is 8% 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 $9,340Billed $47,923
About 19¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 3 pacemaker and similar procedures
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Boone Hospital CenterColumbia | 148 | $36,675 | $9,059 | $7,423 |
| St Francis Medical CenterCape Girardeau | 102 | $99,531 | $9,762 | $8,130 |
| Mercy Hospital SpringfieldSpringfield | 99 | $28,907 | $8,975 | $7,343 |
| Mosaic Life Care at St JosephSt Joseph | 77 | $38,816 | $10,037 | $8,405 |
| Lester E Cox Medical CentersSpringfield | 72 | $42,478 | $8,873 | $7,241 |
| Barnes Jewish HospitalSt Louis | 64 | $32,129 | $9,251 | $7,619 |
| Mercy Hospital SouthSt Louis | 63 | $24,123 | $9,440 | $7,813 |
| St Lukes HospitalChesterfield | 63 | $31,390 | $9,372 | $7,740 |
| Missouri Baptist Medical CenterTown and Country | 56 | $29,855 | $9,328 | $7,696 |
| St Lukes Hospital of Kansas CityKansas City | 53 | $43,917 | $9,030 | $7,398 |
| University Hospitals & ClinicsColumbia | 50 | $60,346 | $8,998 | $7,366 |
| Nkc HealthNorth Kansas City | 48 | $55,420 | $9,320 | $7,688 |
| Saint Luke's East Lee's Summit HospitalLee's Summit | 48 | $39,161 | $9,320 | $7,688 |
| St John's Mercy Medical CenterSt Louis | 46 | $28,288 | $9,497 | $7,865 |
| Mercy Hospital JoplinJoplin | 45 | $26,186 | $8,975 | $7,343 |
| Southeast Missouri HospitalCape Girardeau | 37 | $31,607 | $9,762 | $8,130 |
| Freeman Health System - Freeman WestJoplin | 37 | $74,327 | $8,975 | $7,343 |
| St Joseph Medical CenterKansas City | 31 | $87,789 | $9,320 | $7,688 |
| Research Medical CenterKansas City | 30 | $147,681 | $9,320 | $7,681 |
| St Johns Mercy HospitalWashington | 29 | $24,863 | $9,497 | $7,865 |
| Centerpoint Medical CenterIndependence | 28 | $175,545 | $9,320 | $7,677 |
| Cox Medical Center BransonBranson | 27 | $39,518 | $9,610 | $7,978 |
| Lake Regional Health SystemOsage Beach | 27 | $37,545 | $9,610 | $7,975 |
| SSM St Joseph Health CenterSt Charles | 24 | $27,448 | $9,328 | $7,696 |
| Liberty HospitalLiberty | 24 | $55,236 | $9,320 | $7,688 |
| SSM St Joseph Hospital WestLake St Louis | 20 | $23,752 | $9,497 | $7,865 |
| St Marys Health CenterJefferson City | 19 | $21,826 | $9,032 | $7,374 |
| Christian Hospital NortheastSt Louis | 17 | $36,113 | $9,328 | $7,696 |
| Saint Luke's Northland HospSmithville | 15 | $40,795 | $9,320 | $7,688 |
| St Luke's Des Peres HospitalSaint Louis | 15 | $48,820 | $9,497 | $7,865 |
| Phelps County Regional Medical CenterRolla | 13 | $57,316 | $10,169 | $8,537 |
| Ozarks Medical CenterWest Plains | 13 | $31,527 | $9,610 | $7,978 |
| Poplar Bluff Regional Medical CenterPoplar Bluff | 13 | $113,797 | $9,610 | $7,967 |
| Fitzgibbon Memorial HospitalMarshall | 13 | $28,309 | $9,610 | $7,978 |
| Parkland Health CenterFarmington | 13 | $27,754 | $10,169 | $8,537 |
| Bothwell Regional Health CenterSedalia | 11 | $31,179 | $9,980 | $8,348 |
| Northeast Regional Medical CenterKirksville | – | – | – | – |
| Jefferson Memorial HospitalCrystal City | – | – | – | – |
| Hannibal Regional HospitalHannibal | – | – | – | – |
| Truman Medical Center Hospital HillKansas City | – | – | – | – |
| Moberly Regional Medical CenterMoberly | – | – | – | – |
| SSM St Joseph Hosp of KirkwoodSt Louis | – | – | – | – |
| SSM St Mary's Health CenterSt Louis | – | – | – | – |
| SSM Depaul Health CenterBridgeton | – | – | – | – |
| St Louis University HospitalSt Louis | – | – | – | – |
| Lee's Summit HospitalLee's Summit | – | – | – | – |
| Barnes-Jewish St Peters HospitalSt Peters | – | – | – | – |
| St Mary's Medical CenterBlue Springs | – | – | – | – |
| Progress West Healthcare CenterO'fallon | – | – | – | – |
Lowest and highest allowed amounts in Missouri
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
| Lester E Cox Medical CentersSpringfield, MO | $8,873 |
|---|---|
| Mercy Hospital JoplinJoplin, MO | $8,975 |
| Mercy Hospital SpringfieldSpringfield, MO | $8,975 |
| Freeman Health System - Freeman WestJoplin, MO | $8,975 |
| University Hospitals & ClinicsColumbia, MO | $8,998 |
Highest
| Phelps County Regional Medical CenterRolla, MO | $10,169 |
|---|---|
| Parkland Health CenterFarmington, MO | $10,169 |
| Mosaic Life Care at St JosephSt Joseph, MO | $10,037 |
| Bothwell Regional Health CenterSedalia, MO | $9,980 |
| Southeast Missouri HospitalCape Girardeau, MO | $9,762 |
Level 3 Pacemaker and Similar Procedures in other states
Questions
How much does level 3 pacemaker and similar procedures cost in Missouri?
In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 49 hospitals in Missouri was billed at $47,923 on average, while the average medicare-allowed amount was $9,340, of which Medicare paid $7,707. 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 Missouri, average charges were 5.1 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.