Level 3 Pacemaker and Similar Procedures in Montana
What 9 hospitals in Montana charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
Average charge
$37,786
Hospital list price billed
Average allowed
$10,172
Medicare's payment + patient's share
Medicare paid
$8,536
Average per service
State rank
#31 of 49
1 = lowest average payment
Hospitals in Montana billed an average of $37,786 for level 3 pacemaker and similar procedures, about 3.7 times the average medicare-allowed amount of $10,172. That payment is about the same as 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 $10,172Billed $37,786
About 27¢ was paid for every $1 hospitals in Montana billed for this service.
Montana hospitals: level 3 pacemaker and similar procedures
Every Montana hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| St Patrick Hospital and Health Sciences CenterMissoula | 139 | $27,954 | $9,943 | $8,309 |
| Billings Clinic HospitalBillings | 86 | $28,196 | $10,003 | $8,371 |
| Logan Health Medical CenterKalispell | 56 | $49,177 | $10,711 | $9,075 |
| St James HealthcareButte | 43 | $44,379 | $10,711 | $9,072 |
| St Vincent HealthcareBillings | 38 | $37,537 | $10,003 | $8,364 |
| Benefis Hospitals INCGreat Falls | 30 | $46,205 | $10,004 | $8,359 |
| Bozeman Deaconess HospitalBozeman | 21 | $37,805 | $10,711 | $9,079 |
| Great Falls Clinic Medical CenterGreat Falls | 21 | $72,348 | $10,003 | $8,364 |
| Community Medical Center INCMissoula | 20 | $52,828 | $10,003 | $8,371 |
Lowest and highest allowed amounts in Montana
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
| St Patrick Hospital and Health Sciences CenterMissoula, MT | $9,943 |
|---|---|
| Billings Clinic HospitalBillings, MT | $10,003 |
| Community Medical Center INCMissoula, MT | $10,003 |
| St Vincent HealthcareBillings, MT | $10,003 |
| Great Falls Clinic Medical CenterGreat Falls, MT | $10,003 |
Highest
| St James HealthcareButte, MT | $10,711 |
|---|---|
| Logan Health Medical CenterKalispell, MT | $10,711 |
| Bozeman Deaconess HospitalBozeman, MT | $10,711 |
| Benefis Hospitals INCGreat Falls, MT | $10,004 |
| Great Falls Clinic Medical CenterGreat Falls, MT | $10,003 |
Level 3 Pacemaker and Similar Procedures in other states
Questions
How much does level 3 pacemaker and similar procedures cost in Montana?
In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 9 hospitals in Montana was billed at $37,786 on average, while the average medicare-allowed amount was $10,172, of which Medicare paid $8,536. 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 Montana, average charges were 3.7 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.