facebook tracking Level 3 Pacemaker and Similar Procedures cost in Nevada: 17 hospitals compared (APC 5223)

Level 3 Pacemaker and Similar Procedures in Nevada

What 17 hospitals in Nevada 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 $119,148 Hospital list price billed
Average allowed $11,434 Medicare's payment + patient's share
Medicare paid $9,800 Average per service
State rank #42 of 49 1 = lowest average payment

Hospitals in Nevada billed an average of $119,148 for level 3 pacemaker and similar procedures, about 10.4 times the average medicare-allowed amount of $11,434. That payment is 12% 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 $11,434Billed $119,148

About 10¢ was paid for every $1 hospitals in Nevada billed for this service.

Nevada hospitals: level 3 pacemaker and similar procedures

Every Nevada hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Mountainview HospitalLas Vegas 102 $178,453 $11,422 $9,786
Renown Regional Medical CenterReno 78 $99,490 $11,422 $9,788
Saint Rose Dominican Hospital - Siena CampusHenderson 59 $105,607 $11,422 $9,786
Sunrise Hospital and Medical CenterLas Vegas 42 $104,624 $11,189 $9,554
University Medical CenterLas Vegas 41 $52,423 $11,189 $9,557
Carson Tahoe HospitalCarson City 40 $55,477 $11,368 $9,736
Summerlin Hospital Medical CenterLas Vegas 28 $201,912 $11,423 $9,782
Southern Hills Hospital and Medical CenterLas Vegas 25 $175,962 $11,422 $9,786
Saint Mary's Regional Medical CenterReno 20 $64,373 $11,422 $9,790
Northern Nevada Sierra Medical CenterReno 20 $116,325 $11,422 $9,790
Northern Nevada Medical CenterSparks 18 $103,117 $12,945 $11,309
Saint Rose Dominican Hospital - San Martin CampusLas Vegas 15 $111,046 $11,422 $9,790
Northeastern Nevada Regional HospitalElko – – – –
Valley Hospital Medical CenterLas Vegas – – – –
Spring Valley Hospital Medical CenterLas Vegas – – – –
Centennial Hills Hospital Medical CenterLas Vegas – – – –
Henderson HospitalHenderson – – – –
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Lowest and highest allowed amounts in Nevada

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Level 3 Pacemaker and Similar Procedures in other states

Questions

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

In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 17 hospitals in Nevada was billed at $119,148 on average, while the average medicare-allowed amount was $11,434, of which Medicare paid $9,800. 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 Nevada, average charges were 10.4 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.