What 17 hospitals in Nevada charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
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.
About 10¢ was paid for every $1 hospitals in Nevada billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Sunrise Hospital and Medical CenterLas Vegas, NV | $11,189 |
|---|---|
| University Medical CenterLas Vegas, NV | $11,189 |
| Carson Tahoe HospitalCarson City, NV | $11,368 |
| Saint Mary's Regional Medical CenterReno, NV | $11,422 |
| Saint Rose Dominican Hospital - San Martin CampusLas Vegas, NV | $11,422 |
| Northern Nevada Medical CenterSparks, NV | $12,945 |
|---|---|
| Summerlin Hospital Medical CenterLas Vegas, NV | $11,423 |
| Mountainview HospitalLas Vegas, NV | $11,422 |
| Southern Hills Hospital and Medical CenterLas Vegas, NV | $11,422 |
| Saint Rose Dominican Hospital - Siena CampusHenderson, NV | $11,422 |
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.
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.