Level 3 Pacemaker and Similar Procedures in New York
What 79 hospitals in New York charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
Average charge
$64,266
Hospital list price billed
Average allowed
$11,704
Medicare's payment + patient's share
Medicare paid
$10,071
Average per service
State rank
#46 of 49
1 = lowest average payment
Hospitals in New York billed an average of $64,266 for level 3 pacemaker and similar procedures, about 5.5 times the average medicare-allowed amount of $11,704. That payment is 15% 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 $11,704Billed $64,266
About 18¢ was paid for every $1 hospitals in New York billed for this service.
New York hospitals: level 3 pacemaker and similar procedures
Every New York hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| NYU Hospitals CenterNew York | 405 | $147,084 | $11,955 | $10,323 |
| New York-Presbyterian HospitalNew York | 291 | $64,792 | $11,958 | $10,329 |
| St Francis Hospital, RoslynRoslyn | 163 | $64,000 | $12,016 | $10,381 |
| University HospitalStony Brook | 107 | $59,384 | $11,911 | $10,274 |
| Good Samaritan Hospital Medical CenterWest Islip | 106 | $71,588 | $11,814 | $10,180 |
| Vassar Brothers Medical CenterPoughkeepsie | 96 | $41,178 | $11,461 | $9,829 |
| Buffalo General HospitalBuffalo | 92 | $19,970 | $11,308 | $9,674 |
| Strong Memorial HospitalRochester | 88 | $32,945 | $11,262 | $9,629 |
| Maimonides Medical CenterBrooklyn | 87 | $58,053 | $12,134 | $10,502 |
| St Joseph's Hospital Health CenterSyracuse | 85 | $37,661 | $11,308 | $9,671 |
| Mount Sinai HospitalNew York | 84 | $36,098 | $12,134 | $10,502 |
| White Plains Hospital CtrWhite Plains | 84 | $43,060 | $12,127 | $10,495 |
| St Peter's HospitalAlbany | 78 | $22,355 | $11,184 | $9,550 |
| Champlain Valley Physicians Hospital Medical CtrPlattsburgh | 78 | $48,038 | $12,109 | $10,477 |
| North Shore University HospitalManhasset | 75 | $63,134 | $11,724 | $10,091 |
| Mount Sinai WestNew York | 67 | $40,338 | $11,859 | $10,221 |
| Albany Medical Center HospitalAlbany | 61 | $37,713 | $11,308 | $9,676 |
| Huntington HospitalHuntington | 58 | $53,029 | $11,485 | $9,853 |
| Northern Westchester HospitalMt Kisco | 58 | $49,145 | $11,012 | $9,380 |
| Ellis HospitalSchenectady | 57 | $39,897 | $11,143 | $9,496 |
| Wynn HospitalUtica | 54 | $40,872 | $11,129 | $9,497 |
| Long Island Jewish Medical CenterNew Hyde Park | 52 | $60,280 | $12,012 | $10,380 |
| Garnet Health Medical CenterGoshen | 51 | $57,378 | $11,828 | $10,193 |
| Rochester General HospitalRochester | 49 | $33,954 | $11,111 | $9,479 |
| University Hospital S U N Y Health Science CenterSyracuse | 48 | $49,770 | $11,308 | $9,676 |
| Good Samaritan Hospital of SuffernSuffern | 46 | $98,106 | $11,928 | $10,320 |
| South Nassau Communities HospitalOceanside | 45 | $95,702 | $11,785 | $10,148 |
| Crouse HospitalSyracuse | 43 | $14,277 | $11,083 | $9,451 |
| Montefiore Medical CenterBronx | 35 | $65,892 | $11,994 | $10,361 |
| Mercy HospitalBuffalo | 35 | $41,053 | $11,308 | $9,673 |
| Glens Falls HospitalGlens Falls | 30 | $35,973 | $11,308 | $9,674 |
| Peconic Bay Medical CenterRiverhead | 29 | $61,869 | $8,721 | $7,089 |
| Cayuga Medical Center at IthacaIthaca | 28 | $25,752 | $12,109 | $10,477 |
| Lenox Hill HospitalNew York | 27 | $63,860 | $12,012 | $10,376 |
| Staten Island University HospitalStaten Island | 26 | $46,626 | $12,134 | $10,499 |
| Richmond University Medical CenterStaten Island | 25 | $95,421 | $11,760 | $10,158 |
| New York Hospital Medical Center of QueensNew York | 25 | $36,851 | $12,111 | $10,479 |
| Westchester Medical CenterValhalla | 25 | $116,359 | $12,134 | $10,499 |
| Arnot Ogden Medical CenterElmira | 24 | $38,983 | $11,308 | $9,676 |
| Long Island Community HospitalPatchogue | 23 | $160,581 | $11,910 | $10,278 |
| Mary Imogene Bassett HospitalCooperstown | 21 | $30,832 | $12,109 | $10,476 |
| St Catherine of Siena HospitalSmithtown | 21 | $70,311 | $11,910 | $10,278 |
| United Health Services HospsBinghamton | 19 | $34,915 | $11,308 | $9,676 |
| UPMC Chautauqua at WcaJamestown | 17 | $39,571 | $11,308 | $9,676 |
| Jamaica Hospital Med CenterJamaica | 16 | $35,812 | $12,134 | $10,502 |
| Saratoga HospitalSaratoga Springs | 15 | $48,130 | $11,308 | $9,667 |
| Samaritan Medical CenterWatertown | 14 | $31,666 | $12,109 | $10,477 |
| Unity Hospital of RochesterRochester | 14 | $27,358 | $11,309 | $9,635 |
| Southside HospitalBay Shore | 13 | $56,493 | $10,406 | $8,774 |
| Hudson Valley Hospital CenterCortlandt Manor | 13 | $66,373 | $12,134 | $10,502 |
| Olean General HospitalOlean | 11 | $23,128 | $12,109 | $10,477 |
| Our Lady of Lourdes Memorial Hospital, INCBinghamton | – | – | – | – |
| Brooklyn Hospital Center at Downtown CampusBrooklyn | – | – | – | – |
| Niagara Falls Memorial Medical CenterNiagara Falls | – | – | – | – |
| F F Thompson HospitalCanandaigua | – | – | – | – |
| Sisters of Charity HospitalBuffalo | – | – | – | – |
| Adirondack Medical CenterSaranac Lake | – | – | – | – |
| Columbia Memorial HospitalHudson | – | – | – | – |
| Kenmore Mercy HospitalBuffalo | – | – | – | – |
| Nyack HospitalNyack | – | – | – | – |
| Jacobi Medical CenterBronx | – | – | – | – |
| Beth Israel Medical CenterNew York | – | – | – | – |
| Cortland Regional Medical Center, INCCortland | – | – | – | – |
| Samaritan HospitalTroy | – | – | – | – |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | – | – | – | – |
| South Brooklyn HealthBrooklyn | – | – | – | – |
| Bellevue Hospital CenterNew York | – | – | – | – |
| Claxton-Hepburn Medical CenterOgdensburg | – | – | – | – |
| Wyckoff Heights Medical CenterBrooklyn | – | – | – | – |
| Healthalliance Hospital Marys Avenue CampusKingston | – | – | – | – |
| Brookdale Hospital Medical CenterBrooklyn | – | – | – | – |
| Auburn Memorial HospitalAuburn | – | – | – | – |
| Nicholas H Noyes Memorial HospitalDansville | – | – | – | – |
| St Charles HospitalPort Jefferson | – | – | – | – |
| Phelps Memorial Hospital AssnSleepy Hollow | – | – | – | – |
| Cornwall HospitalCornwall | – | – | – | – |
| Plainview HospitalPlainview | – | – | – | – |
| University Hospital of Brooklyn ( Downstate )Brooklyn | – | – | – | – |
| St Barnabas HospitalBronx | – | – | – | – |
Lowest and highest allowed amounts in New York
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
| Peconic Bay Medical CenterRiverhead, NY | $8,721 |
|---|---|
| Southside HospitalBay Shore, NY | $10,406 |
| Northern Westchester HospitalMt Kisco, NY | $11,012 |
| Crouse HospitalSyracuse, NY | $11,083 |
| Rochester General HospitalRochester, NY | $11,111 |
Highest
| Staten Island University HospitalStaten Island, NY | $12,134 |
|---|---|
| Westchester Medical CenterValhalla, NY | $12,134 |
| Jamaica Hospital Med CenterJamaica, NY | $12,134 |
| Mount Sinai HospitalNew York, NY | $12,134 |
| Maimonides Medical CenterBrooklyn, NY | $12,134 |
Level 3 Pacemaker and Similar Procedures in other states
Questions
How much does level 3 pacemaker and similar procedures cost in New York?
In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 79 hospitals in New York was billed at $64,266 on average, while the average medicare-allowed amount was $11,704, of which Medicare paid $10,071. 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 New York, average charges were 5.5 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.