Level 3 Pacemaker and Similar Procedures in North Carolina
What 50 hospitals in North Carolina charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
Average charge
$49,378
Hospital list price billed
Average allowed
$9,570
Medicare's payment + patient's share
Medicare paid
$7,937
Average per service
State rank
#17 of 49
1 = lowest average payment
Hospitals in North Carolina billed an average of $49,378 for level 3 pacemaker and similar procedures, about 5.2 times the average medicare-allowed amount of $9,570. That payment is 6% 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 $9,570Billed $49,378
About 19¢ was paid for every $1 hospitals in North Carolina billed for this service.
North Carolina hospitals: level 3 pacemaker and similar procedures
Every North Carolina hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| New Hanover Regional Medical CenterWilmington | 228 | $38,845 | $9,944 | $8,312 |
| Rex HospitalRaleigh | 183 | $40,413 | $9,482 | $7,853 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 138 | $57,668 | $9,232 | $7,597 |
| ECU Health Medical CenterGreenville | 113 | $29,159 | $9,287 | $7,649 |
| Carolina East Medical CenterNew Bern | 107 | $45,349 | $9,867 | $8,235 |
| Duke University Medical CenterDurham | 87 | $62,240 | $9,621 | $7,989 |
| Forsyth Memorial HospitalWinston-Salem | 83 | $48,131 | $9,726 | $8,089 |
| Presbyterian HospitalCharlotte | 82 | $45,120 | $9,493 | $7,859 |
| Wakemed, Cary HospitalCary | 77 | $59,900 | $9,504 | $7,872 |
| Firsthealth Moore Regional HospitalPinehurst | 72 | $54,178 | $9,456 | $7,824 |
| Wakemed, Raleigh CampusRaleigh | 70 | $72,436 | $9,607 | $7,975 |
| Carolinas Medical Center/Behav HealthCharlotte | 70 | $67,258 | $9,579 | $7,947 |
| Atrium Health PinevilleCharlotte | 67 | $45,330 | $9,351 | $7,719 |
| Moses H Cone Memorial Hospital, theGreensboro | 63 | $36,396 | $9,573 | $7,937 |
| UNC HospitalsChapel Hill | 61 | $42,927 | $9,744 | $8,109 |
| North Carolina Baptist HospitalWinston-Salem | 44 | $93,042 | $9,726 | $8,089 |
| Frye Regional Medical CenterHickory | 44 | $72,430 | $9,489 | $7,857 |
| Cape Fear Valley Medical CenterFayetteville | 41 | $50,565 | $9,056 | $7,424 |
| Johnston Memorial HospitalSmithfield | 36 | $52,010 | $9,600 | $7,968 |
| Carolinas Medical Center-NortheastConcord | 34 | $43,477 | $9,579 | $7,947 |
| High Point Regional Hlth SystHigh Point | 34 | $57,761 | $9,482 | $7,849 |
| Haywood Regional Medical CenterClyde | 27 | $89,104 | $9,287 | $7,655 |
| Caromont Regional Medical CenterGastonia | 24 | $74,853 | $9,257 | $7,625 |
| Carolinas Medical Center-UnionMonroe | 23 | $40,048 | $9,467 | $7,821 |
| Southeastern Regional Medical CenterLumberton | 22 | $35,702 | $9,944 | $8,312 |
| Margaret R Pardee Mem HospitalHendersonville | 21 | $30,228 | $9,287 | $7,655 |
| Watauga Medical CenterBoone | 21 | $27,995 | $9,944 | $8,312 |
| Duke Regional HospitalDurham | 21 | $53,725 | $9,590 | $7,958 |
| Iredell Memorial Hospital INCStatesville | 20 | $61,314 | $9,589 | $7,957 |
| Cleveland Regional Medical CenterShelby | 18 | $39,423 | $9,489 | $7,857 |
| Albemarle Hospital AuthorityElizabeth City | 18 | $25,141 | $9,944 | $8,312 |
| Lenoir Memorial HospitalKinston | 16 | $19,376 | $10,213 | $8,581 |
| Rowan Regional Medical CenterSalisbury | 15 | $36,961 | $9,589 | $7,957 |
| Presbyterian Hospital HuntersvilleHuntersville | 14 | $45,311 | $9,020 | $7,388 |
| Catawba Valley Medical CenterHickory | 11 | $43,711 | $9,409 | $7,777 |
| Wayne Memorial HospitalGoldsboro | – | – | – | – |
| Adventhealth HendersonvilleFletcher | – | – | – | – |
| Caldwell Memorial HospitalLenoir | – | – | – | – |
| Alamance Regional Medical CenterBurlington | – | – | – | – |
| Duke Health Raleigh HospitalRaleigh | – | – | – | – |
| Grace Hospital INCMorganton | – | – | – | – |
| Thomasville Medical CenterThomasville | – | – | – | – |
| Lexington Memorial Hospital INCLexington | – | – | – | – |
| Hugh Chatham Memorial HospitalElkin | – | – | – | – |
| Wilson Medical CenterWilson | – | – | – | – |
| Maria Parham HospitalHenderson | – | – | – | – |
| Carteret General HospitalMorehead City | – | – | – | – |
| Nash General HospitalRocky Mount | – | – | – | – |
| ECU Health North HospitalRoanoke Rapids | – | – | – | – |
| Presbyterian Hospital-MatthewsMatthews | – | – | – | – |
Lowest and highest allowed amounts in North Carolina
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
| Presbyterian Hospital HuntersvilleHuntersville, NC | $9,020 |
|---|---|
| Cape Fear Valley Medical CenterFayetteville, NC | $9,056 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | $9,232 |
| Caromont Regional Medical CenterGastonia, NC | $9,257 |
| Margaret R Pardee Mem HospitalHendersonville, NC | $9,287 |
Highest
| Lenoir Memorial HospitalKinston, NC | $10,213 |
|---|---|
| New Hanover Regional Medical CenterWilmington, NC | $9,944 |
| Southeastern Regional Medical CenterLumberton, NC | $9,944 |
| Watauga Medical CenterBoone, NC | $9,944 |
| Albemarle Hospital AuthorityElizabeth City, NC | $9,944 |
Level 3 Pacemaker and Similar Procedures in other states
Questions
How much does level 3 pacemaker and similar procedures cost in North Carolina?
In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 50 hospitals in North Carolina was billed at $49,378 on average, while the average medicare-allowed amount was $9,570, of which Medicare paid $7,937. 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 North Carolina, average charges were 5.2 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.