Level 3 Pacemaker and Similar Procedures in Ohio
What 75 hospitals in Ohio charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
Average charge
$41,280
Hospital list price billed
Average allowed
$9,097
Medicare's payment + patient's share
Medicare paid
$7,465
Average per service
State rank
#6 of 49
1 = lowest average payment
Hospitals in Ohio billed an average of $41,280 for level 3 pacemaker and similar procedures, about 4.5 times the average medicare-allowed amount of $9,097. That payment is 11% 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 $9,097Billed $41,280
About 22¢ was paid for every $1 hospitals in Ohio billed for this service.
Ohio hospitals: level 3 pacemaker and similar procedures
Every Ohio hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Christ HospitalCincinnati | 130 | $37,593 | $9,263 | $7,627 |
| Toledo Hospital theToledo | 120 | $41,252 | $9,068 | $7,436 |
| Miami Valley HospitalDayton | 105 | $57,316 | $9,121 | $7,487 |
| Riverside Methodist HospitalColumbus | 86 | $38,174 | $9,543 | $7,907 |
| Cleveland Clinic - Main CampusCleveland | 84 | $38,784 | $8,935 | $7,318 |
| Lima Memorial Health SystemLima | 74 | $38,306 | $9,342 | $7,708 |
| Ohio State University HospitalsColumbus | 73 | $34,168 | $9,469 | $7,831 |
| Kettering Medical CenterKettering | 67 | $42,187 | $9,577 | $7,943 |
| Mount Carmel HealthColumbus | 66 | $40,291 | $9,320 | $7,683 |
| Genesis Healthcare SystemZanesville | 66 | $52,741 | $9,876 | $8,244 |
| Fairview HospitalCleveland | 65 | $34,276 | $9,111 | $7,477 |
| University Hospitals - Elyria Medical CenterElyria | 64 | $35,039 | $9,111 | $7,479 |
| Hillcrest HospitalCleveland | 60 | $39,319 | $8,987 | $7,355 |
| Marietta Memorial HospitalMarietta | 59 | $38,933 | $5,294 | $3,662 |
| Bethesda North HospitalCincinnati | 53 | $34,585 | $9,112 | $7,475 |
| Fairfield Medical CenterLancaster | 49 | $41,875 | $9,543 | $7,911 |
| Grant Medical CenterColumbus | 48 | $40,453 | $9,543 | $7,906 |
| St Rita's Medical CenterLima | 46 | $54,338 | $9,128 | $7,494 |
| St Elizabeth Health CenterYoungstown | 44 | $63,590 | $9,082 | $7,450 |
| Aultman HospitalCanton | 42 | $32,639 | $8,910 | $7,302 |
| Mercy St Vincent Medical CenterToledo | 40 | $54,454 | $9,331 | $7,699 |
| Summa Health System - Akron CampusAkron | 38 | $67,024 | $9,082 | $7,447 |
| Springfield Regional Medical CenterSpringfield | 38 | $42,623 | $9,501 | $7,863 |
| Kettering Health DaytonDayton | 36 | $40,786 | $9,342 | $7,700 |
| University of Toledo Medical CenterToledo | 35 | $39,140 | $8,965 | $7,331 |
| Mercy Hospital FairfieldFairfield | 34 | $48,276 | $9,281 | $7,649 |
| Good Samaritan HospitalCincinnati | 34 | $31,683 | $9,056 | $7,424 |
| Southern Ohio Medical CenterPortsmouth | 33 | $38,946 | $9,725 | $8,093 |
| Mercy Medical CenterCanton | 33 | $39,083 | $8,897 | $7,265 |
| Cleveland Clinic - Akron GeneralAkron | 31 | $46,841 | $9,082 | $7,450 |
| Blanchard Valley Health AssnFindlay | 28 | $26,168 | $9,108 | $7,476 |
| Ohiohealth Mansfield HospitalMansfield | 28 | $40,044 | $9,342 | $7,710 |
| Marion General HospitalMarion | 27 | $38,488 | $9,056 | $7,424 |
| Southwest General Health CenterMiddleburg Heights | 27 | $29,257 | $9,112 | $7,466 |
| Mount Carmel St Ann's HospitalWesterville | 26 | $41,546 | $9,543 | $7,910 |
| Trinity Medical Ctr East&Trinity Medical Ctr WestSteubenville | 25 | $16,965 | $9,082 | $7,450 |
| Knox Community HospitalMt Vernon | 24 | $41,049 | $9,890 | $8,258 |
| UH Regional HospitalsRichmond Heights | 24 | $26,950 | $9,111 | $7,474 |
| University Hospitals of ClevelandCleveland | 23 | $38,484 | $9,111 | $7,479 |
| Atrium Medical CenterMiddletown | 21 | $36,960 | $9,267 | $7,633 |
| Wilson Memorial HospitalSidney | 17 | $51,972 | $9,577 | $7,945 |
| Wooster Community HospitalWooster | 17 | $34,613 | $8,689 | $7,057 |
| Lake Hospital SystemPainesville | 16 | $32,078 | $9,111 | $7,479 |
| Holzer Medical CenterGallipolis | 15 | $42,094 | $9,082 | $7,450 |
| St John Medical CenterWestlake | 15 | $31,224 | $8,941 | $7,329 |
| University Hospitals Ahuja Medical CenterBeachwood | 14 | $30,776 | $9,111 | $7,479 |
| University Hospital, INCCincinnati | 13 | $41,263 | $8,693 | $7,061 |
| Firelands Community HospitalSandusky | 13 | $23,574 | $9,082 | $7,448 |
| Mercy Hospital AndersonCincinnati | 12 | $51,133 | $9,281 | $7,649 |
| Jewish Hospital, LLCCincinnati | 12 | $43,622 | $9,281 | $7,649 |
| Parma Community General HospitalParma | 12 | $37,914 | $9,111 | $7,479 |
| Metrohealth SystemCleveland | 12 | $49,324 | $2,255 | $623 |
| Trumbull Memorial HospitalWarren | 11 | $84,711 | $9,082 | $7,450 |
| Samaritan Hospital - Peoples HospitalAshland | – | – | – | – |
| University Hospitals Portage Medical CenterRavenna | – | – | – | – |
| Mercy Hospital of TiffinTiffin | – | – | – | – |
| Memorial Hospital of Union CountyMarysville | – | – | – | – |
| Community Hospitals and Wellness CentersBryan | – | – | – | – |
| Ashtabula County Medical CenterAshtabula | – | – | – | – |
| Fort Hamilton Hughes Memorial HospitalHamilton | – | – | – | – |
| Marymount HospitalGarfield Heights | – | – | – | – |
| South Pointe HospitalWarrensville Heights | – | – | – | – |
| Adena Regional Medical CenterChillicothe | – | – | – | – |
| St Joseph Health CenterWarren | – | – | – | – |
| Mercy Regional Medical CenterLorain | – | – | – | – |
| Upper Valley Medical CenterTroy | – | – | – | – |
| Mary Rutan HospitalBellefontaine | – | – | – | – |
| Southeastern Ohio Regional Medical CenterCambridge | – | – | – | – |
| Licking Memorial HospitalNewark | – | – | – | – |
| Mercy Franciscan Hospital - Mt AiryCincinnati | – | – | – | – |
| West Chester Medical CenterWest Chester | – | – | – | – |
| Ohio Valley Medical Center, LLCSpringfield | – | – | – | – |
| Soin Medical CenterBeaver Creek | – | – | – | – |
| Avita OntarioOntario | – | – | – | – |
| Nationwide Children's HospitalColumbus | – | – | – | – |
Lowest and highest allowed amounts in Ohio
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
| Metrohealth SystemCleveland, OH | $2,255 |
|---|---|
| Marietta Memorial HospitalMarietta, OH | $5,294 |
| Wooster Community HospitalWooster, OH | $8,689 |
| University Hospital, INCCincinnati, OH | $8,693 |
| Mercy Medical CenterCanton, OH | $8,897 |
Highest
| Knox Community HospitalMt Vernon, OH | $9,890 |
|---|---|
| Genesis Healthcare SystemZanesville, OH | $9,876 |
| Southern Ohio Medical CenterPortsmouth, OH | $9,725 |
| Kettering Medical CenterKettering, OH | $9,577 |
| Wilson Memorial HospitalSidney, OH | $9,577 |
Level 3 Pacemaker and Similar Procedures in other states
Questions
How much does level 3 pacemaker and similar procedures cost in Ohio?
In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 75 hospitals in Ohio was billed at $41,280 on average, while the average medicare-allowed amount was $9,097, of which Medicare paid $7,465. 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 Ohio, average charges were 4.5 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.