facebook tracking Level 3 Pacemaker and Similar Procedures cost in Oregon: 21 hospitals compared (APC 5223)

Level 3 Pacemaker and Similar Procedures in Oregon

What 21 hospitals in Oregon 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 $44,635 Hospital list price billed
Average allowed $11,536 Medicare's payment + patient's share
Medicare paid $9,901 Average per service
State rank #45 of 49 1 = lowest average payment

Hospitals in Oregon billed an average of $44,635 for level 3 pacemaker and similar procedures, about 3.9 times the average medicare-allowed amount of $11,536. That payment is 13% 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 $11,536Billed $44,635

About 26¢ was paid for every $1 hospitals in Oregon billed for this service.

Oregon hospitals: level 3 pacemaker and similar procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Providence St Vincent Medical CenterPortland 89 $36,465 $11,191 $9,558
Rogue Valley Medical CenterMedford 87 $59,217 $12,685 $11,051
St Charles Medical Center - BendBend 60 $39,809 $11,270 $9,634
Sacred Heart Medical Center - RiverbendSpringfield 54 $50,521 $10,919 $9,287
Adventist Medical CenterPortland 46 $37,466 $11,191 $9,559
Good Samaritan Regional Medical CenterCorvallis 42 $33,105 $11,074 $9,442
Legacy Good Samaritan Medical CenterPortland 35 $35,448 $10,918 $9,286
OHSU Hospital and ClinicsPortland 34 $39,150 $11,191 $9,559
Willamette Valley Medical CtrMcMinnville 34 $26,861 $11,192 $9,534
Providence Portland Medical CenterPortland 31 $35,609 $11,191 $9,559
McKenzie-Willamette Medical CenterSpringfield 27 $114,053 $11,095 $9,463
Providence Medford Medical CenterMedford 25 $48,678 $12,945 $11,313
Sky Lakes Medical CenterKlamath Falls 23 $41,706 $13,862 $12,223
Mercy Medical CenterRoseburg 20 $37,349 $11,652 $10,011
Bay Area HospitalCoos Bay 18 $42,165 $11,095 $9,453
Salem HospitalSalem 13 $47,928 $11,857 $10,225
Legacy Meridian Park Medical CenterTualatin 13 $35,100 $11,191 $9,559
Three Rivers Community HospitalGrants Pass – – – –
Legacy Emanuel Medical CenterPortland – – – –
Providence Newberg HospitalNewberg – – – –
Kaiser Sunnyside Medical CenterClackamas – – – –
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Lowest and highest allowed amounts in Oregon

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

Highest

Sky Lakes Medical CenterKlamath Falls, OR$13,862
Providence Medford Medical CenterMedford, OR$12,945
Rogue Valley Medical CenterMedford, OR$12,685
Salem HospitalSalem, OR$11,857
Mercy Medical CenterRoseburg, OR$11,652

Level 3 Pacemaker and Similar Procedures in other states

Questions

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

In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 21 hospitals in Oregon was billed at $44,635 on average, while the average medicare-allowed amount was $11,536, of which Medicare paid $9,901. 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 Oregon, average charges were 3.9 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.