What 21 hospitals in Oregon charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
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.
About 26¢ was paid for every $1 hospitals in Oregon billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Legacy Good Samaritan Medical CenterPortland, OR | $10,918 |
|---|---|
| Sacred Heart Medical Center - RiverbendSpringfield, OR | $10,919 |
| Good Samaritan Regional Medical CenterCorvallis, OR | $11,074 |
| McKenzie-Willamette Medical CenterSpringfield, OR | $11,095 |
| Bay Area HospitalCoos Bay, OR | $11,095 |
| 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 |
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.
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.