Level 3 Pacemaker and Similar Procedures in Pennsylvania
What 82 hospitals in Pennsylvania charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
Average charge
$66,851
Hospital list price billed
Average allowed
$10,079
Medicare's payment + patient's share
Medicare paid
$8,447
Average per service
State rank
#30 of 49
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $66,851 for level 3 pacemaker and similar procedures, about 6.6 times the average medicare-allowed amount of $10,079. That payment is 1% 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 $10,079Billed $66,851
About 15¢ was paid for every $1 hospitals in Pennsylvania billed for this service.
Pennsylvania hospitals: level 3 pacemaker and similar procedures
Every Pennsylvania hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Lehigh Valley HospitalAllentown | 159 | $109,398 | $10,405 | $8,773 |
| Lancaster General HospitalLancaster | 132 | $61,189 | $9,903 | $8,273 |
| Robert Packer HospitalSayre | 104 | $22,110 | $9,773 | $8,143 |
| St Luke's Hospital BethlehemBethlehem | 102 | $65,295 | $10,405 | $8,773 |
| York HospitalYork | 96 | $41,112 | $10,043 | $8,411 |
| UPMC Pinnacle HospitalsHarrisburg | 92 | $52,400 | $9,562 | $7,926 |
| Penn Presbyterian Medical CenterPhiladelphia | 90 | $81,875 | $10,646 | $9,014 |
| Main Line Hospital LankenauWynnewood | 86 | $32,711 | $10,292 | $8,660 |
| Doylestown HospitalDoylestown | 83 | $65,832 | $10,292 | $8,653 |
| Hospital of the Univ of PaPhiladelphia | 78 | $204,976 | $10,747 | $9,115 |
| Chester County HospitalWest Chester | 72 | $39,597 | $10,292 | $8,660 |
| Hamot Medical CenterErie | 68 | $74,436 | $10,897 | $9,268 |
| Thomas Jefferson University HospitalPhiladelphia | 66 | $58,584 | $10,046 | $8,414 |
| Abington Memorial HospitalAbington | 66 | $58,443 | $10,009 | $8,372 |
| St Mary Medical CenterLanghorne | 57 | $53,199 | $10,602 | $8,963 |
| Reading Hospital and Med CtrWest Reading | 55 | $63,525 | $9,749 | $8,113 |
| Wilkes-Barre General HospitalWilkes-Barre | 55 | $125,215 | $9,531 | $7,894 |
| Chambersburg HospitalChambersburg | 52 | $56,700 | $10,644 | $9,007 |
| Jefferson Health- NortheastPhiladelphia | 50 | $57,289 | $10,365 | $8,733 |
| Main Line Hospital PaoliPaoli | 50 | $33,982 | $10,138 | $8,505 |
| Williamsport Hospital & Medical CenterWilliamsport | 49 | $64,231 | $9,531 | $7,899 |
| Geisinger Medical CenterDanville | 47 | $67,042 | $9,531 | $7,892 |
| Altoona Regional Health SystemAltoona | 47 | $41,396 | $10,206 | $8,574 |
| St Joseph Medical CenterReading | 47 | $81,332 | $9,558 | $7,926 |
| Mount Nittany Medical CenterState College | 46 | $37,151 | $10,764 | $9,129 |
| UPMC Presbyterian ShadysidePittsburgh | 44 | $131,593 | $9,531 | $7,899 |
| Mercy Hospital ScrantonScranton | 42 | $111,523 | $9,531 | $7,899 |
| Temple University HospitalPhiladelphia | 41 | $87,708 | $9,961 | $8,421 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 40 | $63,988 | $9,531 | $7,893 |
| Holy Spirit HospitalCamp Hill | 39 | $84,246 | $9,661 | $8,029 |
| Good Samaritan HospitalLebanon | 37 | $63,248 | $10,117 | $8,481 |
| Butler Health SystemButler | 37 | $56,525 | $9,531 | $7,897 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 34 | $52,795 | $10,009 | $8,377 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 31 | $35,373 | $10,292 | $8,653 |
| Allegheny General HospitalPittsburgh | 29 | $62,311 | $9,259 | $7,619 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 28 | $102,197 | $10,747 | $9,115 |
| Heritage Valley BeaverBeaver | 27 | $36,639 | $9,531 | $7,899 |
| Phoenixville HospitalPhoenixville | 26 | $68,372 | $10,292 | $8,660 |
| Geisinger-Community Medical CenterScranton | 25 | $71,951 | $9,531 | $7,895 |
| Saint Vincent Health CenterErie | 24 | $86,459 | $11,241 | $9,602 |
| Ephrata Community HospitalEphrata | 24 | $35,678 | $9,730 | $8,098 |
| Lewistown HospitalLewistown | 23 | $33,738 | $10,206 | $8,574 |
| Dubois Regional Medical CenterDubois | 22 | $29,098 | $10,206 | $8,574 |
| Grand View HospitalSellersville | 20 | $30,675 | $10,292 | $8,660 |
| Hanover HospitalHanover | 19 | $48,656 | $10,043 | $8,411 |
| Milton S Hershey Medical CenterHershey | 19 | $96,927 | $10,043 | $8,391 |
| Nason HospitalRoaring Spring | 18 | $38,354 | $9,532 | $7,886 |
| St Clair Memorial HospitalPittsburgh | 18 | $50,984 | $9,531 | $7,899 |
| Conemaugh Valley Memorial HospitalJohnstown | 17 | $43,402 | $10,206 | $8,574 |
| Excela Health Westmoreland Regional HospitalGreensburg | 17 | $39,131 | $9,531 | $7,899 |
| Washington Hospital, theWashington | 16 | $27,158 | $9,531 | $7,899 |
| Crozer Chester Medical CenterChester | 16 | $50,878 | $10,365 | $8,733 |
| Gettysburg HospitalGettysburg | 14 | $37,218 | $10,512 | $8,880 |
| UPMC LititzLititz | 14 | $45,958 | $9,408 | $7,790 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 14 | $55,963 | $9,531 | $7,899 |
| UPMC MemorialYork | 13 | $50,636 | $9,658 | $8,037 |
| UPMC PassavantPittsburgh | 13 | $109,063 | $9,531 | $7,899 |
| Pocono Medical CenterEast Stroudsburg | 13 | $90,088 | $9,731 | $8,095 |
| St Luke's Hospital - Carbon CampusLehighton | 13 | $62,521 | $9,725 | $8,093 |
| Albert Einstein Medical CenterPhiladelphia | 12 | $32,926 | $10,365 | $8,733 |
| Holy Redeemer Hosp and Med CtrJenkintown | 11 | $47,363 | $10,009 | $8,377 |
| Jefferson Regional Medical CenterClairton | 11 | $55,763 | $9,531 | $7,899 |
| Evangelical Community HospitalLewisburg | – | – | – | – |
| UPMC MercyPittsburgh | – | – | – | – |
| Schuylkill Medical Center - South Jackson StreetPottsville | – | – | – | – |
| Heritage Valley SewickleySewickley | – | – | – | – |
| Somerset HospitalSomerset | – | – | – | – |
| Uniontown HospitalUniontown | – | – | – | – |
| Windber HospitalWindber | – | – | – | – |
| Meadville Medical CenterMeadville | – | – | – | – |
| UPMC BedfordEverett | – | – | – | – |
| Monongahela Valley HospitalMonongahela | – | – | – | – |
| Mercy Health SystemConshohocken | – | – | – | – |
| ACMH HospitalKittanning | – | – | – | – |
| Indiana Regional Medical CenterIndiana | – | – | – | – |
| Hazleton General HospitalHazleton | – | – | – | – |
| Nazareth HospitalPhiladelphia | – | – | – | – |
| Sharon Regional Health SystemSharon | – | – | – | – |
| Grove City Medical CenterGrove City | – | – | – | – |
| UPMC EastMonroeville | – | – | – | – |
| St Luke's Hospital - Monroe CampusStroudsburg | – | – | – | – |
| Penn State Health Lancaster Medical CenterLancaster | – | – | – | – |
Lowest and highest allowed amounts in Pennsylvania
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
| Allegheny General HospitalPittsburgh, PA | $9,259 |
|---|---|
| UPMC LititzLititz, PA | $9,408 |
| Heritage Valley BeaverBeaver, PA | $9,531 |
| Washington Hospital, theWashington, PA | $9,531 |
| Williamsport Hospital & Medical CenterWilliamsport, PA | $9,531 |
Highest
| Saint Vincent Health CenterErie, PA | $11,241 |
|---|---|
| Hamot Medical CenterErie, PA | $10,897 |
| Mount Nittany Medical CenterState College, PA | $10,764 |
| Hospital of the Univ of PaPhiladelphia, PA | $10,747 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA | $10,747 |
Level 3 Pacemaker and Similar Procedures in other states
Questions
How much does level 3 pacemaker and similar procedures cost in Pennsylvania?
In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 82 hospitals in Pennsylvania was billed at $66,851 on average, while the average medicare-allowed amount was $10,079, of which Medicare paid $8,447. 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 Pennsylvania, average charges were 6.6 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.