facebook tracking Level 3 Pacemaker and Similar Procedures cost in Texas: 161 hospitals compared (APC 5223)

Level 3 Pacemaker and Similar Procedures in Texas

What 161 hospitals in Texas 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 $83,240 Hospital list price billed
Average allowed $9,482 Medicare's payment + patient's share
Medicare paid $7,851 Average per service
State rank #15 of 49 1 = lowest average payment

Hospitals in Texas billed an average of $83,240 for level 3 pacemaker and similar procedures, about 8.8 times the average medicare-allowed amount of $9,482. That payment is 7% 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 $9,482Billed $83,240

About 11¢ was paid for every $1 hospitals in Texas billed for this service.

Texas hospitals: level 3 pacemaker and similar procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
The Heart Hospital Baylor PlanoPlano 323 $61,630 $9,520 $7,888
Methodist HospitalSan Antonio 268 $82,028 $8,972 $7,359
Baylor Heart and Vascular HospitalDallas 188 $56,689 $9,561 $7,928
St Davids HospitalAustin 157 $151,523 $9,294 $7,661
Hendrick Health SystemAbilene 144 $113,804 $9,901 $8,278
Trinity Mother Frances SystTyler 143 $64,689 $9,207 $7,575
Methodist Hospital,TheHouston 142 $99,239 $9,719 $8,086
Mem Hermann Southwest HospHouston 91 $25,893 $9,803 $8,171
Baptist Medical CenterSan Antonio 90 $139,940 $9,260 $7,628
Texas Health Presbyterian Hospital DallasDallas 87 $52,046 $9,420 $7,788
Lubbock Heart Hospital LpLubbock 80 $47,781 $9,260 $7,628
St David's South Austin Medical CenterAustin 79 $146,099 $9,295 $7,663
East Texas Medical CenterTyler 76 $77,417 $9,160 $7,527
St Lukes Episcopal HospitalHouston 75 $88,524 $9,784 $8,147
CHRISTUS Santa Rosa HospitalSan Antonio 73 $66,180 $9,260 $7,628
Baylor Regional Medical Center at GrapevineGrapevine 72 $57,939 $9,634 $7,997
Texas Health Harris Methodist Fort WorthFort Worth 70 $48,713 $9,489 $7,857
Round Rock Medical CenterRound Rock 68 $148,842 $9,393 $7,756
Shannon Medical CenterSan Angelo 67 $70,455 $9,915 $8,283
Longview Regional Medical CenterLongview 66 $156,024 $9,374 $7,742
Medical City Dallas HospitalDallas 63 $164,165 $9,603 $7,971
Methodist Willowbrook HospitalHouston 55 $89,093 $9,601 $7,990
The Heart Hospital Baylor DentonDenton 55 $55,644 $9,634 $7,998
CHI St Lukes Health Memorial LufkinLufkin 51 $114,899 $9,260 $7,628
Scott & White Memorial HospitalTemple 50 $52,480 $9,576 $7,944
Clear Lake Regional Medical CenterWebster 50 $81,419 $9,894 $8,256
United Regional Hlth Care SystWichita Falls 48 $34,620 $9,960 $8,320
Baylor Scott & White Medical Center- College StatiCollege Station 48 $50,137 $9,552 $7,918
Denton Regional Medical CenterDenton 47 $153,067 $9,463 $7,826
Hillcrest Baptist Med CenterWaco 46 $51,980 $9,433 $7,801
Denton Community HospitalDenton 46 $53,286 $9,634 $8,000
Texas Health Heart & Vascular Hospital ArlingtonArlington 46 $51,145 $9,634 $8,002
Mem Hermann Mem City HospHouston 44 $25,498 $9,706 $8,066
UT Southwestern University HospitalDallas 43 $51,958 $9,233 $7,591
Plaza Medical Center of Fort WorthFort Worth 43 $183,927 $9,448 $7,805
Kingwood Medical CenterKingwood 43 $169,874 $9,894 $8,262
Resolute Health HospitalNew Braunfels 41 $90,125 $9,280 $7,648
Scott & White Hospital-Round RockRound Rock 40 $45,247 $9,199 $7,567
Covenant Medical CenterLubbock 38 $63,262 $9,261 $7,617
Texoma Healthcare SystemDenison 38 $68,233 $9,603 $7,965
CHRISTUS St Michael Health SystemTexarkana 37 $67,206 $9,260 $7,619
Memorial Hermann Texas Medical CenterHouston 35 $39,532 $9,658 $8,026
Seton Medical Center AustinAustin 34 $177,176 $9,393 $7,761
Methodist Sugar Land HospitalSugar Land 32 $80,304 $9,894 $8,262
St Luke's the Woodlands HospitalConroe 31 $78,498 $9,894 $8,260
Methodist Stone Oak HospitalSan Antonio 31 $84,647 $9,260 $7,628
The Medical Center of Southeast TexasPort Arthur 30 $78,133 $9,289 $7,649
Texas Health Presbyterian Hospital PlanoPlano 28 $52,366 $9,603 $7,971
HCA Houston Healthcare Medical CenterHouston 27 $153,318 $9,894 $8,253
Memorial Hermann NortheastHumble 27 $25,283 $9,588 $7,947
Doctors Hospital at RenaissanceEdinburg 27 $52,337 $8,987 $7,346
Methodist Richardson Medical CenterRichardson 26 $38,717 $9,123 $7,486
Houston Methodist West HospitalHouston 26 $86,305 $9,576 $7,944
Houston Methodist the Woodlands HospitalThe Woodlands 26 $96,331 $9,894 $8,262
Bsa HospitalAmarillo 25 $47,096 $8,955 $7,318
University of Texas Medical Branch GalGalveston 24 $54,757 $9,647 $8,049
Mem Hermann Baptist HospitalBeaumont 24 $63,410 $9,662 $8,015
Texas Health Harris Methodist Hurst-Euless-BedfordBedford 24 $49,750 $9,634 $8,002
Baylor Scott and White Surgical Hospital at ShermaSherman 24 $35,250 $9,314 $7,682
Brownwood Regional Medical CenterBrownwood 23 $125,783 $9,915 $8,283
St Joseph Regional Health CenterBryan 22 $69,512 $8,947 $7,315
University Medical CenterLubbock 22 $63,253 $9,260 $7,628
Memorial Hermann Katy HospitalKaty 22 $26,025 $9,894 $8,262
Texas Regional Medical Center at SunnyvaleSunnyvale 22 $46,502 $9,241 $7,598
Las Palmas Medical CenterEl Paso 21 $97,406 $9,260 $7,628
St Lukes Lakeside HospitalConroe 21 $72,684 $9,894 $8,262
Good Shepherd Medical Center MarshallMarshall 19 $82,620 $9,494 $7,862
Houston Methodist Clear Lake HospitalHouston 19 $84,712 $9,894 $8,262
Lake Pointe Medical CenterRowlett 19 $60,816 $9,603 $7,971
Memorial Hermann Sugar Land HospitalSugar Land 19 $24,407 $9,894 $8,260
Citizens Medical CenterVictoria 18 $38,300 $9,313 $7,679
Detar Hospital NavarroVictoria 18 $180,667 $9,313 $7,681
Corpus Christi Medical Center,TheCorpus Christi 18 $94,811 $9,646 $8,014
Sid Peterson Memorial HospitalKerrville 17 $56,224 $9,260 $7,628
North Hills HospitalNorth Richland Hills 17 $163,179 $9,634 $8,002
CHRISTUS Mother Frances Hospital Sulphur SpringsSulphur Springs 17 $63,610 $10,283 $8,651
Medical Center of McKinneyMcKinney 17 $133,327 $9,603 $7,968
HCA Houston Healthcare PearlandPearland 16 $118,622 $9,894 $8,262
Providence Health CenterWaco 15 $83,021 $8,545 $6,911
Wadley Regional Medical CenterTexarkana 15 $59,440 $9,261 $7,616
Houston Methodist Baytown HospitalBaytown 15 $96,277 $9,894 $8,262
Houston Physicians' HospitalWebster 15 $69,423 $9,894 $8,262
Baylor Medical Center at IrvingIrving 14 $57,595 $9,603 $7,971
Medical Center HospitalOdessa 14 $45,989 $9,260 $7,628
Texas Health Harris Methodist Hospital Southwest FFort Worth 14 $45,214 $9,634 $8,002
Harlingen Medical CenterHarlingen 14 $109,316 $9,260 $7,628
Methodist Dallas Medical CenterDallas 13 $50,262 $9,603 $7,971
Midland Memorial HospitalMidland 13 $27,319 $9,260 $7,621
University Health SystemSan Antonio 13 $47,486 $9,261 $7,616
CHRISTUS Santa Rosa Hospital-San MarcosSan Marcos 13 $54,536 $8,796 $7,164
Medical City AllianceFort Worth 13 $162,739 $9,634 $8,002
South Texas Health SystemEdinburg 12 $122,909 $9,260 $7,628
Woodland Heights Medical CenterLufkin 12 $145,744 $9,260 $7,628
Tomball Regional HospitalTomball 12 $132,073 $9,894 $8,262
El Campo Memorial HospitalEl Campo 12 $47,685 $9,915 $8,283
CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi 11 $54,325 $9,646 $8,014
Palestine Regional Medical CenterPalestine 11 $155,359 $9,915 $8,283
Seton Medical Center HaysKyle 11 $164,419 $9,393 $7,761
Providence Memorial HospitalEl Paso – – – –
Parkland Health and Hospital SystemDallas – – – –
University Medical Center of El PasoEl Paso – – – –
Valley Baptist Medical Center - BrownsvilleBrownsville – – – –
Laredo Medical CenterLaredo – – – –
Valley Baptist Medical CenterHarlingen – – – –
CHRISTUS HospitalBeaumont – – – –
CHRISTUS St Joseph HospitalHouston – – – –
Jps Health NetworkFort Worth – – – –
Titus Regional Medical CenterMt Pleasant – – – –
Fort Duncan Medical CenterEagle Pass – – – –
HCA Houston Healthcare SoutheastPasadena – – – –
Guadalupe Regional Medical CenterSeguin – – – –
Baylor All Saints Medical Center at FwFort Worth – – – –
Adventhealth Central TexasKilleen – – – –
Paris Regional Medical CenterParis – – – –
Weatherford Regional Medical CenterWeatherford – – – –
Northwest Texas Hlthcare SystAmarillo – – – –
Conroe Regional Medical CenterConroe – – – –
Medical City DecaturDecatur – – – –
Harris County Hospital DistrictHouston – – – –
Hunt Regional Medical CenterGreenville – – – –
Navarro Regional HospitalCorsicana – – – –
Matagorda General HospitalBay City – – – –
Wilson N Jones Regional Medical CenterSherman – – – –
Nacogdoches Memorial HospitalNacogdoches – – – –
Lake Granbury Medical CenterGranbury – – – –
Hill Country Memorial HospitalFredericksburg – – – –
Doctors Hospital of LaredoLaredo – – – –
West Houston Medical CenterHouston – – – –
Medical Center of PlanoPlano – – – –
Scenic Mountain Medical CenterBig Spring – – – –
Nacogdoches Medical CenterNacogdoches – – – –
Odessa Regional HospitalOdessa – – – –
Sierra Medical CenterEl Paso – – – –
Medical Center of LewisvilleLewisville – – – –
Medical Center of ArlingtonArlington – – – –
Huguley Health SystemFort Worth – – – –
White Rock Medical CenterDallas – – – –
Rio Grande Regional HospitalMcAllen – – – –
Methodist Charlton Medical CenterDallas – – – –
Tops Surgical Specialty HospitalHouston – – – –
North Austin Medical CenterAustin – – – –
CHRISTUS Spohn Hospital AliceAlice – – – –
Texas Health Presbyterian Hospital AllenAllen – – – –
Centennial Medical CenterFrisco – – – –
Cook Ft Worth Childrens Medical CenterFort Worth – – – –
Texas Childrens HospitalHouston – – – –
Methodist Mansfield Medical CenterMansfield – – – –
Patients Medical Center, LtdPasadena – – – –
Seton Medical Center WilliamsonRound Rock – – – –
Sierra Providence East Medical CenterEl Paso – – – –
St Luke's Sugar Land HospitalSugar Land – – – –
Texas Health Presbyterian Hospital Flower MoundFlower Mound – – – –
St Luke's Hospital at the VintageHouston – – – –
Seton Medical Center Harker HeightsHarker Heights – – – –
Baylor Scott and White Medical Center McKinneyMc Kinney – – – –
Texas Health Harris Methodist Hospital AllianceFort Worth – – – –
Crescent Medical Center LancasterLancaster – – – –
Baylor Scott & White Medical Center - Marble FallsMarble Falls – – – –
The Hospitals of Providence Transmountain CampusEl Paso – – – –
The Woodlands Specialty HospitalSpring – – – –
Texas Health Hospital MansfieldMansfield – – – –
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Lowest and highest allowed amounts in Texas

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

Providence Health CenterWaco, TX$8,545
CHRISTUS Santa Rosa Hospital-San MarcosSan Marcos, TX$8,796
St Joseph Regional Health CenterBryan, TX$8,947
Bsa HospitalAmarillo, TX$8,955
Methodist HospitalSan Antonio, TX$8,972

Highest

CHRISTUS Mother Frances Hospital Sulphur SpringsSulphur Springs, TX$10,283
United Regional Hlth Care SystWichita Falls, TX$9,960
Shannon Medical CenterSan Angelo, TX$9,915
Brownwood Regional Medical CenterBrownwood, TX$9,915
El Campo Memorial HospitalEl Campo, TX$9,915

Level 3 Pacemaker and Similar Procedures in other states

Questions

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

In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 161 hospitals in Texas was billed at $83,240 on average, while the average medicare-allowed amount was $9,482, of which Medicare paid $7,851. 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 Texas, average charges were 8.8 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.