What 13 hospitals in Utah charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
Hospitals in Utah billed an average of $62,894 for level 3 pacemaker and similar procedures, about 6.5 times the average medicare-allowed amount of $9,629. That payment is 6% 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.
About 15¢ was paid for every $1 hospitals in Utah billed for this service.
Every Utah hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| St. George Regional HospitalSt George | 126 | $42,944 | $10,236 | $8,601 |
| Lds HospitalSalt Lake City | 88 | $49,086 | $9,289 | $7,654 |
| Utah Valley Regional Medical CenterProvo | 73 | $47,460 | $9,451 | $7,810 |
| St Marks HospitalSalt Lake City | 50 | $164,526 | $9,401 | $7,767 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City | 47 | $28,266 | $9,559 | $7,927 |
| McKay-Dee Hospital CenterOgden | 40 | $52,439 | $9,361 | $7,729 |
| Ogden Regional Medical CenterOgden | 31 | $87,750 | $9,560 | $7,920 |
| Timpanogos Regional HospitalOrem | 31 | $102,595 | $9,559 | $7,927 |
| Davis Hospital and Medical CenterLayton | 28 | $54,064 | $9,559 | $7,927 |
| Logan Regional HospitalLogan | 16 | $39,861 | $9,560 | $7,909 |
| Lakeview HospitalBountiful | 14 | $93,920 | $9,559 | $7,927 |
| Salt Lake Regional Medical CenterSalt Lake City | – | – | – | – |
| Jordan Valley Medical CenterWest Jordan | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Lds HospitalSalt Lake City, UT | $9,289 |
|---|---|
| McKay-Dee Hospital CenterOgden, UT | $9,361 |
| St Marks HospitalSalt Lake City, UT | $9,401 |
| Utah Valley Regional Medical CenterProvo, UT | $9,451 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | $9,559 |
| St. George Regional HospitalSt George, UT | $10,236 |
|---|---|
| Logan Regional HospitalLogan, UT | $9,560 |
| Ogden Regional Medical CenterOgden, UT | $9,560 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | $9,559 |
| Davis Hospital and Medical CenterLayton, UT | $9,559 |
In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 13 hospitals in Utah was billed at $62,894 on average, while the average medicare-allowed amount was $9,629, of which Medicare paid $7,993. 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 Utah, average charges were 6.5 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.