Level 3 Pacemaker and Similar Procedures in Virginia
What 43 hospitals in Virginia charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
Average charge
$59,341
Hospital list price billed
Average allowed
$9,590
Medicare's payment + patient's share
Medicare paid
$7,956
Average per service
State rank
#19 of 49
1 = lowest average payment
Hospitals in Virginia billed an average of $59,341 for level 3 pacemaker and similar procedures, about 6.2 times the average medicare-allowed amount of $9,590. 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.
Paid $9,590Billed $59,341
About 16¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: level 3 pacemaker and similar procedures
Every Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Inova Fairfax HospitalFalls Church | 203 | $33,899 | $9,923 | $8,288 |
| Medical College of Virginia HospitalsRichmond | 146 | $47,971 | $9,153 | $7,514 |
| Carilion Medical CenterRoanoke | 132 | $54,668 | $9,188 | $7,555 |
| University of Virginia Medical CenterCharlottesville | 120 | $47,680 | $9,730 | $8,095 |
| Sentara Norfolk General HospitalNorfolk | 119 | $44,685 | $9,286 | $7,652 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 104 | $69,054 | $9,759 | $8,124 |
| Augusta HealthFishersville | 85 | $60,579 | $10,312 | $8,680 |
| Virginia Hospital Center - ArlingtonArlington | 81 | $50,566 | $10,005 | $8,373 |
| Mary Washington Hospital, INCFredericksburg | 79 | $42,187 | $10,005 | $8,369 |
| Riverside Regional Medical CenterNewport News | 77 | $40,253 | $9,189 | $7,554 |
| Winchester Medical Center INCWinchester | 76 | $51,823 | $10,374 | $8,736 |
| Cjw Medical CenterRichmond | 73 | $184,734 | $9,084 | $7,451 |
| Lewisgale Medical CenterSalem | 72 | $102,773 | $9,083 | $7,442 |
| Sentara Virginia Beach General HospitalVirginia Beach | 70 | $42,834 | $9,286 | $7,647 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 68 | $81,802 | $9,798 | $8,166 |
| Martha Jefferson HospitalCharlottesville | 64 | $42,800 | $9,279 | $7,647 |
| Sentara Rmh Medical CenterHarrisonburg | 62 | $39,258 | $10,327 | $8,695 |
| Henrico Doctors' HospitalRichmond | 51 | $154,162 | $9,206 | $7,573 |
| Inova Loudoun HospitalLeesburg | 50 | $32,078 | $9,838 | $8,200 |
| Prince William HospitalManassas | 46 | $38,700 | $9,905 | $8,271 |
| Chesapeake General HospitalChesapeake | 45 | $32,266 | $9,116 | $7,484 |
| Bon Secours - Maryview Medical CenterPortsmouth | 43 | $70,739 | $9,189 | $7,557 |
| Sentara Careplex HospitalHampton | 43 | $46,487 | $9,286 | $7,654 |
| Bon Secours - St Francis Medical CenterMidlothian | 39 | $77,085 | $9,079 | $7,445 |
| Inova Alexandria HospitalAlexandria | 38 | $31,944 | $9,792 | $8,160 |
| Sentara Northern Virginia Medical CenterWoodbridge | 29 | $55,307 | $9,716 | $8,084 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 26 | $70,162 | $9,798 | $8,166 |
| Southside Regional Medical CenterPetersburg | 26 | $99,216 | $9,286 | $7,654 |
| Spotsylvania Regional Medical CenterFredericksburg | 24 | $85,781 | $10,005 | $8,373 |
| Sentara Obici HospitalSuffolk | 17 | $41,208 | $9,189 | $7,557 |
| Reston Hospital CenterReston | 16 | $86,025 | $10,107 | $8,475 |
| Danville Regional Medical CenterDanville | 14 | $90,018 | $9,482 | $7,850 |
| Johnston Memorial HospitalAbingdon | 11 | $54,906 | $9,188 | $7,535 |
| Halifax Regional HospitalSouth Boston | – | – | – | – |
| The Fauquier Hospital, INCWarrenton | – | – | – | – |
| Riverside Shore Memorial HospitalNassawadox | – | – | – | – |
| Carilion New River Vly Med CtrChristiansburg | – | – | – | – |
| Sentara Leigh HospitalNorfolk | – | – | – | – |
| Clinch Valley Medical CenterRichlands | – | – | – | – |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | – | – | – | – |
| Carilion Franklin Memorial HospitalRocky Mount | – | – | – | – |
| Sentara Bayside HospitalVirginia Beach | – | – | – | – |
| Stafford Hospital CenterStafford | – | – | – | – |
Lowest and highest allowed amounts in Virginia
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
| Bon Secours - St Francis Medical CenterMidlothian, VA | $9,079 |
|---|---|
| Lewisgale Medical CenterSalem, VA | $9,083 |
| Cjw Medical CenterRichmond, VA | $9,084 |
| Chesapeake General HospitalChesapeake, VA | $9,116 |
| Medical College of Virginia HospitalsRichmond, VA | $9,153 |
Highest
| Winchester Medical Center INCWinchester, VA | $10,374 |
|---|---|
| Sentara Rmh Medical CenterHarrisonburg, VA | $10,327 |
| Augusta HealthFishersville, VA | $10,312 |
| Reston Hospital CenterReston, VA | $10,107 |
| Mary Washington Hospital, INCFredericksburg, VA | $10,005 |
Level 3 Pacemaker and Similar Procedures in other states
Questions
How much does level 3 pacemaker and similar procedures cost in Virginia?
In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 43 hospitals in Virginia was billed at $59,341 on average, while the average medicare-allowed amount was $9,590, of which Medicare paid $7,956. 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 Virginia, average charges were 6.2 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.