facebook tracking Level 3 Pacemaker and Similar Procedures cost in Washington: 33 hospitals compared (APC 5223)

Level 3 Pacemaker and Similar Procedures in Washington

What 33 hospitals in Washington 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 $40,482 Hospital list price billed
Average allowed $10,983 Medicare's payment + patient's share
Medicare paid $9,350 Average per service
State rank #40 of 49 1 = lowest average payment

Hospitals in Washington billed an average of $40,482 for level 3 pacemaker and similar procedures, about 3.7 times the average medicare-allowed amount of $10,983. That payment is 8% 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.

Paid $10,983Billed $40,482

About 27¢ was paid for every $1 hospitals in Washington billed for this service.

Washington hospitals: level 3 pacemaker and similar procedures

Every Washington 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 Sacred Heart Medical CenterSpokane 162 $19,195 $10,629 $8,996
St Michael Medical CenterBremerton 104 $52,254 $11,503 $9,868
Kadlec Regional Medical CenterRichland 96 $40,703 $10,706 $9,074
Providence St Peter HospitalOlympia 75 $48,743 $10,663 $9,031
Swedish Medical Center/Cherry HillSeattle 69 $26,459 $11,286 $9,654
Deaconess Medical CenterSpokane 67 $51,760 $10,706 $9,074
Confluence Health HospitalWenatchee 65 $28,505 $11,549 $9,917
Peacehealth St Joseph Medical CenterBellingham 62 $54,295 $11,464 $9,832
Providence Regional Medical Center EverettEverett 61 $36,282 $10,894 $9,256
Virginia Mason Medical CenterSeattle 57 $53,346 $10,524 $8,892
Tacoma General HospitalTacoma 57 $52,116 $10,990 $9,354
Evergreenhealth Medical CenterKirkland 54 $40,459 $10,894 $9,262
Overlake Hospital Medical CenterBellevue 50 $36,357 $10,708 $9,076
Skagit Valley HospitalMt Vernon 49 $44,639 $10,785 $9,153
Valley Medical CenterRenton 45 $40,047 $10,894 $9,262
Providence St Mary Medical CenterWalla Walla 42 $20,755 $11,464 $9,830
University of Washington Medical CtrSeattle 41 $42,037 $10,706 $9,074
Yakima Valley Memorial HospitalYakima 36 $29,477 $11,464 $9,827
Olympic Medical CenterPort Angeles 30 $20,964 $11,464 $9,832
S W Washington Medical CenterVancouver 29 $56,036 $11,191 $9,559
St Joseph Medical CenterTacoma 29 $58,656 $10,667 $9,033
Legacy Salmon Creek Medical CenterVancouver 20 $36,591 $11,191 $9,559
Peachealth St John Medical CenterLongview 18 $67,996 $11,857 $10,225
Valley Hospital & Medical CenterSpokane 17 $55,373 $10,706 $9,065
Capital Medical CenterOlympia 17 $72,625 $10,990 $9,355
Swedish Edmonds HospitalEdmonds 15 $25,641 $10,894 $9,262
Good Samaritan Hospital & Rehab CenterPuyallup 14 $49,683 $10,990 $9,341
Trios HealthKennewick 11 $54,599 $10,706 $9,074
St Anthony HospitalGig Harbor 11 $48,718 $10,990 $9,336
Highline Medical CenterBurien – – – –
Auburn Regional Medical CenterAuburn – – – –
St Francis Community HospitalFederal Way – – – –
Swedish IssaquahIssaquah – – – –
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Lowest and highest allowed amounts in Washington

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Highest

Peachealth St John Medical CenterLongview, WA$11,857
Confluence Health HospitalWenatchee, WA$11,549
St Michael Medical CenterBremerton, WA$11,503
Yakima Valley Memorial HospitalYakima, WA$11,464
Providence St Mary Medical CenterWalla Walla, WA$11,464

Level 3 Pacemaker and Similar Procedures in other states

Questions

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

In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 33 hospitals in Washington was billed at $40,482 on average, while the average medicare-allowed amount was $10,983, of which Medicare paid $9,350. 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 Washington, average charges were 3.7 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.