What 33 hospitals in Washington charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
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.
About 27¢ was paid for every $1 hospitals in Washington billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Virginia Mason Medical CenterSeattle, WA | $10,524 |
|---|---|
| Providence Sacred Heart Medical CenterSpokane, WA | $10,629 |
| Providence St Peter HospitalOlympia, WA | $10,663 |
| St Joseph Medical CenterTacoma, WA | $10,667 |
| University of Washington Medical CtrSeattle, WA | $10,706 |
| 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 |
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.
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.