Level 3 Pacemaker and Similar Procedures in Wisconsin
What 42 hospitals in Wisconsin charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
Average charge
$42,564
Hospital list price billed
Average allowed
$9,836
Medicare's payment + patient's share
Medicare paid
$8,202
Average per service
State rank
#26 of 49
1 = lowest average payment
Hospitals in Wisconsin billed an average of $42,564 for level 3 pacemaker and similar procedures, about 4.3 times the average medicare-allowed amount of $9,836. That payment is 4% 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 $9,836Billed $42,564
About 23¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Wisconsin hospitals: level 3 pacemaker and similar procedures
Every Wisconsin hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Aurora St Lukes Medical CenterMilwaukee | 92 | $56,855 | $9,889 | $8,256 |
| Meriter HsptlMadison | 88 | $59,869 | $9,960 | $8,320 |
| St Mary's HospitalMadison | 81 | $35,838 | $9,960 | $8,327 |
| Luther Hospital Mayo Health SystemEau Claire | 76 | $29,540 | $10,122 | $8,489 |
| Froedtert Mem Lutheran HsptlMilwaukee | 56 | $43,769 | $10,040 | $8,408 |
| Aspirus Wausau HospitalWausau | 55 | $22,692 | $9,549 | $7,917 |
| Bellin Memorial HsptlGreen Bay | 52 | $48,545 | $9,549 | $7,917 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | 46 | $34,064 | $9,869 | $8,237 |
| St Marys Hsptl Med CtrGreen Bay | 39 | $25,261 | $9,393 | $7,761 |
| Waukesha Memorial HospitalWaukesha | 35 | $48,010 | $9,721 | $8,089 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 35 | $46,066 | $9,800 | $8,166 |
| University of Wi Hospitals & Clinics AuthorityMadison | 32 | $52,668 | $9,703 | $8,068 |
| Gundersen Luth Med CtrLa Crosse | 31 | $36,933 | $10,052 | $8,420 |
| Community Mem HsptlMenomonee Falls | 28 | $38,562 | $9,449 | $7,817 |
| Aurora Medical CenterGrafton | 26 | $45,603 | $9,705 | $8,072 |
| Ministry St Michaels Hospital of Stevens PointStevens Point | 22 | $22,265 | $9,549 | $7,917 |
| Marshfield Medical CenterMarshfield | 21 | $51,485 | $10,224 | $8,592 |
| St Agnes HsptlFond du Lac | 21 | $23,138 | $10,418 | $8,778 |
| Mercy Hlth Sys CorpJanesville | 20 | $61,330 | $9,721 | $8,089 |
| Marshfield Medical Center - Rice LakeRice Lake | 19 | $50,794 | $10,224 | $8,592 |
| St Clare's Hospital of Weston INCWeston | 19 | $46,537 | $9,549 | $7,916 |
| St Elizabeth HsptlAppleton | 18 | $61,169 | $9,616 | $7,984 |
| Appleton Med CtrAppleton | 18 | $42,249 | $9,617 | $7,985 |
| Wheaton Franciscan Healthcare- All SaintsRacine | 16 | $33,849 | $10,040 | $8,401 |
| Ascension SE Wisconsin HospitalMilwaukee | 15 | $37,189 | $9,721 | $8,089 |
| Aurora Baycare Med CtrGreen Bay | 15 | $45,234 | $9,608 | $7,963 |
| Aurora Medical CenterSummit | 12 | $32,554 | $9,729 | $8,097 |
| Froedtert SouthKenosha | 11 | $49,788 | $10,034 | $8,402 |
| Sacred Heart HospitalEau Claire | – | – | – | – |
| Monroe ClinicMonroe | – | – | – | – |
| Aurora Sheboygan Mem Med CtrSheboygan | – | – | – | – |
| Aurora Memorial Hsptl BurlingtonBurlington | – | – | – | – |
| St Vincent HsptlGreen Bay | – | – | – | – |
| Wheaton Franciscan Healthcare- St FrancisMilwaukee | – | – | – | – |
| Beloit Mem HsptlBeloit | – | – | – | – |
| Holy Family Memorial INCManitowoc | – | – | – | – |
| Bay Area Med CtrMarinette | – | – | – | – |
| UW Hlth Partners - Watertown Regional Medical CtrWatertown | – | – | – | – |
| Aurora Med Ctr KenoshaKenosha | – | – | – | – |
| Oakleaf Surgical HospitalEau Claire | – | – | – | – |
| Aurora Med Ctr OshkoshOshkosh | – | – | – | – |
| Children's Hosp of WisconsinMilwaukee | – | – | – | – |
Lowest and highest allowed amounts in Wisconsin
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
| St Marys Hsptl Med CtrGreen Bay, WI | $9,393 |
|---|---|
| Community Mem HsptlMenomonee Falls, WI | $9,449 |
| Ministry St Michaels Hospital of Stevens PointStevens Point, WI | $9,549 |
| Aspirus Wausau HospitalWausau, WI | $9,549 |
| Bellin Memorial HsptlGreen Bay, WI | $9,549 |
Highest
| St Agnes HsptlFond du Lac, WI | $10,418 |
|---|---|
| Marshfield Medical Center - Rice LakeRice Lake, WI | $10,224 |
| Marshfield Medical CenterMarshfield, WI | $10,224 |
| Luther Hospital Mayo Health SystemEau Claire, WI | $10,122 |
| Gundersen Luth Med CtrLa Crosse, WI | $10,052 |
Level 3 Pacemaker and Similar Procedures in other states
Questions
How much does level 3 pacemaker and similar procedures cost in Wisconsin?
In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 42 hospitals in Wisconsin was billed at $42,564 on average, while the average medicare-allowed amount was $9,836, of which Medicare paid $8,202. 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 Wisconsin, average charges were 4.3 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.