Level 4 Pacemaker and Similar Procedures
What 1,325 hospitals in the U.S. charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.
Average charge
$108,814
Hospital list price billed
Average allowed
$18,685
Medicare's payment + patient's share
Medicare paid
$17,052
Average per service
Volume
14,030
Medicare services
Hospitals in the U.S. billed an average of $108,814 for level 4 pacemaker and similar procedures, about 5.8 times the average medicare-allowed amount of $18,685.
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.
Lowest and highest allowed amounts
Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Delray Medical CenterDelray Beach, FL | $14,116 |
|---|---|
| Physicians Regional Medical CenterKnoxville, TN | $15,351 |
| Mon Health Medical CenterMorgantown, WV | $15,409 |
| University of Alabama HospitalBirmingham, AL | $15,754 |
| Washington Regional Med CenterFayetteville, AR | $15,786 |
| Methodist Healthcare-MemphisMemphis, TN | $15,871 |
| Forrest General HospitalHattiesburg, MS | $15,880 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $15,924 |
| Carilion Medical CenterRoanoke, VA | $15,983 |
| Baptist Health Medical Center-Little RockLittle Rock, AR | $15,986 |
Highest
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $27,772 |
|---|---|
| Community Hospital of the Monterey PeninsulaMonterey, CA | $27,359 |
| El Camino HospitalMountain View, CA | $27,359 |
| Salinas Valley Memorial HospitalSalinas, CA | $27,359 |
| Stanford HospitalPalo Alto, CA | $27,359 |
| Santa Rosa Memorial HospitalSanta Rosa, CA | $27,211 |
| Marinhealth Medical CenterGreenbrae, CA | $27,134 |
| John Muir Medical Center - Concord CampusConcord, CA | $27,053 |
| St Josephs Med Center of StocktonStockton, CA | $26,656 |
| Santa Barbara Cottage HospitalSanta Barbara, CA | $25,585 |
Level 4 Pacemaker and Similar Procedures cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 24 | $105,813 | $16,261 | $15,223 – $17,704 |
| Alaska | 3 | $83,816 | $20,063 | $20,063 – $20,063 |
| Arizona | 28 | $127,896 | $19,073 | $18,849 – $20,300 |
| Arkansas | 19 | $68,075 | $16,508 | $15,786 – $17,858 |
| California | 115 | $133,746 | $24,668 | $19,439 – $27,772 |
| Colorado | 26 | $128,641 | $18,588 | $16,972 – $19,818 |
| Connecticut | 14 | $73,166 | $21,825 | $21,681 – $21,891 |
| Delaware | 6 | $83,917 | $19,515 | $19,503 – $19,553 |
| Florida | 96 | $134,686 | $17,422 | $14,116 – $17,611 |
| Georgia | 38 | $86,660 | $17,443 | $16,435 – $18,300 |
| Hawaii | 6 | $52,801 | $21,755 | $21,469 – $22,352 |
| Idaho | 8 | $95,983 | $17,964 | $16,505 – $18,816 |
| Illinois | 62 | $96,916 | $18,323 | $16,862 – $19,240 |
| Indiana | 35 | $113,163 | $17,673 | $16,659 – $18,283 |
| Iowa | 16 | $64,185 | $17,130 | $16,633 – $18,181 |
| Kansas | 19 | $81,552 | $17,012 | $16,342 – $17,864 |
| Kentucky | 24 | $144,562 | $16,698 | $15,571 – $17,987 |
| Louisiana | 21 | $100,710 | $16,330 | $14,867 – $16,851 |
| Maine | 7 | $101,929 | $17,518 | $16,939 – $17,850 |
| Massachusetts | 26 | $64,924 | $20,801 | $20,446 – $20,874 |
| Michigan | 45 | $87,095 | $17,760 | $16,939 – $18,262 |
| Minnesota | 18 | $87,195 | $18,903 | $18,381 – $20,024 |
| Mississippi | 18 | $78,213 | $16,490 | $15,417 – $17,289 |
| Missouri | 39 | $81,319 | $16,998 | $16,215 – $18,287 |
| Montana | 6 | $59,782 | $18,227 | $18,227 – $18,227 |
| Nebraska | 12 | $79,787 | $17,421 | $16,753 – $17,519 |
| Nevada | 13 | $182,315 | $20,608 | $19,390 – $20,816 |
| New Hampshire | 9 | $95,074 | $19,178 | $18,543 – $19,858 |
| New Jersey | 31 | $114,962 | $20,757 | $20,312 – $22,115 |
| New Mexico | 8 | $118,372 | $16,947 | $16,721 – $17,208 |
| New York | 46 | $119,566 | $21,560 | $19,508 – $22,115 |
| North Carolina | 33 | $92,116 | $17,201 | $15,924 – $18,119 |
| North Dakota | 6 | $83,396 | $18,630 | $18,227 – $19,518 |
| Ohio | 55 | $71,514 | $17,008 | $16,013 – $18,225 |
| Oklahoma | 20 | $86,072 | $16,624 | $16,067 – $17,682 |
| Oregon | 16 | $87,607 | $21,035 | $20,218 – $23,594 |
| Pennsylvania | 66 | $122,768 | $18,402 | $17,365 – $20,485 |
| Rhode Island | 3 | $66,418 | $19,727 | $19,727 – $19,727 |
| South Carolina | 21 | $162,464 | $16,735 | $16,496 – $18,513 |
| South Dakota | 4 | $109,212 | $18,956 | $18,227 – $19,518 |
| Tennessee | 33 | $96,650 | $16,458 | $15,351 – $17,173 |
| Texas | 116 | $142,179 | $17,416 | $16,109 – $18,248 |
| Utah | 9 | $120,548 | $17,658 | $17,417 – $18,651 |
| Vermont | 2 | $66,931 | $9,840 | $9,840 – $9,840 |
| Virginia | 31 | $97,762 | $17,519 | $15,983 – $19,116 |
| Washington | 25 | $84,496 | $19,989 | $18,849 – $21,047 |
| West Virginia | 8 | $110,857 | $15,953 | $15,409 – $16,483 |
| Wisconsin | 32 | $85,697 | $17,942 | $16,750 – $18,630 |
| Wyoming | 3 | – | – | – – – |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| The Heart Hospital Baylor PlanoPlano, TX | 135 | $98,536 | $17,381 |
| NYU Hospitals CenterNew York, NY | 128 | $246,816 | $21,879 |
| Baptist Memorial HospitalMemphis, TN | 122 | $81,126 | $16,405 |
| Eisenhower Memorial HospitalRancho Mirage, CA | 111 | $74,892 | $23,045 |
| Scripps Memorial Hospital la JollaLa Jolla, CA | 98 | $138,253 | $23,670 |
| Sarasota Memorial HospitalSarasota, FL | 94 | $126,980 | $17,555 |
| St Francis Hospital, RoslynRoslyn, NY | 88 | $105,892 | $21,899 |
| St Bernards Medical CenterJonesboro, AR | 86 | $78,452 | $16,401 |
| St Francis-DowntownGreenville, SC | 86 | $183,984 | $16,595 |
| Bryan Medical CenterLincoln, NE | 85 | $84,517 | $17,519 |
| Jackson-Madison Cnty Gen HospJackson, TN | 85 | $57,914 | $17,173 |
| Abbott Northwestern Hospital INCMinneapolis, MN | 84 | $100,927 | $18,381 |
| New York-Presbyterian HospitalNew York, NY | 84 | $94,884 | $22,115 |
| Oklahoma Heart Hospital SouthOklahoma City, OK | 81 | $79,834 | $16,565 |
| Greenville Memorial HospitalGreenville, SC | 81 | $134,298 | $16,585 |
Questions
How much does level 4 pacemaker and similar procedures cost in the U.S.?
In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 1,325 hospitals in the U.S. was billed at $108,814 on average, while the average medicare-allowed amount was $18,685, of which Medicare paid $17,052. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 4 pacemaker and similar procedures?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($24,668), Connecticut ($21,825), Hawaii ($21,755) and lowest in West Virginia ($15,953), Alabama ($16,261), Louisiana ($16,330).
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 the U.S., average charges were 5.8 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.