Level 4 Pacemaker and Similar Procedures in Alabama
What 24 hospitals in Alabama charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.
Average charge
$105,813
Hospital list price billed
Average allowed
$16,261
Medicare's payment + patient's share
Medicare paid
$14,628
Average per service
State rank
#2 of 47
1 = lowest average payment
Hospitals in Alabama billed an average of $105,813 for level 4 pacemaker and similar procedures, about 6.5 times the average medicare-allowed amount of $16,261. That payment is 13% below the U.S. average 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.
Paid $16,261Billed $105,813
About 15¢ was paid for every $1 hospitals in Alabama billed for this service.
Alabama hospitals: level 4 pacemaker and similar procedures
Every Alabama hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Huntsville HospitalHuntsville | 55 | $71,639 | $16,424 | $14,792 |
| D C H Regional Medical CenterTuscaloosa | 26 | $59,156 | $17,704 | $16,072 |
| University of Alabama HospitalBirmingham | 25 | $95,879 | $15,754 | $14,122 |
| Springhill Medical CenterMobile | 22 | $61,478 | $16,123 | $14,491 |
| St Vincent's EastBirmingham | 16 | $145,130 | $15,484 | $13,852 |
| Thomas HospitalFairhope | 16 | $82,307 | $15,223 | $13,591 |
| St Vincent's BirminghamBirmingham | 15 | $133,167 | $16,233 | $14,585 |
| Grandview Medical CenterBirmingham | 14 | $366,747 | $16,167 | $14,535 |
| Southeast Alabama Medical CenterDothan | – | – | – | – |
| North Alabama Medical CenterFlorence | – | – | – | – |
| Shelby Baptist Medical CenterAlabaster | – | – | – | – |
| Baptist Medical Center SouthMontgomery | – | – | – | – |
| Jackson Hospital & Clinic INCMontgomery | – | – | – | – |
| East Alabama Medical Center and SnfOpelika | – | – | – | – |
| Gadsden Regional Medical CenterGadsden | – | – | – | – |
| Flowers HospitalDothan | – | – | – | – |
| Russell HospitalAlexander City | – | – | – | – |
| Northeast Alabama Regional Med CenterAnniston | – | – | – | – |
| South Baldwin Regional Medical CenterFoley | – | – | – | – |
| Providence HospitalMobile | – | – | – | – |
| Princeton Baptist Medical CenterBirmingham | – | – | – | – |
| Mobile InfirmaryMobile | – | – | – | – |
| Crestwood Medical CenterHuntsville | – | – | – | – |
| Brookwood Medical CenterBirmingham | – | – | – | – |
Lowest and highest allowed amounts in Alabama
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
| Thomas HospitalFairhope, AL | $15,223 |
|---|---|
| St Vincent's EastBirmingham, AL | $15,484 |
| University of Alabama HospitalBirmingham, AL | $15,754 |
| Springhill Medical CenterMobile, AL | $16,123 |
| Grandview Medical CenterBirmingham, AL | $16,167 |
Highest
| D C H Regional Medical CenterTuscaloosa, AL | $17,704 |
|---|---|
| Huntsville HospitalHuntsville, AL | $16,424 |
| St Vincent's BirminghamBirmingham, AL | $16,233 |
| Grandview Medical CenterBirmingham, AL | $16,167 |
| Springhill Medical CenterMobile, AL | $16,123 |
Level 4 Pacemaker and Similar Procedures in other states
Questions
How much does level 4 pacemaker and similar procedures cost in Alabama?
In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 24 hospitals in Alabama was billed at $105,813 on average, while the average medicare-allowed amount was $16,261, of which Medicare paid $14,628. 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 Alabama, average charges were 6.5 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.