facebook tracking Level 4 Pacemaker and Similar Procedures cost in Arizona: 28 hospitals compared (APC 5224)

Level 4 Pacemaker and Similar Procedures in Arizona

What 28 hospitals in Arizona charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.

APC 5224 Outpatient 2024 Medicare data
Average charge $127,896 Hospital list price billed
Average allowed $19,073 Medicare's payment + patient's share
Medicare paid $17,438 Average per service
State rank #34 of 47 1 = lowest average payment

Hospitals in Arizona billed an average of $127,896 for level 4 pacemaker and similar procedures, about 6.7 times the average medicare-allowed amount of $19,073. That payment is 2% above 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 $19,073Billed $127,896

About 15¢ was paid for every $1 hospitals in Arizona billed for this service.

Arizona hospitals: level 4 pacemaker and similar procedures

Every Arizona hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Scottsdale Healthcare-Osborn Medical CenterScottsdale 59 $125,813 $18,956 $17,324
Arrowhead HospitalGlendale 52 $178,387 $18,956 $17,319
Scottsdale Healthcare-Shea Medical CenterScottsdale 49 $143,795 $18,956 $17,324
Mayo Clinic HospitalPhoenix 42 $97,204 $18,849 $17,217
Chandler Regional Medical CenterChandler 32 $144,848 $18,956 $17,315
Banner Heart HospitalMesa 31 $92,303 $18,956 $17,324
Yuma Regional Medical CenterYuma 29 $89,185 $20,299 $18,667
Banner Boswell Medical CenterSun City 29 $101,556 $18,956 $17,324
John C Lincoln North Mountain HospitalPhoenix 23 $130,673 $18,956 $17,324
Mercy Gilbert Medical CenterGilbert 21 $147,439 $18,956 $17,324
University Medical CenterTucson 19 $130,630 $18,956 $17,302
Banner Desert Medical CenterMesa 13 $109,336 $18,956 $17,309
Yavapai Regional Medical CenterPrescott 11 $101,779 $20,300 $18,650
Honorhealth Four Peaks Medical CenterMesa 11 $169,441 $18,956 $17,324
Banner - University Medical Center PhoenixPhoenix – – – –
Tucson Medical CenterTucson – – – –
Verde Valley Medical CenterCottonwood – – – –
Carondelet St Marys HospitalTucson – – – –
Carondelet St Josephs HospitalTucson – – – –
Flagstaff Medical CenterFlagstaff – – – –
St Joseph's Hospital and Medical CenterPhoenix – – – –
Kingman Regional Medical CenterKingman – – – –
Banner Thunderbird Medical CenterGlendale – – – –
John C Lincoln Deer Valley HospitalPhoenix – – – –
Banner del E Webb Medical CenterSun City West – – – –
Western Arizona Regional Medical CtrBullhead City – – – –
West Valley HospitalGoodyear – – – –
Banner Estrella Medical CenterPhoenix – – – –
Advertisement

Lowest and highest allowed amounts in Arizona

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

Level 4 Pacemaker and Similar Procedures in other states

Questions

How much does level 4 pacemaker and similar procedures cost in Arizona?

In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 28 hospitals in Arizona was billed at $127,896 on average, while the average medicare-allowed amount was $19,073, of which Medicare paid $17,438. 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 Arizona, average charges were 6.7 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.