facebook tracking Level 4 Pacemaker and Similar Procedures cost in California: 115 hospitals compared (APC 5224)

Level 4 Pacemaker and Similar Procedures in California

What 115 hospitals in California 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 $133,746 Hospital list price billed
Average allowed $24,668 Medicare's payment + patient's share
Medicare paid $23,039 Average per service
State rank #47 of 47 1 = lowest average payment

Hospitals in California billed an average of $133,746 for level 4 pacemaker and similar procedures, about 5.4 times the average medicare-allowed amount of $24,668. That payment is 32% 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 $24,668Billed $133,746

About 18¢ was paid for every $1 hospitals in California billed for this service.

California hospitals: level 4 pacemaker and similar procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Eisenhower Memorial HospitalRancho Mirage 111 $74,892 $23,045 $21,457
Scripps Memorial Hospital la JollaLa Jolla 98 $138,253 $23,670 $22,038
Cedars-Sinai Medical CenterLos Angeles 75 $298,422 $23,891 $22,258
Hoag Memorial Hospital PresbyterianNewport Beach 73 $103,520 $23,891 $22,259
Mercy General HospitalSacramento 62 $151,852 $24,817 $23,182
University of California San Diego Medical CenterSan Diego 54 $84,460 $23,891 $22,259
Saint Agnes Medical CenterFresno 41 $117,573 $23,891 $22,259
Santa Rosa Memorial HospitalSanta Rosa 34 $135,773 $27,211 $25,579
Stanford HospitalPalo Alto 34 $218,899 $27,359 $25,727
Huntington Memorial HospitalPasadena 31 $90,235 $23,891 $22,259
Community Hospital of the Monterey PeninsulaMonterey 30 $158,226 $27,359 $25,727
Grossmont HospitalLa Mesa 28 $103,542 $23,891 $22,259
California Pacific Medical Ctr-Pacific Campus HospSan Francisco 28 $131,458 $27,772 $26,140
Bakersfield Memorial HospitalBakersfield 27 $114,777 $23,891 $22,259
St Joseph HospitalOrange 27 $96,647 $23,891 $22,259
St Josephs Med Center of StocktonStockton 27 $105,916 $26,656 $25,024
Adventist Health BakersfieldBakersfield 27 $120,787 $23,891 $22,259
Community Memorial Hospital - VenturaVentura 26 $116,027 $23,891 $22,259
Salinas Valley Memorial HospitalSalinas 25 $152,633 $27,359 $25,727
Santa Barbara Cottage HospitalSanta Barbara 25 $87,091 $25,585 $23,953
USC University HospitalLos Angeles 25 $116,933 $23,891 $22,258
Sutter General HospitalSacramento 24 $108,139 $25,192 $23,560
Sharp Chula Vista Medical CenterChula Vista 24 $114,011 $23,891 $22,247
Marian Medical CenterSanta Maria 23 $115,108 $23,891 $22,259
University of California Davis Medical CenterSacramento 23 $109,321 $24,222 $22,590
John Muir Medical Center - Concord CampusConcord 22 $229,823 $27,053 $25,421
Marinhealth Medical CenterGreenbrae 21 $225,327 $27,134 $25,502
USC Arcadia HospitalArcadia 20 $115,089 $19,439 $17,807
El Camino HospitalMountain View 20 $143,329 $27,359 $25,727
Mission Hospital Regional Med CenterMission Viejo 20 $94,546 $23,891 $22,259
St Jude Medical CenterFullerton 19 $104,322 $23,891 $22,259
Sequoia HospitalRedwood City 18 $113,117 $27,359 $25,721
Loma Linda University Medical CenterLoma Linda 17 $103,965 $23,891 $22,259
Memorial Medical CenterModesto 17 $106,532 $23,565 $21,933
UCSF Medical CenterSan Francisco 16 $129,092 $27,359 $25,727
Enloe Medical CenterChico 15 $83,785 $23,891 $22,259
Alta Bates Summit Medical CenterOakland 15 $147,175 $26,981 $25,349
French Hospital Medical CenterSan Luis Obispo 15 $112,078 $23,891 $22,259
Dominican HospitalSanta Cruz 15 $100,740 $25,458 $23,826
St Johns Regional Medical CenterOxnard 14 $119,438 $23,891 $22,259
UCLA Medical CenterLos Angeles 14 $74,095 $23,891 $22,259
Washington HospitalFremont 13 $120,734 $27,360 $25,710
Loma Linda University Medical Center-MurrietaMurrieta 13 $136,410 $23,891 $22,259
Peninsula Medical CenterBurlingame 12 $117,986 $27,772 $26,121
Scripps Mercy HospitalSan Diego 12 $219,519 $23,891 $22,259
Sharp Memorial HospitalSan Diego 12 $97,034 $23,891 $22,259
Good Samaritan HospitalSan Jose 12 $420,815 $27,359 $25,727
Temecula Valley HospitalTemecula 12 $181,588 $23,891 $22,259
St Joseph HospitalEureka – – – –
Queen of the Valley Medical CenterNapa – – – –
St Helena HospitalDeer Park – – – –
Riverside Community HospitalRiverside – – – –
Santa Clara Valley Medical CenterSan Jose – – – –
Antelope Valley Hospital Med CenterLancaster – – – –
Kaweah Delta Medical CenterVisalia – – – –
Glendale Mem Hospital & Hlth CenterGlendale – – – –
Community Regional Medical CenterFresno – – – –
San Antonio Community HospitalUpland – – – –
Sutter Solano Medical CenterVallejo – – – –
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica – – – –
Palomar Medical CenterEscondido – – – –
Northridge Hospital Medical CenterNorthridge – – – –
Dameron HospitalStockton – – – –
Verdugo Hills HospitalGlendale – – – –
Regional Medical Center of San JoseSan Jose – – – –
Valley Presbyterian HospitalVan Nuys – – – –
Woodland Memorial HospitalWoodland – – – –
Tri-City Medical CenterOceanside – – – –
Rideout Memorial HospitalMarysville – – – –
Emanuel Medical Center INCTurlock – – – –
John Muir Medical Center - Walnut Creek CampusWalnut Creek – – – –
Palmdale Regional Medical CenterLancaster – – – –
Ahmc Anaheim Regional Medical CenterAnaheim – – – –
Pomona Valley Hospital Medical CenterPomona – – – –
Providence Saint Joseph Medical CtrBurbank – – – –
Simi Valley Hospital & Health Care ServicesSimi Valley – – – –
Glendale Adventist Medical CtrGlendale – – – –
Arrowhead Regional Medical CenterColton – – – –
Natividad Medical CenterSalinas – – – –
Marshall Medical Center (1-Rh)Placerville – – – –
Providence Holy Cross Medical CenterMission Hills – – – –
Mercy Medical Center ReddingRedding – – – –
Stanford Health Care Tri-ValleyPleasanton – – – –
Saint John's Health CenterSanta Monica – – – –
Sutter Medical Center of Santa RosaSanta Rosa – – – –
Sutter Roseville Medical CenterRoseville – – – –
Sutter Tracy Community HospitalTracy – – – –
Highland HospitalOakland – – – –
Sonora Community HospitalSonora – – – –
UCI Health-OrangeOrange – – – –
Torrance Memorial Medical CenterTorrance – – – –
Providence Little Company of Mary Med Ctr TorranceTorrance – – – –
Northbay Medical CenterFairfield – – – –
Emanate Health Inter-Community HospitalCovina – – – –
Downey Regional Medical CenterDowney – – – –
St Mary's Medical CenterSan Francisco – – – –
Good Samaritan HospitalLos Angeles – – – –
West Hills Hospital & Medical CenterWest Hills – – – –
Long Beach Memorial Medical CenterLong Beach – – – –
Clovis Community Medical CenterClovis – – – –
Sierra Vista Regional Medical CenterSan Luis Obispo – – – –
Mercy San Juan Medical CenterCarmichael – – – –
Victor Valley Community HospitalVictorville – – – –
Sutter Delta Medical CenterAntioch – – – –
Los Robles Hospital & Medical CenterThousand Oaks – – – –
Los Alamitos Medical CenterLos Alamitos – – – –
Saddleback Memorial Medical CenterLaguna Hills – – – –
Orange Coast Memorial Medical CenterFountain Valley – – – –
San Ramon Regional Medical CtrSan Ramon – – – –
Desert Valley HospitalVictorville – – – –
Garfield Medical CenterMonterey Park – – – –
Providence Tarzana Medical CenterTarzana – – – –
Shasta Regional Medical CenterRedding – – – –
Adventist Health TulareTulare – – – –
Valley Children's HospitalMadera – – – –
Level 4 Pacemaker and Similar Procedures: all states All California hospitals California hospital finances
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Lowest and highest allowed amounts in California

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

USC Arcadia HospitalArcadia, CA$19,439
Eisenhower Memorial HospitalRancho Mirage, CA$23,045
Memorial Medical CenterModesto, CA$23,565
Scripps Memorial Hospital la JollaLa Jolla, CA$23,670
University of California San Diego Medical CenterSan Diego, CA$23,891

Highest

Peninsula Medical CenterBurlingame, CA$27,772
California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA$27,772
Washington HospitalFremont, CA$27,360
Sequoia HospitalRedwood City, CA$27,359
Community Hospital of the Monterey PeninsulaMonterey, CA$27,359

Level 4 Pacemaker and Similar Procedures in other states

Alaska · $20,063 Connecticut · $21,825 Hawaii · $21,755 Massachusetts · $20,801 Nevada · $20,608 New Jersey · $20,757 New York · $21,560 Oregon · $21,035

Questions

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

In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 115 hospitals in California was billed at $133,746 on average, while the average medicare-allowed amount was $24,668, of which Medicare paid $23,039. 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 California, average charges were 5.4 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.