facebook tracking Level 4 Pacemaker and Similar Procedures cost in Florida: 96 hospitals compared (APC 5224)

Level 4 Pacemaker and Similar Procedures in Florida

What 96 hospitals in Florida 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 $134,686 Hospital list price billed
Average allowed $17,422 Medicare's payment + patient's share
Medicare paid $15,788 Average per service
State rank #18 of 47 1 = lowest average payment

Hospitals in Florida billed an average of $134,686 for level 4 pacemaker and similar procedures, about 7.7 times the average medicare-allowed amount of $17,422. That payment is 7% 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 $17,422Billed $134,686

About 13¢ was paid for every $1 hospitals in Florida billed for this service.

Florida hospitals: level 4 pacemaker and similar procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Sarasota Memorial HospitalSarasota 94 $126,980 $17,555 $15,923
Baptist Medical CenterJacksonville 78 $92,282 $17,406 $15,774
Adventhealth OrlandoOrlando 51 $152,492 $17,499 $15,867
Cape Canaveral HospitalCocoa Beach 51 $121,473 $17,611 $15,975
Naples Community HospitalNaples 35 $60,200 $17,611 $15,974
Holmes Regional Medical CenterMelbourne 32 $124,613 $17,611 $15,973
Delray Medical CenterDelray Beach 32 $292,771 $14,116 $12,484
Boca Raton Regional HospitalBoca Raton 30 $142,566 $17,611 $15,967
Mayo ClinicJacksonville 28 $93,542 $17,611 $15,979
Manatee Memorial HospitalBradenton 27 $228,311 $17,611 $15,979
Bay Medical CenterPanama City 25 $137,465 $17,611 $15,974
Adventhealth Daytona BeachDaytona Beach 25 $118,072 $17,611 $15,979
Tampa General HospitalTampa 24 $124,937 $17,611 $15,969
Lee Memorial HospitalFort Myers 23 $120,789 $17,611 $15,979
Florida Hospital WatermanEustis 23 $108,435 $17,611 $15,978
Adventhealth OcalaOcala 23 $205,590 $17,611 $15,979
Palm Beach Gardens Medical CenterPalm Beach Gardens 22 $163,400 $16,885 $15,253
Leesburg Regional Medical CenterLeesburg 21 $81,014 $17,611 $15,979
Cleveland Clinic HospitalWeston 21 $60,645 $17,611 $15,979
Sarasota Memorial Hospital - VeniceNorth Venice 21 $125,532 $17,611 $15,979
Jfk Medical CenterAtlantis 20 $146,564 $17,611 $15,979
Shands Hospital at the University of FloridaGainesville 20 $105,034 $17,611 $15,975
St Vincent's Medical CenterJacksonville 19 $188,906 $17,611 $15,979
Villages Regional Hospital theLady Lake 18 $96,087 $17,611 $15,969
Martin Memorial Health SystemsStuart 17 $80,785 $17,611 $15,979
Morton Plant HospitalClearwater 17 $83,137 $16,671 $15,039
HCA Florida Memorial HospitalJacksonville 17 $156,708 $17,611 $15,979
HCA Florida Lawnwood HospitalFort Pierce 17 $129,793 $17,611 $15,979
Jupiter Medical CenterJupiter 17 $81,888 $17,611 $15,979
Orlando Health Rockledge HospitalRockledge 16 $135,215 $17,611 $15,979
Fawcett Memorial HospitalPort Charlotte 16 $147,153 $17,611 $15,979
Indian River Medical CenterVero Beach 15 $123,498 $17,611 $15,979
Orange Park Medical CenterOrange Park 15 $183,693 $17,611 $15,979
Physicians Regional Medical Center - Pine RidgeNaples 15 $264,330 $16,816 $15,216
Ocala Regional Medical CenterOcala 14 $201,039 $17,611 $15,963
Gulf Coast Medical CenterPanama City 13 $139,591 $17,611 $15,979
Englewood Community HospitalEnglewood 13 $152,925 $17,611 $15,979
Orlando Regional HealthcareOrlando 12 $205,114 $17,611 $15,979
Adventhealth Port CharlottePort Charlotte 12 $180,793 $17,611 $15,979
Central Florida Regional HospitalSanford 12 $146,540 $17,611 $15,979
Sacred Heart HospitalPensacola 11 $101,449 $16,249 $14,595
Baptist HospitalPensacola 11 $63,473 $17,611 $15,979
Adventhealth SebringSebring 11 $159,438 $17,611 $15,979
Tallahassee Memorial HealthcareTallahassee 11 $132,554 $17,611 $15,979
Shands Jacksonville Medical CenterJacksonville – – – –
Bethesda Memorial HospitalBoynton Beach – – – –
Baptist Hospital of Miami INCMiami – – – –
Adventhealth New Smyrna BeachNew Smyrna Beach – – – –
Halifax Health Medical CenterDaytona Beach – – – –
Jackson Health SystemMiami – – – –
Citrus Memorial HospitalInverness – – – –
Parrish Medical CenterTitusville – – – –
North Shore Medical CenterMiami – – – –
Bayfront Medical Center INCSt Petersburg – – – –
Mount Sinai Medical CenterMiami Beach – – – –
Memorial Regional HospitalHollywood – – – –
Broward General Medical CenterFort Lauderdale – – – –
Florida Hospital ZephyrhillsZephyrhills – – – –
Palm Springs General HospitalHialeah – – – –
South Lake HospitalClermont – – – –
Winter Haven HospitalWinter Haven – – – –
St Anthony's HospitalSt Petersburg – – – –
University Community Hospital at CarrollwoodTampa – – – –
Holy Cross Hospital INCFort Lauderdale – – – –
St Joseph's HospitalTampa – – – –
Univ of Miami Hosp & ClinicsMiami – – – –
Flagler HospitalSt Augustine – – – –
Osceola Regional Medical CenterKissimmee – – – –
Palms of Pasadena HospitalSt Petersburg – – – –
Aventura Hospital & Med CenterMiami – – – –
South Miami HospitalMiami – – – –
Lakeland Regional Medical CenterLakeland – – – –
Plantation General HospitalPlantation – – – –
Adventhealth TampaTampa – – – –
Northwest Medical CenterPompano Beach – – – –
HCA Florida Trinity HospitalNew Port Richey – – – –
North Florida Regional Medical CenterGainesville – – – –
Memorial Hospital of TampaTampa – – – –
Blake Medical CenterBradenton – – – –
Sebastian River Medical CenterSebastian – – – –
Gulf Coast Medical Center Lee HealthFort Myers – – – –
Westside Regional Medical CenterPlantation – – – –
West Florida HospitalPensacola – – – –
Northside HospitalSt Petersburg – – – –
Brandon Regional HospitalBrandon – – – –
Largo Medical CenterLargo – – – –
Regional Medical Center Bayonet PointHudson – – – –
Oak Hill HospitalBrooksville – – – –
Gulf Breeze HospitalGulf Breeze – – – –
Coral Springs Medical CenterPompano Beach – – – –
Memorial Hospital WestHollywood – – – –
Sacred Heart Hospital on the Emerald CoastMiramar Beach – – – –
Lakewood Ranch Medical CenterBradenton – – – –
Adventhealth Wesley ChapelWesley Chapel – – – –
Ascension St Vincent's Clay CountyMiddleburg – – – –
HCA Florida University HospitalDavie – – – –
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Lowest and highest allowed amounts in Florida

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

Delray Medical CenterDelray Beach, FL$14,116
Sacred Heart HospitalPensacola, FL$16,249
Morton Plant HospitalClearwater, FL$16,671
Physicians Regional Medical Center - Pine RidgeNaples, FL$16,816
Palm Beach Gardens Medical CenterPalm Beach Gardens, FL$16,885

Highest

Ocala Regional Medical CenterOcala, FL$17,611
Boca Raton Regional HospitalBoca Raton, FL$17,611
Villages Regional Hospital theLady Lake, FL$17,611
Tampa General HospitalTampa, FL$17,611
Holmes Regional Medical CenterMelbourne, FL$17,611

Level 4 Pacemaker and Similar Procedures in other states

Questions

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

In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 96 hospitals in Florida was billed at $134,686 on average, while the average medicare-allowed amount was $17,422, of which Medicare paid $15,788. 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 Florida, average charges were 7.7 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.