facebook tracking Level 4 Pacemaker and Similar Procedures cost in Georgia: 38 hospitals compared (APC 5224)

Level 4 Pacemaker and Similar Procedures in Georgia

What 38 hospitals in Georgia 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 $86,660 Hospital list price billed
Average allowed $17,443 Medicare's payment + patient's share
Medicare paid $15,809 Average per service
State rank #19 of 47 1 = lowest average payment

Hospitals in Georgia billed an average of $86,660 for level 4 pacemaker and similar procedures, about 5.0 times the average medicare-allowed amount of $17,443. 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 $17,443Billed $86,660

About 20¢ was paid for every $1 hospitals in Georgia billed for this service.

Georgia hospitals: level 4 pacemaker and similar procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Saint Joseph's Hosp of AtlantaAtlanta 42 $34,697 $17,470 $15,838
Emory University HospitalAtlanta 38 $34,452 $18,042 $16,401
Athens Regional Medical CenterAthens 34 $77,866 $17,298 $15,666
Northeast Georgia Medical Center, INCGainesville 33 $103,034 $17,726 $16,094
Wellstar Kennestone HospitalMarietta 31 $88,753 $17,513 $15,881
Emory University Hospital MidtownAtlanta 31 $44,443 $18,042 $16,410
Coliseum Medical CenterMacon 29 $93,548 $16,693 $15,061
Piedmont HospitalAtlanta 27 $68,911 $18,042 $16,409
Piedmont Augusta HospitalAugusta 25 $79,757 $16,455 $14,823
St Francis Hospital, INCColumbus 24 $39,691 $16,435 $14,798
Northside HospitalAtlanta 24 $150,808 $18,042 $16,410
Northside Hospital CherokeeCanton 23 $137,770 $18,042 $16,401
Gwinnett Medical CenterLawrenceville 23 $138,823 $16,615 $14,983
Piedmont Fayette HospitalFayetteville 22 $71,942 $18,042 $16,410
Memorial Health Univ Med Cen, INCSavannah 21 $199,683 $16,435 $14,803
Atrium Health Navicent the Medical CenterMacon 19 $91,071 $17,383 $15,738
St Joseph's Hospital - SavannahSavannah 16 $81,171 $16,435 $14,803
Hamilton Medical CenterDalton 13 $105,098 $17,726 $16,079
Henry Medical Center, INCStockbridge 13 $76,519 $18,042 $16,410
Phoebe Putney Memorial HospitalAlbany 12 $143,312 $18,300 $16,668
Northside Hospital ForsythCumming – – – –
St Mary's HospitalAthens – – – –
Tanner Medical Center - CarrolltonCarrollton – – – –
West Georgia Medical CenterLagrange – – – –
Medical College of Ga Hospitals and ClinicsAugusta – – – –
John D Archbold Memorial HospitalThomasville – – – –
Wellstar Paulding HospitalDallas – – – –
Piedmont Columbus Regional MidtownColumbus – – – –
Emory Decatur HospitalDecatur – – – –
Tift Regional Medical CenterTifton – – – –
Sgmc HealthValdosta – – – –
Fairview Park HospitalDublin – – – –
Meadows Regional Medical Center INCVidalia – – – –
Wellstar Cobb HospitalAustell – – – –
Redmond Regional Medical CenterRome – – – –
Doctors HospitalAugusta – – – –
Emory Eastside Medical CenterSnellville – – – –
North Fulton Regional HospitalRoswell – – – –
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Lowest and highest allowed amounts in Georgia

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

Memorial Health Univ Med Cen, INCSavannah, GA$16,435
St Joseph's Hospital - SavannahSavannah, GA$16,435
St Francis Hospital, INCColumbus, GA$16,435
Piedmont Augusta HospitalAugusta, GA$16,455
Gwinnett Medical CenterLawrenceville, GA$16,615

Highest

Phoebe Putney Memorial HospitalAlbany, GA$18,300
Northside Hospital CherokeeCanton, GA$18,042
Emory University HospitalAtlanta, GA$18,042
Piedmont HospitalAtlanta, GA$18,042
Emory University Hospital MidtownAtlanta, GA$18,042

Level 4 Pacemaker and Similar Procedures in other states

Questions

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

In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 38 hospitals in Georgia was billed at $86,660 on average, while the average medicare-allowed amount was $17,443, of which Medicare paid $15,809. 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 Georgia, average charges were 5.0 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.