facebook tracking Level 4 Pacemaker and Similar Procedures cost in Kansas: 19 hospitals compared (APC 5224)

Level 4 Pacemaker and Similar Procedures in Kansas

What 19 hospitals in Kansas 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 $81,552 Hospital list price billed
Average allowed $17,012 Medicare's payment + patient's share
Medicare paid $15,379 Average per service
State rank #13 of 47 1 = lowest average payment

Hospitals in Kansas billed an average of $81,552 for level 4 pacemaker and similar procedures, about 4.8 times the average medicare-allowed amount of $17,012. That payment is 9% 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 $17,012Billed $81,552

About 21¢ was paid for every $1 hospitals in Kansas billed for this service.

Kansas hospitals: level 4 pacemaker and similar procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Kansas Heart HospitalWichita 32 $61,250 $16,600 $14,968
Hays Medical CenterHays 28 $60,608 $17,864 $16,232
University of Kansas HospitalKansas City 22 $89,490 $16,342 $14,710
Stormont-Vail HealthcareTopeka 21 $74,140 $16,980 $15,348
St Francis Health CenterTopeka 17 $96,457 $16,980 $15,348
Salina Regional Health CenterSalina 14 $58,008 $17,777 $16,128
Olathe Medical CenterOlathe 14 $44,875 $16,980 $15,348
Shawnee Mission Medical CenterOverland Park 12 $169,576 $16,980 $15,347
Wesley Medical CenterWichita 11 $149,790 $16,600 $14,968
Promise Regional Medical Center Hutchinson INCHutchinson – – – –
NMC HealthNewton – – – –
Via Christi Hospitals Wichita INCWichita – – – –
Lawrence Memorial HospitalLawrence – – – –
Ascension Via Christi Hospital ManhattanManhattan – – – –
Centura St. Catherine-Dodge CityDodge City – – – –
Overland Park Regional CenterShawnee Mission – – – –
Menorah Medical CenterShawnee Mission – – – –
Saint Luke's South HospitalOverland Park – – – –
Kansas Medical Center LLCAndover – – – –
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Lowest and highest allowed amounts in Kansas

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

University of Kansas HospitalKansas City, KS$16,342
Wesley Medical CenterWichita, KS$16,600
Kansas Heart HospitalWichita, KS$16,600
St Francis Health CenterTopeka, KS$16,980
Olathe Medical CenterOlathe, KS$16,980

Highest

Hays Medical CenterHays, KS$17,864
Salina Regional Health CenterSalina, KS$17,777
Shawnee Mission Medical CenterOverland Park, KS$16,980
St Francis Health CenterTopeka, KS$16,980
Olathe Medical CenterOlathe, KS$16,980

Level 4 Pacemaker and Similar Procedures in other states

Questions

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

In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 19 hospitals in Kansas was billed at $81,552 on average, while the average medicare-allowed amount was $17,012, of which Medicare paid $15,379. 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 Kansas, average charges were 4.8 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.