Level 4 Pacemaker and Similar Procedures in Kentucky
What 24 hospitals in Kentucky charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.
Average charge
$144,562
Hospital list price billed
Average allowed
$16,698
Medicare's payment + patient's share
Medicare paid
$15,065
Average per service
State rank
#8 of 47
1 = lowest average payment
Hospitals in Kentucky billed an average of $144,562 for level 4 pacemaker and similar procedures, about 8.7 times the average medicare-allowed amount of $16,698. That payment is 11% 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 $16,698Billed $144,562
About 12¢ was paid for every $1 hospitals in Kentucky billed for this service.
Kentucky hospitals: level 4 pacemaker and similar procedures
Every Kentucky hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Central Baptist HospitalLexington | 47 | $242,280 | $16,529 | $14,897 |
| St Elizabeth Med Center-SouthEdgewood | 40 | $107,369 | $16,346 | $14,714 |
| Norton Healthcare PavilionLouisville | 30 | $112,121 | $16,664 | $15,032 |
| Baptist Hospital EastLouisville | 20 | $233,075 | $16,752 | $15,120 |
| King's Daughters' Medical CenterAshland | 19 | $62,805 | $16,563 | $14,931 |
| Owensboro Medical Health SystemOwensboro | 17 | $109,293 | $17,987 | $16,355 |
| The Medical Center at Bowling GreenBowling Green | 16 | $54,646 | $16,799 | $15,167 |
| Jewish HospitalLouisville | 16 | $92,372 | $16,752 | $15,120 |
| Pikeville Medical CenterPikeville | 15 | $118,112 | $16,590 | $14,943 |
| Western Baptist HospitalPaducah | 14 | $260,337 | $17,787 | $16,155 |
| University of Kentucky HospLexington | 12 | $86,265 | $15,571 | $13,939 |
| Saint Joseph HospitalLexington | – | – | – | – |
| Saint Joseph LondonLondon | – | – | – | – |
| Hardin Memorial HospitalElizabethtown | – | – | – | – |
| T J Samson Community HospitalGlasgow | – | – | – | – |
| St Claire Regional Medical CenterMorehead | – | – | – | – |
| Murray-Calloway County HospitalMurray | – | – | – | – |
| Hazard Arh Regional Medical CenterHazard | – | – | – | – |
| Bourbon Community HospitalParis | – | – | – | – |
| Harrison Memorial HospitalCynthiana | – | – | – | – |
| Baptist Health Deaconess MadisonvilleMadisonville | – | – | – | – |
| Lourdes HospitalPaducah | – | – | – | – |
| Greenview Regional HospitalBowling Green | – | – | – | – |
| Lake Cumberland Regional HospitalSomerset | – | – | – | – |
Lowest and highest allowed amounts in Kentucky
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 Kentucky HospLexington, KY | $15,571 |
|---|---|
| St Elizabeth Med Center-SouthEdgewood, KY | $16,346 |
| Central Baptist HospitalLexington, KY | $16,529 |
| King's Daughters' Medical CenterAshland, KY | $16,563 |
| Pikeville Medical CenterPikeville, KY | $16,590 |
Highest
| Owensboro Medical Health SystemOwensboro, KY | $17,987 |
|---|---|
| Western Baptist HospitalPaducah, KY | $17,787 |
| The Medical Center at Bowling GreenBowling Green, KY | $16,799 |
| Jewish HospitalLouisville, KY | $16,752 |
| Baptist Hospital EastLouisville, KY | $16,752 |
Level 4 Pacemaker and Similar Procedures in other states
Questions
How much does level 4 pacemaker and similar procedures cost in Kentucky?
In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 24 hospitals in Kentucky was billed at $144,562 on average, while the average medicare-allowed amount was $16,698, of which Medicare paid $15,065. 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 Kentucky, average charges were 8.7 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.