What 21 hospitals in Louisiana charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.
Hospitals in Louisiana billed an average of $100,710 for level 4 pacemaker and similar procedures, about 6.2 times the average medicare-allowed amount of $16,330. That payment is 13% 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.
About 16¢ was paid for every $1 hospitals in Louisiana billed for this service.
Every Louisiana hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Ochsner Foundation HospitalNew Orleans, LA | $14,867 |
|---|---|
| Lafayette General Medical CenterLafayette, LA | $16,167 |
| Our Lady of Lourdes Regional Medical Center, INCLafayette, LA | $16,167 |
| Terrebonne General Medical CenterHouma, LA | $16,314 |
| Our Lady of the Lake Regional Medical CenterBaton Rouge, LA | $16,441 |
| Willis Knighton Medical CenterShreveport, LA | $16,851 |
|---|---|
| CHRISTUS Schumpert Health SystemShreveport, LA | $16,851 |
| Tulane Medical CenterNew Orleans, LA | $16,470 |
| Our Lady of the Lake Regional Medical CenterBaton Rouge, LA | $16,441 |
| Terrebonne General Medical CenterHouma, LA | $16,314 |
In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 21 hospitals in Louisiana was billed at $100,710 on average, while the average medicare-allowed amount was $16,330, of which Medicare paid $14,695. Your own cost depends on your insurance, deductible and the hospital.
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 Louisiana, average charges were 6.2 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.