facebook tracking Level 4 Pacemaker and Similar Procedures cost in Louisiana: 21 hospitals compared (APC 5224)

Level 4 Pacemaker and Similar Procedures in Louisiana

What 21 hospitals in Louisiana 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 $100,710 Hospital list price billed
Average allowed $16,330 Medicare's payment + patient's share
Medicare paid $14,695 Average per service
State rank #3 of 47 1 = lowest average payment

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.

Paid $16,330Billed $100,710

About 16¢ was paid for every $1 hospitals in Louisiana billed for this service.

Louisiana hospitals: level 4 pacemaker and similar procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Our Lady of Lourdes Regional Medical Center, INCLafayette 21 $78,291 $16,167 $14,535
Our Lady of the Lake Regional Medical CenterBaton Rouge 19 $104,915 $16,441 $14,809
Willis Knighton Medical CenterShreveport 18 $52,460 $16,851 $15,207
Tulane Medical CenterNew Orleans 16 $178,694 $16,470 $14,838
CHRISTUS Schumpert Health SystemShreveport 15 $130,253 $16,851 $15,219
Terrebonne General Medical CenterHouma 12 $41,755 $16,314 $14,682
Lafayette General Medical CenterLafayette 11 $142,153 $16,167 $14,535
Ochsner Foundation HospitalNew Orleans 11 $84,359 $14,867 $13,213
University Medical Center New OrleansNew Orleans – – – –
North Oaks Medical CenterHammond – – – –
Opelousas General Health SystemOpelousas – – – –
CHRISTUS St Frances Cabrini HospitalAlexandria – – – –
CHRISTUS St Patrick HospitalLake Charles – – – –
St Tammany Parish HospitalCovington – – – –
Touro InfirmaryNew Orleans – – – –
Jennings American Legion HospitalJennings – – – –
Lake Charles Memorial HospitalLake Charles – – – –
Baton Rouge General Medical CenterBaton Rouge – – – –
Northern Louisiana Medical CenterRuston – – – –
St Francis Medical CenterMonroe – – – –
Ochsner Medical Center-Baton RougeBaton Rouge – – – –
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Lowest and highest allowed amounts in Louisiana

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Level 4 Pacemaker and Similar Procedures in other states

Questions

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

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.

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 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.