Level 4 Pacemaker and Similar Procedures in Maine
What 7 hospitals in Maine charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.
Average charge
$101,929
Hospital list price billed
Average allowed
$17,518
Medicare's payment + patient's share
Medicare paid
$15,882
Average per service
State rank
#20 of 47
1 = lowest average payment
Hospitals in Maine billed an average of $101,929 for level 4 pacemaker and similar procedures, about 5.8 times the average medicare-allowed amount of $17,518. That payment is 6% 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 $17,518Billed $101,929
About 17¢ was paid for every $1 hospitals in Maine billed for this service.
Maine hospitals: level 4 pacemaker and similar procedures
Every Maine hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Maine Medical CenterPortland | 40 | $92,986 | $17,850 | $16,212 |
| Eastern Maine Medical CenterBangor | 23 | $117,482 | $16,939 | $15,307 |
| Northern Light a R Gould HospitalPresque Isle | – | – | – | – |
| Southern Maine Health CareBiddeford | – | – | – | – |
| York HospitalYork | – | – | – | – |
| Central Maine Medical CenterLewiston | – | – | – | – |
| Maine General Medical CenterWaterville | – | – | – | – |
Level 4 Pacemaker and Similar Procedures in other states
Questions
How much does level 4 pacemaker and similar procedures cost in Maine?
In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 7 hospitals in Maine was billed at $101,929 on average, while the average medicare-allowed amount was $17,518, of which Medicare paid $15,882. 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 Maine, average charges were 5.8 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.