Level 4 Pacemaker and Similar Procedures in Minnesota
What 18 hospitals in Minnesota charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.
Average charge
$87,195
Hospital list price billed
Average allowed
$18,903
Medicare's payment + patient's share
Medicare paid
$17,271
Average per service
State rank
#32 of 47
1 = lowest average payment
Hospitals in Minnesota billed an average of $87,195 for level 4 pacemaker and similar procedures, about 4.6 times the average medicare-allowed amount of $18,903. That payment is 1% above 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 $18,903Billed $87,195
About 22¢ was paid for every $1 hospitals in Minnesota billed for this service.
Minnesota hospitals: level 4 pacemaker and similar procedures
Every Minnesota hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Abbott Northwestern Hospital INCMinneapolis | 84 | $100,927 | $18,381 | $16,749 |
| Mayo Clinic - Saint Marys HospitalRochester | 54 | $72,881 | $20,024 | $18,392 |
| Essentia Health St Mary's Medical CenterDuluth | 45 | $74,441 | $18,443 | $16,811 |
| St Cloud HospitalSt Cloud | 45 | $68,895 | $19,750 | $18,118 |
| United HospitalSt Paul | 30 | $90,490 | $18,583 | $16,951 |
| Park Nicollet Methodist HospitalSaint Louis Park | 30 | $119,737 | $18,583 | $16,951 |
| St Lukes HospitalDuluth | 20 | $57,730 | $18,443 | $16,811 |
| Mercy HospitalCoon Rapids | 18 | $116,697 | $18,583 | $16,951 |
| North Memorial Medical CenterRobbinsdale | – | – | – | – |
| Hennepin County Medical CenterMinneapolis | – | – | – | – |
| Itasca Medical CenterGrand Rapids | – | – | – | – |
| Essentia Health St Joseph's Medical CenterBrainerd | – | – | – | – |
| Fairview Southdale HospitalEdina | – | – | – | – |
| University of Minnesota Medical Center, FairviewMinneapolis | – | – | – | – |
| Mayo Clinic Health System - MankatoMankato | – | – | – | – |
| Sanford Bemidji Medical CenterBemidji | – | – | – | – |
| Regions HospitalSt Paul | – | – | – | – |
| St John's HospitalSt Paul | – | – | – | – |
Lowest and highest allowed amounts in Minnesota
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
| Abbott Northwestern Hospital INCMinneapolis, MN | $18,381 |
|---|---|
| Essentia Health St Mary's Medical CenterDuluth, MN | $18,443 |
| St Lukes HospitalDuluth, MN | $18,443 |
| United HospitalSt Paul, MN | $18,583 |
| Park Nicollet Methodist HospitalSaint Louis Park, MN | $18,583 |
Highest
| Mayo Clinic - Saint Marys HospitalRochester, MN | $20,024 |
|---|---|
| St Cloud HospitalSt Cloud, MN | $19,750 |
| United HospitalSt Paul, MN | $18,583 |
| Park Nicollet Methodist HospitalSaint Louis Park, MN | $18,583 |
| Mercy HospitalCoon Rapids, MN | $18,583 |
Level 4 Pacemaker and Similar Procedures in other states
Questions
How much does level 4 pacemaker and similar procedures cost in Minnesota?
In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 18 hospitals in Minnesota was billed at $87,195 on average, while the average medicare-allowed amount was $18,903, of which Medicare paid $17,271. 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 Minnesota, average charges were 4.6 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.