Level 4 Pacemaker and Similar Procedures in Missouri
What 39 hospitals in Missouri charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.
Average charge
$81,319
Hospital list price billed
Average allowed
$16,998
Medicare's payment + patient's share
Medicare paid
$15,363
Average per service
State rank
#11 of 47
1 = lowest average payment
Hospitals in Missouri billed an average of $81,319 for level 4 pacemaker and similar procedures, about 4.8 times the average medicare-allowed amount of $16,998. That payment is 9% 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 $16,998Billed $81,319
About 21¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 4 pacemaker and similar procedures
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Missouri Baptist Medical CenterTown and Country | 57 | $66,552 | $16,726 | $15,092 |
| Boone Hospital CenterColumbia | 45 | $67,794 | $16,215 | $14,563 |
| Mercy Hospital SpringfieldSpringfield | 31 | $59,878 | $16,350 | $14,718 |
| Freeman Health System - Freeman WestJoplin | 30 | $108,567 | $16,350 | $14,718 |
| St Francis Medical CenterCape Girardeau | 28 | $172,233 | $17,787 | $16,155 |
| Mosaic Life Care at St JosephSt Joseph | 26 | $65,736 | $18,287 | $16,655 |
| St Lukes HospitalChesterfield | 23 | $61,648 | $17,303 | $15,671 |
| Mercy Hospital SouthSt Louis | 22 | $46,196 | $17,295 | $15,663 |
| SSM St Joseph Health CenterSt Charles | 21 | $57,997 | $16,995 | $15,363 |
| St John's Mercy Medical CenterSt Louis | 20 | $53,955 | $17,303 | $15,671 |
| Southeast Missouri HospitalCape Girardeau | 17 | $81,731 | $17,787 | $16,155 |
| Poplar Bluff Regional Medical CenterPoplar Bluff | 17 | $141,053 | $17,509 | $15,877 |
| St Lukes Hospital of Kansas CityKansas City | 16 | $95,244 | $16,980 | $15,348 |
| Saint Luke's East Lee's Summit HospitalLee's Summit | 16 | $71,094 | $16,980 | $15,348 |
| Lester E Cox Medical CentersSpringfield | 15 | $89,209 | $16,350 | $14,718 |
| Barnes Jewish HospitalSt Louis | 14 | $63,676 | $17,303 | $15,671 |
| Nkc HealthNorth Kansas City | 14 | $84,128 | $16,980 | $15,348 |
| University Hospitals & ClinicsColumbia | 13 | $116,265 | $16,500 | $14,868 |
| Cox Medical Center BransonBranson | 11 | $78,826 | $17,509 | $15,877 |
| Mercy Hospital JoplinJoplin | – | – | – | – |
| Bothwell Regional Health CenterSedalia | – | – | – | – |
| Phelps County Regional Medical CenterRolla | – | – | – | – |
| Jefferson Memorial HospitalCrystal City | – | – | – | – |
| Hannibal Regional HospitalHannibal | – | – | – | – |
| Research Medical CenterKansas City | – | – | – | – |
| Truman Medical Center Hospital HillKansas City | – | – | – | – |
| St Johns Mercy HospitalWashington | – | – | – | – |
| Saint Luke's Northland HospSmithville | – | – | – | – |
| Moberly Regional Medical CenterMoberly | – | – | – | – |
| SSM St Joseph Hosp of KirkwoodSt Louis | – | – | – | – |
| St Joseph Medical CenterKansas City | – | – | – | – |
| SSM St Mary's Health CenterSt Louis | – | – | – | – |
| Centerpoint Medical CenterIndependence | – | – | – | – |
| SSM Depaul Health CenterBridgeton | – | – | – | – |
| St Louis University HospitalSt Louis | – | – | – | – |
| Parkland Health CenterFarmington | – | – | – | – |
| Christian Hospital NortheastSt Louis | – | – | – | – |
| Lake Regional Health SystemOsage Beach | – | – | – | – |
| Progress West Healthcare CenterO'fallon | – | – | – | – |
Lowest and highest allowed amounts in Missouri
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
| Boone Hospital CenterColumbia, MO | $16,215 |
|---|---|
| Lester E Cox Medical CentersSpringfield, MO | $16,350 |
| Mercy Hospital SpringfieldSpringfield, MO | $16,350 |
| Freeman Health System - Freeman WestJoplin, MO | $16,350 |
| University Hospitals & ClinicsColumbia, MO | $16,500 |
Highest
| Mosaic Life Care at St JosephSt Joseph, MO | $18,287 |
|---|---|
| Southeast Missouri HospitalCape Girardeau, MO | $17,787 |
| St Francis Medical CenterCape Girardeau, MO | $17,787 |
| Cox Medical Center BransonBranson, MO | $17,509 |
| Poplar Bluff Regional Medical CenterPoplar Bluff, MO | $17,509 |
Level 4 Pacemaker and Similar Procedures in other states
Questions
How much does level 4 pacemaker and similar procedures cost in Missouri?
In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 39 hospitals in Missouri was billed at $81,319 on average, while the average medicare-allowed amount was $16,998, of which Medicare paid $15,363. 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 Missouri, average charges were 4.8 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.