facebook tracking Level 4 Pacemaker and Similar Procedures cost in Nevada: 13 hospitals compared (APC 5224)

Level 4 Pacemaker and Similar Procedures in Nevada

What 13 hospitals in Nevada 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 $182,315 Hospital list price billed
Average allowed $20,608 Medicare's payment + patient's share
Medicare paid $18,973 Average per service
State rank #40 of 47 1 = lowest average payment

Hospitals in Nevada billed an average of $182,315 for level 4 pacemaker and similar procedures, about 8.8 times the average medicare-allowed amount of $20,608. That payment is 10% 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 $20,608Billed $182,315

About 11¢ was paid for every $1 hospitals in Nevada billed for this service.

Nevada hospitals: level 4 pacemaker and similar procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Renown Regional Medical CenterReno 23 $168,473 $20,816 $19,184
Mountainview HospitalLas Vegas 21 $280,246 $20,816 $19,182
Northern Nevada Sierra Medical CenterReno 18 $158,358 $20,816 $19,181
Saint Rose Dominican Hospital - Siena CampusHenderson 14 $159,921 $20,816 $19,174
Carson Tahoe HospitalCarson City 13 $105,897 $19,390 $17,758
Sunrise Hospital and Medical CenterLas Vegas – – – –
University Medical CenterLas Vegas – – – –
Saint Mary's Regional Medical CenterReno – – – –
Valley Hospital Medical CenterLas Vegas – – – –
Northern Nevada Medical CenterSparks – – – –
Summerlin Hospital Medical CenterLas Vegas – – – –
Southern Hills Hospital and Medical CenterLas Vegas – – – –
Saint Rose Dominican Hospital - San Martin CampusLas Vegas – – – –
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Lowest and highest allowed amounts in Nevada

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

Carson Tahoe HospitalCarson City, NV$19,390
Renown Regional Medical CenterReno, NV$20,816
Mountainview HospitalLas Vegas, NV$20,816
Northern Nevada Sierra Medical CenterReno, NV$20,816
Saint Rose Dominican Hospital - Siena CampusHenderson, NV$20,816

Highest

Saint Rose Dominican Hospital - Siena CampusHenderson, NV$20,816
Northern Nevada Sierra Medical CenterReno, NV$20,816
Mountainview HospitalLas Vegas, NV$20,816
Renown Regional Medical CenterReno, NV$20,816
Carson Tahoe HospitalCarson City, NV$19,390

Level 4 Pacemaker and Similar Procedures in other states

Questions

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

In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 13 hospitals in Nevada was billed at $182,315 on average, while the average medicare-allowed amount was $20,608, of which Medicare paid $18,973. 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 Nevada, average charges were 8.8 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.