Level 4 Pacemaker and Similar Procedures in New York
What 46 hospitals in New York charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.
Average charge
$119,566
Hospital list price billed
Average allowed
$21,560
Medicare's payment + patient's share
Medicare paid
$19,927
Average per service
State rank
#44 of 47
1 = lowest average payment
Hospitals in New York billed an average of $119,566 for level 4 pacemaker and similar procedures, about 5.5 times the average medicare-allowed amount of $21,560. That payment is 15% 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 $21,560Billed $119,566
About 18¢ was paid for every $1 hospitals in New York billed for this service.
New York hospitals: level 4 pacemaker and similar procedures
Every New York hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| NYU Hospitals CenterNew York | 128 | $246,816 | $21,879 | $20,247 |
| St Francis Hospital, RoslynRoslyn | 88 | $105,892 | $21,899 | $20,267 |
| New York-Presbyterian HospitalNew York | 84 | $94,884 | $22,115 | $20,483 |
| Mount Sinai HospitalNew York | 49 | $72,098 | $22,115 | $20,482 |
| White Plains Hospital CtrWhite Plains | 39 | $84,988 | $21,558 | $19,926 |
| Vassar Brothers Medical CenterPoughkeepsie | 30 | $118,150 | $21,467 | $19,830 |
| University HospitalStony Brook | 30 | $102,594 | $21,707 | $20,071 |
| Good Samaritan Hospital Medical CenterWest Islip | 29 | $139,000 | $21,015 | $19,383 |
| St Joseph's Hospital Health CenterSyracuse | 23 | $75,901 | $20,608 | $18,976 |
| Northern Westchester HospitalMt Kisco | 22 | $91,204 | $19,508 | $17,876 |
| Buffalo General HospitalBuffalo | 21 | $35,744 | $20,608 | $18,976 |
| St Peter's HospitalAlbany | 18 | $49,798 | $20,608 | $18,976 |
| Mount Sinai WestNew York | 17 | $86,961 | $21,891 | $20,259 |
| Garnet Health Medical CenterGoshen | 17 | $86,144 | $21,634 | $20,002 |
| Wynn HospitalUtica | 15 | $89,360 | $20,608 | $18,976 |
| Huntington HospitalHuntington | 13 | $89,581 | $21,707 | $20,075 |
| Champlain Valley Physicians Hospital Medical CtrPlattsburgh | 13 | $104,285 | $22,068 | $20,436 |
| Albany Medical Center HospitalAlbany | 12 | $47,624 | $20,608 | $18,976 |
| Crouse HospitalSyracuse | 12 | $23,683 | $20,608 | $18,976 |
| Maimonides Medical CenterBrooklyn | 11 | $130,356 | $22,115 | $20,483 |
| University Hospital S U N Y Health Science CenterSyracuse | 11 | $60,874 | $20,608 | $18,976 |
| Southside HospitalBay Shore | – | – | – | – |
| New York Hospital Medical Center of QueensNew York | – | – | – | – |
| Montefiore Medical CenterBronx | – | – | – | – |
| Adirondack Medical CenterSaranac Lake | – | – | – | – |
| North Shore University HospitalManhasset | – | – | – | – |
| Peconic Bay Medical CenterRiverhead | – | – | – | – |
| Lenox Hill HospitalNew York | – | – | – | – |
| Rochester General HospitalRochester | – | – | – | – |
| Mary Imogene Bassett HospitalCooperstown | – | – | – | – |
| Long Island Community HospitalPatchogue | – | – | – | – |
| Ellis HospitalSchenectady | – | – | – | – |
| Good Samaritan Hospital of SuffernSuffern | – | – | – | – |
| Staten Island University HospitalStaten Island | – | – | – | – |
| Glens Falls HospitalGlens Falls | – | – | – | – |
| Long Island Jewish Medical CenterNew Hyde Park | – | – | – | – |
| South Nassau Communities HospitalOceanside | – | – | – | – |
| Unity Hospital of RochesterRochester | – | – | – | – |
| Westchester Medical CenterValhalla | – | – | – | – |
| Hudson Valley Hospital CenterCortlandt Manor | – | – | – | – |
| Mercy HospitalBuffalo | – | – | – | – |
| Strong Memorial HospitalRochester | – | – | – | – |
| Cayuga Medical Center at IthacaIthaca | – | – | – | – |
| University Hospital of Brooklyn ( Downstate )Brooklyn | – | – | – | – |
| United Health Services HospsBinghamton | – | – | – | – |
| St Catherine of Siena HospitalSmithtown | – | – | – | – |
Lowest and highest allowed amounts in New York
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
| Northern Westchester HospitalMt Kisco, NY | $19,508 |
|---|---|
| Buffalo General HospitalBuffalo, NY | $20,608 |
| Albany Medical Center HospitalAlbany, NY | $20,608 |
| Wynn HospitalUtica, NY | $20,608 |
| St Peter's HospitalAlbany, NY | $20,608 |
Highest
| Mount Sinai HospitalNew York, NY | $22,115 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $22,115 |
| Maimonides Medical CenterBrooklyn, NY | $22,115 |
| Champlain Valley Physicians Hospital Medical CtrPlattsburgh, NY | $22,068 |
| St Francis Hospital, RoslynRoslyn, NY | $21,899 |
Level 4 Pacemaker and Similar Procedures in other states
Questions
How much does level 4 pacemaker and similar procedures cost in New York?
In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 46 hospitals in New York was billed at $119,566 on average, while the average medicare-allowed amount was $21,560, of which Medicare paid $19,927. 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 New York, average charges were 5.5 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.