Level 4 Pacemaker and Similar Procedures in North Carolina
What 33 hospitals in North Carolina charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.
Average charge
$92,116
Hospital list price billed
Average allowed
$17,201
Medicare's payment + patient's share
Medicare paid
$15,570
Average per service
State rank
#15 of 47
1 = lowest average payment
Hospitals in North Carolina billed an average of $92,116 for level 4 pacemaker and similar procedures, about 5.4 times the average medicare-allowed amount of $17,201. That payment is 8% 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 $17,201Billed $92,116
About 19¢ was paid for every $1 hospitals in North Carolina billed for this service.
North Carolina hospitals: level 4 pacemaker and similar procedures
Every North Carolina hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Rex HospitalRaleigh | 59 | $65,763 | $17,246 | $15,610 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 53 | $104,168 | $16,632 | $14,993 |
| Duke University Medical CenterDurham | 51 | $114,145 | $17,537 | $15,905 |
| New Hanover Regional Medical CenterWilmington | 50 | $62,155 | $18,119 | $16,487 |
| ECU Health Medical CenterGreenville | 41 | $48,370 | $16,920 | $15,288 |
| Firsthealth Moore Regional HospitalPinehurst | 39 | $113,509 | $16,834 | $15,202 |
| Carolinas Medical Center/Behav HealthCharlotte | 32 | $132,709 | $15,924 | $14,343 |
| Presbyterian HospitalCharlotte | 30 | $70,539 | $16,942 | $15,306 |
| Duke Regional HospitalDurham | 20 | $111,927 | $17,537 | $15,905 |
| Moses H Cone Memorial Hospital, theGreensboro | 15 | $58,143 | $17,441 | $15,809 |
| Atrium Health PinevilleCharlotte | 15 | $89,107 | $17,470 | $15,838 |
| Frye Regional Medical CenterHickory | 14 | $150,185 | $17,288 | $15,656 |
| Caromont Regional Medical CenterGastonia | 13 | $138,716 | $17,470 | $15,838 |
| Carolinas Medical Center-NortheastConcord | 12 | $83,093 | $17,470 | $15,838 |
| Forsyth Memorial HospitalWinston-Salem | 12 | $73,695 | $17,721 | $16,089 |
| Wakemed, Cary HospitalCary | 12 | $109,639 | $17,504 | $15,854 |
| High Point Regional Hlth SystHigh Point | 11 | $112,204 | $17,276 | $15,644 |
| North Carolina Baptist HospitalWinston-Salem | 11 | $113,569 | $17,721 | $16,089 |
| Cleveland Regional Medical CenterShelby | – | – | – | – |
| Iredell Memorial Hospital INCStatesville | – | – | – | – |
| Caldwell Memorial HospitalLenoir | – | – | – | – |
| Southeastern Regional Medical CenterLumberton | – | – | – | – |
| Watauga Medical CenterBoone | – | – | – | – |
| UNC HospitalsChapel Hill | – | – | – | – |
| Wakemed, Raleigh CampusRaleigh | – | – | – | – |
| Alamance Regional Medical CenterBurlington | – | – | – | – |
| Duke Health Raleigh HospitalRaleigh | – | – | – | – |
| Grace Hospital INCMorganton | – | – | – | – |
| Johnston Memorial HospitalSmithfield | – | – | – | – |
| Albemarle Hospital AuthorityElizabeth City | – | – | – | – |
| Carolina East Medical CenterNew Bern | – | – | – | – |
| Catawba Valley Medical CenterHickory | – | – | – | – |
| Presbyterian Hospital HuntersvilleHuntersville | – | – | – | – |
Lowest and highest allowed amounts in North Carolina
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
| Carolinas Medical Center/Behav HealthCharlotte, NC | $15,924 |
|---|---|
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | $16,632 |
| Firsthealth Moore Regional HospitalPinehurst, NC | $16,834 |
| ECU Health Medical CenterGreenville, NC | $16,920 |
| Presbyterian HospitalCharlotte, NC | $16,942 |
Highest
| New Hanover Regional Medical CenterWilmington, NC | $18,119 |
|---|---|
| Forsyth Memorial HospitalWinston-Salem, NC | $17,721 |
| North Carolina Baptist HospitalWinston-Salem, NC | $17,721 |
| Duke University Medical CenterDurham, NC | $17,537 |
| Duke Regional HospitalDurham, NC | $17,537 |
Level 4 Pacemaker and Similar Procedures in other states
Questions
How much does level 4 pacemaker and similar procedures cost in North Carolina?
In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 33 hospitals in North Carolina was billed at $92,116 on average, while the average medicare-allowed amount was $17,201, of which Medicare paid $15,570. 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 North Carolina, average charges were 5.4 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.