What 20 hospitals in Oklahoma charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.
Hospitals in Oklahoma billed an average of $86,072 for level 4 pacemaker and similar procedures, about 5.2 times the average medicare-allowed amount of $16,624. That payment is 11% 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.
About 19¢ was paid for every $1 hospitals in Oklahoma billed for this service.
Every Oklahoma hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Saint Francis Hospital, INCTulsa, OK | $16,067 |
|---|---|
| Oklahoma Heart Hospital SouthOklahoma City, OK | $16,565 |
| Integris Baptist Medical CenterOklahoma City, OK | $16,582 |
| Hillcrest Hospital SouthTulsa, OK | $16,752 |
| St Anthony HospitalOklahoma City, OK | $16,752 |
| Jane Phillips Medical CenterBartlesville, OK | $17,682 |
|---|---|
| Oklahoma Heart HospitalOklahoma City, OK | $16,752 |
| St Anthony HospitalOklahoma City, OK | $16,752 |
| Hillcrest Hospital SouthTulsa, OK | $16,752 |
| Integris Baptist Medical CenterOklahoma City, OK | $16,582 |
In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 20 hospitals in Oklahoma was billed at $86,072 on average, while the average medicare-allowed amount was $16,624, of which Medicare paid $14,989. Your own cost depends on your insurance, deductible and the hospital.
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 Oklahoma, average charges were 5.2 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.