Level 4 Pacemaker and Similar Procedures in Oregon
What 16 hospitals in Oregon charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.
Average charge
$87,607
Hospital list price billed
Average allowed
$21,035
Medicare's payment + patient's share
Medicare paid
$19,400
Average per service
State rank
#43 of 47
1 = lowest average payment
Hospitals in Oregon billed an average of $87,607 for level 4 pacemaker and similar procedures, about 4.2 times the average medicare-allowed amount of $21,035. That payment is 13% 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 $21,035Billed $87,607
About 24¢ was paid for every $1 hospitals in Oregon billed for this service.
Oregon hospitals: level 4 pacemaker and similar procedures
Every Oregon hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Providence St Vincent Medical CenterPortland | 32 | $86,273 | $20,395 | $18,756 |
| Rogue Valley Medical CenterMedford | 21 | $104,910 | $23,594 | $21,962 |
| St Charles Medical Center - BendBend | 19 | $67,266 | $20,538 | $18,906 |
| OHSU Hospital and ClinicsPortland | 17 | $84,789 | $20,395 | $18,763 |
| Adventist Medical CenterPortland | 16 | $83,722 | $20,395 | $18,763 |
| Salem HospitalSalem | 11 | $105,898 | $21,610 | $19,957 |
| Sacred Heart Medical Center - RiverbendSpringfield | 11 | $85,300 | $20,218 | $18,586 |
| Three Rivers Community HospitalGrants Pass | – | – | – | – |
| Legacy Emanuel Medical CenterPortland | – | – | – | – |
| Good Samaritan Regional Medical CenterCorvallis | – | – | – | – |
| Legacy Good Samaritan Medical CenterPortland | – | – | – | – |
| McKenzie-Willamette Medical CenterSpringfield | – | – | – | – |
| Providence Portland Medical CenterPortland | – | – | – | – |
| Willamette Valley Medical CtrMcMinnville | – | – | – | – |
| Legacy Meridian Park Medical CenterTualatin | – | – | – | – |
| Bay Area HospitalCoos Bay | – | – | – | – |
Lowest and highest allowed amounts in Oregon
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
| Sacred Heart Medical Center - RiverbendSpringfield, OR | $20,218 |
|---|---|
| OHSU Hospital and ClinicsPortland, OR | $20,395 |
| Adventist Medical CenterPortland, OR | $20,395 |
| Providence St Vincent Medical CenterPortland, OR | $20,395 |
| St Charles Medical Center - BendBend, OR | $20,538 |
Highest
| Rogue Valley Medical CenterMedford, OR | $23,594 |
|---|---|
| Salem HospitalSalem, OR | $21,610 |
| St Charles Medical Center - BendBend, OR | $20,538 |
| Providence St Vincent Medical CenterPortland, OR | $20,395 |
| OHSU Hospital and ClinicsPortland, OR | $20,395 |
Level 4 Pacemaker and Similar Procedures in other states
Questions
How much does level 4 pacemaker and similar procedures cost in Oregon?
In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 16 hospitals in Oregon was billed at $87,607 on average, while the average medicare-allowed amount was $21,035, of which Medicare paid $19,400. 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 Oregon, average charges were 4.2 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.