Average charge
$142,179
Hospital list price billed
Average allowed
$17,416
Medicare's payment + patient's share
Medicare paid
$15,782
Average per service
State rank
#16 of 47
1 = lowest average payment
Hospitals in Texas billed an average of $142,179 for level 4 pacemaker and similar procedures, about 8.2 times the average medicare-allowed amount of $17,416 . That payment is 7% 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 $17,416 Billed $142,179
About 12¢ was paid for every $1 hospitals in Texas billed for this service.
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Texas hospitals: level 4 pacemaker and similar procedures
Every Texas hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Hospital
Services
Avg charge
Avg allowed
Medicare paid
The Heart Hospital Baylor Plano Plano 135
$98,536
$17,381 $15,747
Baylor Heart and Vascular Hospital Dallas 70
$92,238
$17,496 $15,858
St Davids Hospital Austin 64
$299,937
$17,113 $15,481
Longview Regional Medical Center Longview 48
$209,609
$17,297 $15,663
Hendrick Health System Abilene 47
$201,810
$18,248 $16,616
Methodist Hospital San Antonio 40
$143,674
$16,386 $14,744
Mem Hermann Southwest Hosp Houston 37
$46,399
$18,027 $16,395
Shannon Medical Center San Angelo 34
$124,497
$18,066 $16,434
CHRISTUS St Michael Health System Texarkana 32
$117,844
$16,871 $15,228
Texas Health Presbyterian Hospital Dallas Dallas 29
$98,334
$17,496 $15,864
The Heart Hospital Baylor Denton Denton 27
$100,026
$17,552 $15,920
Trinity Mother Frances Syst Tyler 25
$129,644
$16,871 $15,239
Methodist Hospital,The Houston 22
$143,841
$18,027 $16,395
St David's South Austin Medical Center Austin 22
$239,507
$17,113 $15,481
Texas Health Harris Methodist Fort Worth Fort Worth 21
$90,058
$17,496 $15,864
CHRISTUS Santa Rosa Hospital San Antonio 20
$140,372
$16,109 $14,477
Baylor Regional Medical Center at Grapevine Grapevine 20
$89,352
$17,552 $15,920
Tomball Regional Hospital Tomball 19
$210,187
$18,027 $16,391
Clear Lake Regional Medical Center Webster 16
$183,050
$17,002 $15,370
Lake Pointe Medical Center Rowlett 16
$106,665
$17,496 $15,864
UT Southwestern University Hospital Dallas 15
$84,495
$17,496 $15,864
St Luke's the Woodlands Hospital Conroe 15
$128,140
$18,027 $16,395
Covenant Medical Center Lubbock 14
$139,701
$16,871 $15,232
East Texas Medical Center Tyler 14
$133,853
$16,871 $15,239
Mem Hermann Mem City Hosp Houston 14
$40,451
$18,027 $16,395
Houston Methodist the Woodlands Hospital The Woodlands 14
$166,571
$18,027 $16,395
Texas Health Harris Methodist Hurst-Euless-Bedford Bedford 13
$105,908
$17,552 $15,920
Texas Health Heart & Vascular Hospital Arlington Arlington 13
$85,929
$17,552 $15,920
Good Shepherd Medical Center Marshall Marshall 12
$163,632
$17,297 $15,665
Baptist Medical Center San Antonio 12
$189,042
$16,871 $15,239
Las Palmas Medical Center El Paso 12
$184,594
$16,871 $15,220
Medical City Dallas Hospital Dallas 12
$283,742
$17,496 $15,864
Kingwood Medical Center Kingwood 12
$306,007
$18,027 $16,395
Texas Health Presbyterian Hospital Allen Allen 12
$106,139
$17,496 $15,864
Scott & White Memorial Hospital Temple 11
$76,562
$17,743 $16,111
Hillcrest Baptist Med Center Waco 11
$96,136
$17,503 $15,871
St Lukes Episcopal Hospital Houston 11
$152,375
$18,027 $16,395
University Medical Center Lubbock 11
$100,175
$16,871 $15,239
Providence Memorial Hospital El Paso –
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United Regional Hlth Care Syst Wichita Falls –
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St Joseph Regional Health Center Bryan –
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Parkland Health and Hospital System Dallas –
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University of Texas Medical Branch Gal Galveston –
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Laredo Medical Center Laredo –
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CHRISTUS Hospital Beaumont –
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Jps Health Network Fort Worth –
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Providence Health Center Waco –
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CHRISTUS Spohn Hospital Corpus Christi Corpus Christi –
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Methodist Dallas Medical Center Dallas –
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Seton Medical Center Austin Austin –
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Memorial Hermann Texas Medical Center Houston –
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Univ of Tx M D Anderson Ctr Houston –
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Baylor Medical Center at Irving Irving –
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North Hills Hospital North Richland Hills –
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HCA Houston Healthcare Southeast Pasadena –
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South Texas Health System Edinburg –
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Medical Center Hospital Odessa –
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Detar Hospital Navarro Victoria –
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Adventhealth Central Texas Killeen –
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Northwest Texas Hlthcare Syst Amarillo –
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CHI St Lukes Health Memorial Lufkin Lufkin –
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University Health System San Antonio –
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Conroe Regional Medical Center Conroe –
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Bsa Hospital Amarillo –
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CHRISTUS Mother Frances Hospital Sulphur Springs Sulphur Springs –
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CHRISTUS Santa Rosa Hospital-San Marcos San Marcos –
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Texoma Healthcare System Denison –
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Mem Hermann Baptist Hospital Beaumont –
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Medical Center of McKinney McKinney –
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Houston Methodist Baytown Hospital Baytown –
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Woodland Heights Medical Center Lufkin –
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Nacogdoches Memorial Hospital Nacogdoches –
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Methodist Richardson Medical Center Richardson –
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Brownwood Regional Medical Center Brownwood –
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Denton Regional Medical Center Denton –
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West Houston Medical Center Houston –
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Medical Center of Plano Plano –
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HCA Houston Healthcare Medical Center Houston –
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Valley Regional Medical Center Brownsville –
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Sierra Medical Center El Paso –
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Plaza Medical Center of Fort Worth Fort Worth –
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Huguley Health System Fort Worth –
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White Rock Medical Center Dallas –
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Memorial Hermann Northeast Humble –
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Houston Methodist Clear Lake Hospital Houston –
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Rio Grande Regional Hospital McAllen –
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Round Rock Medical Center Round Rock –
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Methodist Charlton Medical Center Dallas –
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Denton Community Hospital Denton –
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Texas Health Presbyterian Hospital Plano Plano –
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Texas Health Harris Methodist Hospital Southwest F Fort Worth –
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Corpus Christi Medical Center,The Corpus Christi –
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Methodist Sugar Land Hospital Sugar Land –
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Methodist Willowbrook Hospital Houston –
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Memorial Hermann Katy Hospital Katy –
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Memorial Hermann Sugar Land Hospital Sugar Land –
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Harlingen Medical Center Harlingen –
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Doctors Hospital at Renaissance Edinburg –
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Lubbock Heart Hospital Lp Lubbock –
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Centennial Medical Center Frisco –
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Methodist Mansfield Medical Center Mansfield –
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Scott & White Hospital-Round Rock Round Rock –
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Seton Medical Center Williamson Round Rock –
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Sierra Providence East Medical Center El Paso –
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Methodist Stone Oak Hospital San Antonio –
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Seton Medical Center Hays Kyle –
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St Lukes Lakeside Hospital Conroe –
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Texas Regional Medical Center at Sunnyvale Sunnyvale –
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Methodist McKinney Hospital McKinney –
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St Luke's Hospital at the Vintage Houston –
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Baylor Scott and White Surgical Hospital at Sherma Sherman –
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Houston Methodist West Hospital Houston –
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Baylor Scott & White Medical Center- College Stati College Station –
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Resolute Health Hospital New Braunfels –
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Medical City Alliance Fort Worth –
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Texas Health Hospital Mansfield Mansfield –
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Lowest and highest allowed amounts in Texas
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
CHRISTUS Santa Rosa Hospital San Antonio, TX $16,109 Methodist Hospital San Antonio, TX $16,386 Baptist Medical Center San Antonio, TX $16,871 East Texas Medical Center Tyler, TX $16,871 Trinity Mother Frances Syst Tyler, TX $16,871
Highest
Hendrick Health System Abilene, TX $18,248 Shannon Medical Center San Angelo, TX $18,066 Tomball Regional Hospital Tomball, TX $18,027 Mem Hermann Southwest Hosp Houston, TX $18,027 St Lukes Episcopal Hospital Houston, TX $18,027
Level 4 Pacemaker and Similar Procedures in other states
Questions
How much does level 4 pacemaker and similar procedures cost in Texas? In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 116 hospitals in Texas was billed at $142,179 on average, while the average medicare-allowed amount was $17,416, of which Medicare paid $15,782. 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 Texas, average charges were 8.2 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 .
