Level 4 Pacemaker and Similar Procedures in Virginia
What 31 hospitals in Virginia charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.
Average charge
$97,762
Hospital list price billed
Average allowed
$17,519
Medicare's payment + patient's share
Medicare paid
$15,886
Average per service
State rank
#21 of 47
1 = lowest average payment
Hospitals in Virginia billed an average of $97,762 for level 4 pacemaker and similar procedures, about 5.6 times the average medicare-allowed amount of $17,519. That payment is 6% 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 $17,519Billed $97,762
About 18¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: level 4 pacemaker and similar procedures
Every Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Centra Health - Lynchburg Gen HospitalLynchburg | 78 | $121,091 | $17,925 | $16,292 |
| Mary Washington Hospital, INCFredericksburg | 44 | $78,924 | $17,853 | $16,221 |
| Sentara Norfolk General HospitalNorfolk | 42 | $69,122 | $16,918 | $15,286 |
| Inova Fairfax HospitalFalls Church | 42 | $66,326 | $17,835 | $16,203 |
| Carilion Medical CenterRoanoke | 40 | $84,062 | $15,983 | $14,351 |
| Augusta HealthFishersville | 35 | $117,840 | $18,790 | $17,158 |
| Winchester Medical Center INCWinchester | 31 | $75,654 | $19,116 | $17,476 |
| University of Virginia Medical CenterCharlottesville | 31 | $83,516 | $17,851 | $16,219 |
| Martha Jefferson HospitalCharlottesville | 29 | $55,452 | $16,019 | $14,387 |
| Medical College of Virginia HospitalsRichmond | 22 | $108,895 | $16,768 | $15,124 |
| Sentara Virginia Beach General HospitalVirginia Beach | 21 | $58,546 | $16,291 | $14,659 |
| Riverside Regional Medical CenterNewport News | 16 | $60,572 | $16,741 | $15,109 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 16 | $160,602 | $17,851 | $16,219 |
| Cjw Medical CenterRichmond | 14 | $337,330 | $16,739 | $15,107 |
| Sentara Rmh Medical CenterHarrisonburg | 13 | $52,770 | $19,116 | $17,484 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 12 | $139,323 | $17,851 | $16,219 |
| Spotsylvania Regional Medical CenterFredericksburg | 12 | $180,861 | $18,230 | $16,598 |
| Sentara Careplex HospitalHampton | 11 | $64,574 | $16,918 | $15,279 |
| Bon Secours - Maryview Medical CenterPortsmouth | – | – | – | – |
| Inova Loudoun HospitalLeesburg | – | – | – | – |
| Sentara Obici HospitalSuffolk | – | – | – | – |
| Prince William HospitalManassas | – | – | – | – |
| Sentara Leigh HospitalNorfolk | – | – | – | – |
| Lewisgale Medical CenterSalem | – | – | – | – |
| Virginia Hospital Center - ArlingtonArlington | – | – | – | – |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | – | – | – | – |
| Danville Regional Medical CenterDanville | – | – | – | – |
| Reston Hospital CenterReston | – | – | – | – |
| Henrico Doctors' HospitalRichmond | – | – | – | – |
| Chesapeake General HospitalChesapeake | – | – | – | – |
| Bon Secours - St Francis Medical CenterMidlothian | – | – | – | – |
Lowest and highest allowed amounts in Virginia
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
| Carilion Medical CenterRoanoke, VA | $15,983 |
|---|---|
| Martha Jefferson HospitalCharlottesville, VA | $16,019 |
| Sentara Virginia Beach General HospitalVirginia Beach, VA | $16,291 |
| Cjw Medical CenterRichmond, VA | $16,739 |
| Riverside Regional Medical CenterNewport News, VA | $16,741 |
Highest
| Winchester Medical Center INCWinchester, VA | $19,116 |
|---|---|
| Sentara Rmh Medical CenterHarrisonburg, VA | $19,116 |
| Augusta HealthFishersville, VA | $18,790 |
| Spotsylvania Regional Medical CenterFredericksburg, VA | $18,230 |
| Centra Health - Lynchburg Gen HospitalLynchburg, VA | $17,925 |
Level 4 Pacemaker and Similar Procedures in other states
Questions
How much does level 4 pacemaker and similar procedures cost in Virginia?
In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 31 hospitals in Virginia was billed at $97,762 on average, while the average medicare-allowed amount was $17,519, of which Medicare paid $15,886. 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 Virginia, average charges were 5.6 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.