facebook tracking Level 4 Pacemaker and Similar Procedures cost in Washington: 25 hospitals compared (APC 5224)

Level 4 Pacemaker and Similar Procedures in Washington

What 25 hospitals in Washington charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.

APC 5224 Outpatient 2024 Medicare data
Average charge $84,496 Hospital list price billed
Average allowed $19,989 Medicare's payment + patient's share
Medicare paid $18,360 Average per service
State rank #38 of 47 1 = lowest average payment

Hospitals in Washington billed an average of $84,496 for level 4 pacemaker and similar procedures, about 4.2 times the average medicare-allowed amount of $19,989. That payment is 7% 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 $19,989Billed $84,496

About 24¢ was paid for every $1 hospitals in Washington billed for this service.

Washington hospitals: level 4 pacemaker and similar procedures

Every Washington hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
St Michael Medical CenterBremerton 34 $93,100 $20,962 $19,330
Providence Sacred Heart Medical CenterSpokane 33 $40,626 $19,509 $17,877
Swedish Medical Center/Cherry HillSeattle 27 $72,207 $20,827 $19,195
Peacehealth St Joseph Medical CenterBellingham 27 $87,000 $20,179 $18,547
Deaconess Medical CenterSpokane 26 $109,163 $19,246 $17,614
Skagit Valley HospitalMt Vernon 23 $85,381 $19,653 $18,021
Confluence Health HospitalWenatchee 23 $68,554 $21,047 $19,415
Virginia Mason Medical CenterSeattle 22 $88,576 $19,467 $17,835
Tacoma General HospitalTacoma 22 $136,750 $20,027 $18,395
Evergreenhealth Medical CenterKirkland 16 $62,876 $18,849 $17,271
University of Washington Medical CtrSeattle 15 $70,860 $19,509 $17,877
St Joseph Medical CenterTacoma 15 $93,121 $20,027 $18,395
Overlake Hospital Medical CenterBellevue 13 $78,348 $19,851 $18,219
Capital Medical CenterOlympia 12 $111,349 $20,027 $18,395
Kadlec Regional Medical CenterRichland 11 $90,306 $19,509 $17,877
Providence St Mary Medical CenterWalla Walla – – – –
Providence Regional Medical Center EverettEverett – – – –
Auburn Regional Medical CenterAuburn – – – –
Providence St Peter HospitalOlympia – – – –
Yakima Valley Memorial HospitalYakima – – – –
S W Washington Medical CenterVancouver – – – –
Olympic Medical CenterPort Angeles – – – –
Good Samaritan Hospital & Rehab CenterPuyallup – – – –
Valley Medical CenterRenton – – – –
St Anthony HospitalGig Harbor – – – –
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Lowest and highest allowed amounts in Washington

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

Highest

Confluence Health HospitalWenatchee, WA$21,047
St Michael Medical CenterBremerton, WA$20,962
Swedish Medical Center/Cherry HillSeattle, WA$20,827
Peacehealth St Joseph Medical CenterBellingham, WA$20,179
St Joseph Medical CenterTacoma, WA$20,027

Level 4 Pacemaker and Similar Procedures in other states

Questions

How much does level 4 pacemaker and similar procedures cost in Washington?

In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 25 hospitals in Washington was billed at $84,496 on average, while the average medicare-allowed amount was $19,989, of which Medicare paid $18,360. 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 Washington, 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.