What 25 hospitals in Washington charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.
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.
About 24¢ was paid for every $1 hospitals in Washington billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Evergreenhealth Medical CenterKirkland, WA | $18,849 |
|---|---|
| Deaconess Medical CenterSpokane, WA | $19,246 |
| Virginia Mason Medical CenterSeattle, WA | $19,467 |
| University of Washington Medical CtrSeattle, WA | $19,509 |
| Kadlec Regional Medical CenterRichland, WA | $19,509 |
| 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 |
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.
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.