Level 4 Pacemaker and Similar Procedures in West Virginia
What 8 hospitals in West Virginia charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.
Average charge
$110,857
Hospital list price billed
Average allowed
$15,953
Medicare's payment + patient's share
Medicare paid
$14,321
Average per service
State rank
#1 of 47
1 = lowest average payment
Hospitals in West Virginia billed an average of $110,857 for level 4 pacemaker and similar procedures, about 6.9 times the average medicare-allowed amount of $15,953. That payment is 15% 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 $15,953Billed $110,857
About 14¢ was paid for every $1 hospitals in West Virginia billed for this service.
West Virginia hospitals: level 4 pacemaker and similar procedures
Every West 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 |
|---|---|---|---|---|
| Mon Health Medical CenterMorgantown | 28 | $186,640 | $15,409 | $13,777 |
| West Virginia University HospitalsMorgantown | 21 | $53,340 | $16,268 | $14,636 |
| Charleston Area Medical CenterCharleston | 17 | $88,931 | $16,483 | $14,851 |
| Wheeling HospitalWheeling | 17 | $98,291 | $16,268 | $14,636 |
| St Mary's Medical CenterHuntington | 15 | $89,008 | $15,568 | $13,934 |
| United Hospital CenterBridgeport | – | – | – | – |
| Berkeley Medical CenterMartinsburg | – | – | – | – |
| Thomas Memorial HospitalSouth Charleston | – | – | – | – |
Lowest and highest allowed amounts in West 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
| Mon Health Medical CenterMorgantown, WV | $15,409 |
|---|---|
| St Mary's Medical CenterHuntington, WV | $15,568 |
| West Virginia University HospitalsMorgantown, WV | $16,268 |
| Wheeling HospitalWheeling, WV | $16,268 |
| Charleston Area Medical CenterCharleston, WV | $16,483 |
Highest
| Charleston Area Medical CenterCharleston, WV | $16,483 |
|---|---|
| West Virginia University HospitalsMorgantown, WV | $16,268 |
| Wheeling HospitalWheeling, WV | $16,268 |
| St Mary's Medical CenterHuntington, WV | $15,568 |
| Mon Health Medical CenterMorgantown, WV | $15,409 |
Level 4 Pacemaker and Similar Procedures in other states
Questions
How much does level 4 pacemaker and similar procedures cost in West Virginia?
In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 8 hospitals in West Virginia was billed at $110,857 on average, while the average medicare-allowed amount was $15,953, of which Medicare paid $14,321. 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 West Virginia, average charges were 6.9 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.