Level 4 Pacemaker and Similar Procedures in Wisconsin
What 32 hospitals in Wisconsin charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.
Average charge
$85,697
Hospital list price billed
Average allowed
$17,942
Medicare's payment + patient's share
Medicare paid
$16,309
Average per service
State rank
#25 of 47
1 = lowest average payment
Hospitals in Wisconsin billed an average of $85,697 for level 4 pacemaker and similar procedures, about 4.8 times the average medicare-allowed amount of $17,942. That payment is 4% 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 $17,942Billed $85,697
About 21¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Wisconsin hospitals: level 4 pacemaker and similar procedures
Every Wisconsin hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Wisconsin
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
| Bellin Memorial HsptlGreen Bay, WI | $16,750 |
|---|---|
| Aspirus Wausau HospitalWausau, WI | $17,397 |
| Waukesha Memorial HospitalWaukesha, WI | $17,711 |
| Aurora Medical CenterGrafton, WI | $17,711 |
| St Mary's HospitalMadison, WI | $18,148 |
Highest
| Marshfield Medical CenterMarshfield, WI | $18,630 |
|---|---|
| Luther Hospital Mayo Health SystemEau Claire, WI | $18,443 |
| Gundersen Luth Med CtrLa Crosse, WI | $18,315 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee, WI | $18,293 |
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $18,293 |
Level 4 Pacemaker and Similar Procedures in other states
Questions
How much does level 4 pacemaker and similar procedures cost in Wisconsin?
In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 32 hospitals in Wisconsin was billed at $85,697 on average, while the average medicare-allowed amount was $17,942, of which Medicare paid $16,309. 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 Wisconsin, average charges were 4.8 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.