Outpatient procedure · APC 5223 · Surgery or procedure

Level 3 Pacemaker and Similar Procedures

In 2024, Medicare and patients paid an average of $10,202 per procedure at 1,294 hospitals. Half of hospitals averaged between $9,320 and $10,711.

Also known as: Pacemaker

National figures, 2024

Average payment per case: $10,202
Typical range (middle half of hospitals): $9,320–$10,711
Medicare’s share: $8,56984% of the payment
Average billed charge: $60,973
Hospitals reporting: 1,29463,028 procedures

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Year of care

1,293 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,101–1,150. Download as CSV

Medicare payments per case for Level 3 Pacemaker and Similar Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Vassar Brothers Medical CenterPoughkeepsie, NY · CCN 330023	96	$11,461	12% above the national average	$9,829	$41,178
Olympic Medical CenterPort Angeles, WA · CCN 500072	30	$11,464	12% above the national average	$9,832	$20,964
PeaceHealth St Joseph Medical CenterBellingham, WA · CCN 500030	62	$11,464	12% above the national average	$9,832	$54,295
Providence St Mary Medical CenterWalla Walla, WA · CCN 500002	42	$11,464	12% above the national average	$9,830	$20,755
Yakima Valley MemorialYakima, WA · CCN 500036	36	$11,464	12% above the national average	$9,827	$29,477
Huntington HospitalHuntington, NY · CCN 330045	58	$11,485	13% above the national average	$9,853	$53,029
St Michael Medical CenterSilverdale, WA · CCN 500039	104	$11,503	13% above the national average	$9,868	$52,254
Havasu Regional Medical CenterLake Havasu City, AZ · CCN 030069	38	$11,544	13% above the national average	$9,907	$109,986
Confluence Health HospitalWenatchee, WA · CCN 500016	65	$11,549	13% above the national average	$9,917	$28,505
Jersey City Medical CenterJersey City, NJ · CCN 310074	18	$11,551	13% above the national average	$9,919	$52,147
Robert Wood Johnson University HospitalNew Brunswick, NJ · CCN 310038	58	$11,643	14% above the national average	$10,011	$47,112
Mercy Medical CenterRoseburg, OR · CCN 380027	20	$11,652	14% above the national average	$10,011	$37,349
North Shore University HospitalManhasset, NY · CCN 330106	75	$11,724	15% above the national average	$10,091	$63,134
Fairbanks Memorial HospitalFairbanks, AK · CCN 020012 · +$1,296 outlier payments per case	34	$11,743	15% above the national average	$10,111	$61,144
Richmond University Medical CenterStaten Island, NY · CCN 330028	25	$11,760	15% above the national average	$10,158	$95,421
St Vincent's Medical CenterBridgeport, CT · CCN 070028	44	$11,776	15% above the national average	$10,144	$36,943
Mount Sinai South NassauOceanside, NY · CCN 330198	45	$11,785	16% above the national average	$10,148	$95,702
Good Samaritan Hospital Medical CenterWest Islip, NY · CCN 330286	106	$11,814	16% above the national average	$10,180	$71,588
St Joseph's University Medical Center IncPaterson, NJ · CCN 310019	33	$11,816	16% above the national average	$10,182	$50,410
Garnet Health Medical CenterMiddletown, NY · CCN 330126	51	$11,828	16% above the national average	$10,193	$57,378
PeaceHealth St John Medical CenterLongview, WA · CCN 500041	18	$11,857	16% above the national average	$10,225	$67,996
Salem HospitalSalem, OR · CCN 380051	13	$11,857	16% above the national average	$10,225	$47,928
Mount Sinai WestNew York, NY · CCN 330046	67	$11,859	16% above the national average	$10,221	$40,338
Charlotte Hungerford HospitalTorrington, CT · CCN 070011	12	$11,896	17% above the national average	$10,264	$23,761
John Dempsey Hospital Of The University Of ConnectFarmington, CT · CCN 070036	24	$11,896	17% above the national average	$10,264	$47,304
Manchester Memorial HospitalManchester, CT · CCN 070027	13	$11,896	17% above the national average	$10,264	$27,690
MidState Medical CenterMeriden, CT · CCN 070017	23	$11,896	17% above the national average	$10,264	$33,559
Waterbury HospitalWaterbury, CT · CCN 070005	13	$11,896	17% above the national average	$10,264	$75,697
Lawrence & Memorial HospitalNew London, CT · CCN 070007	36	$11,896	17% above the national average	$10,264	$25,682
William W Backus HospitalNorwich, CT · CCN 070024	32	$11,896	17% above the national average	$10,264	$30,001
Hartford HospitalHartford, CT · CCN 070025	60	$11,896	17% above the national average	$10,262	$30,738
St Francis Hospital & Medical CenterHartford, CT · CCN 070002	21	$11,896	17% above the national average	$10,261	$32,419
Saint Mary's HospitalWaterbury, CT · CCN 070016	21	$11,896	17% above the national average	$10,253	$45,245
Long Island Community HospitalPatchogue, NY · CCN 330141	23	$11,911	17% above the national average	$10,279	$160,581
St Catherine Of Siena HospitalSmithtown, NY · CCN 330401	21	$11,911	17% above the national average	$10,279	$70,311
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393	107	$11,911	17% above the national average	$10,274	$59,384
Good Samaritan Hospital Of SuffernSuffern, NY · CCN 330158	46	$11,928	17% above the national average	$10,320	$98,106
Nyu Langone HospitalsNew York, NY · CCN 330214 · +$63 outlier payments per case	405	$11,955	17% above the national average	$10,323	$147,084
New York-Presbyterian HospitalNew York, NY · CCN 330101 · +$88 outlier payments per case	291	$11,958	17% above the national average	$10,329	$64,792
Danbury HospitalDanbury, CT · CCN 070033	54	$11,962	17% above the national average	$10,328	$44,543
Montefiore Medical CenterBronx, NY · CCN 330059	35	$11,994	18% above the national average	$10,361	$65,892
Yale-New Haven HospitalNew Haven, CT · CCN 070022	88	$11,994	18% above the national average	$10,362	$31,991
Morristown Medical CenterMorristown, NJ · CCN 310015	155	$12,001	18% above the national average	$10,369	$53,497
Saint Clare's Hospital/ Denville CampusDenville, NJ · CCN 310050	15	$12,001	18% above the national average	$10,366	$65,481
Overlook Medical CenterSummit, NJ · CCN 310051	43	$12,001	18% above the national average	$10,363	$47,628
Greenwich Hospital Association -Greenwich, CT · CCN 070018	20	$12,012	18% above the national average	$10,380	$33,636
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 330195	52	$12,012	18% above the national average	$10,380	$60,280
Stamford HospitalStamford, CT · CCN 070006	54	$12,012	18% above the national average	$10,380	$47,800
The Hospital Of Central ConnecticutNew Britain, CT · CCN 070035	16	$12,012	18% above the national average	$10,380	$36,976
Bridgeport HospitalBridgeport, CT · CCN 070010	58	$12,012	18% above the national average	$10,379	$33,071

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

Average payment
Average billed charge

2020: 61,524 procedures at 1,370 hospitals · 2021: 68,417 procedures at 1,386 hospitals · 2022: 67,857 procedures at 1,364 hospitals · 2023: 65,297 procedures at 1,322 hospitals · 2024: 63,028 procedures at 1,294 hospitals

View data as a table

National average payment and billed charge for Level 3 Pacemaker and Similar Procedures
Year of care	Average payment	Average billed charge
2020	$10K	$52K
2021	$10K	$54K
2022	$11K	$55K
2023	$10K	$58K
2024	$10K	$61K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 50 states

Average payment by state for Level 3 Pacemaker and Similar Procedures, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	3	144	$4,280	$3,711–$4,912
Alabama	25	1,284	$8,860	$8,650–$8,910
Louisiana	19	891	$8,939	$8,875–$9,004
Mississippi	18	918	$8,949	$8,717–$8,932
Tennessee	27	1,918	$8,976	$8,796–$9,182
Ohio	53	2,185	$9,097	$9,082–$9,342
West Virginia	10	460	$9,116	$8,930–$9,419
Oklahoma	21	1,005	$9,172	$9,064–$9,195
Arkansas	21	1,185	$9,183	$9,003–$9,515
Kentucky	26	992	$9,219	$8,959–$9,482
South Carolina	22	1,566	$9,243	$9,129–$9,208
Kansas	21	989	$9,313	$9,112–$9,757
Missouri	36	1,490	$9,340	$9,303–$9,610
Iowa	16	871	$9,364	$9,156–$9,644
Texas	98	4,461	$9,482	$9,260–$9,695
Georgia	39	1,835	$9,511	$9,274–$9,832
North Carolina	35	2,005	$9,570	$9,433–$9,674
Michigan	38	1,468	$9,572	$9,366–$9,857
Virginia	33	2,149	$9,590	$9,189–$9,905
Nebraska	15	809	$9,598	$9,616–$9,846
Florida	86	4,409	$9,599	$9,666–$9,666
New Mexico	10	274	$9,616	$9,302–$9,715
Utah	11	544	$9,629	$9,426–$9,560
Indiana	33	1,541	$9,672	$9,512–$9,853
Maine	6	209	$9,782	$9,899–$10,025
Wisconsin	28	999	$9,836	$9,614–$10,036
Idaho	10	562	$9,869	$9,508–$10,257
Illinois	56	2,438	$10,032	$9,861–$10,130
South Dakota	5	579	$10,035	$9,897–$10,711
Pennsylvania	62	2,710	$10,079	$9,531–$10,292
Montana	9	454	$10,172	$10,003–$10,711
Colorado	19	773	$10,175	$10,156–$10,157
North Dakota	6	299	$10,210	$10,003–$10,445
Minnesota	15	1,139	$10,368	$10,160–$10,417
New Hampshire	9	349	$10,471	$10,229–$10,418
Arizona	28	1,253	$10,492	$10,383–$10,403
Delaware	5	340	$10,654	$10,611–$10,703
Wyoming	3	85	$10,682	$10,608–$10,711
Rhode Island	4	111	$10,745	$10,665–$10,825
District of Columbia	3	182	$10,914	$10,914–$10,914
Washington	29	1,403	$10,983	$10,706–$11,286
Alaska	2	86	$11,300	$11,193–$11,560
Nevada	12	488	$11,434	$11,409–$11,422
Massachusetts	29	1,534	$11,444	$11,454–$11,454
New Jersey	31	1,769	$11,502	$11,166–$11,908
Oregon	17	651	$11,536	$11,095–$11,652
New York	51	3,114	$11,704	$11,308–$12,062
Connecticut	19	613	$11,923	$11,896–$12,003
Hawaii	5	180	$12,250	$12,264–$12,264
California	115	5,315	$13,531	$13,108–$13,655

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. For outpatient procedures it is Medicare’s allowed amount, which leaves out extra “outlier” payments for unusually costly cases; those are shown under the hospital name where CMS reported any, and included in the CSV. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Outpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 procedures. More in the glossary.