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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1,293 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,151–1,200. 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
Lenox Hill HospitalNew York, NY · CCN 330119	27	$12,012	18% above the national average	$10,376	$63,860
Middlesex HospitalMiddletown, CT · CCN 070020	12	$12,012	18% above the national average	$10,372	$26,406
St Francis Hospital - The Heart CenterRoslyn, NY · CCN 330182	163	$12,016	18% above the national average	$10,381	$64,000
Adventist Health HanfordHanford, CA · CCN 050121	21	$12,022	18% above the national average	$10,383	$84,478
Berkshire Medical CenterPittsfield, MA · CCN 220046	35	$12,028	18% above the national average	$10,396	$32,540
Straub Clinic And HospitalHonolulu, HI · CCN 120022	88	$12,047	18% above the national average	$10,415	$28,218
Desert Regional Medical CenterPalm Springs, CA · CCN 050243	11	$12,064	18% above the national average	$10,432	$68,752
Olean General HospitalOlean, NY · CCN 330103	11	$12,109	19% above the national average	$10,477	$23,128
Cayuga Medical Center At IthacaIthaca, NY · CCN 330307	28	$12,109	19% above the national average	$10,477	$25,752
Samaritan Medical CenterWatertown, NY · CCN 330157	14	$12,109	19% above the national average	$10,477	$31,666
The University Of Vermont Health Network - ChamplPlattsburgh, NY · CCN 330250	78	$12,109	19% above the national average	$10,477	$48,038
Bassett HealthcareCooperstown, NY · CCN 330136	21	$12,109	19% above the national average	$10,476	$30,832
New York-Presbyterian/QueensFlushing, NY · CCN 330055	25	$12,111	19% above the national average	$10,479	$36,851
White Plains Hospital CenterWhite Plains, NY · CCN 330304	84	$12,127	19% above the national average	$10,495	$43,060
Hudson Valley Hospital CenterCortlandt Manor, NY · CCN 330267	13	$12,134	19% above the national average	$10,502	$66,373
Jamaica Hospital Medical CenterJamaica, NY · CCN 330014	16	$12,134	19% above the national average	$10,502	$35,812
Maimonides Medical CenterBrooklyn, NY · CCN 330194	87	$12,134	19% above the national average	$10,502	$58,053
Mount Sinai HospitalNew York, NY · CCN 330024	84	$12,134	19% above the national average	$10,502	$36,098
St Mary's General HospitalPassaic, NJ · CCN 310006	12	$12,134	19% above the national average	$10,502	$76,107
Valley HospitalParamus, NJ · CCN 310012	138	$12,134	19% above the national average	$10,502	$42,058
Hackensack University Medical CenterHackensack, NJ · CCN 310001	140	$12,134	19% above the national average	$10,502	$47,563
Holy Name Medical CenterTeaneck, NJ · CCN 310008	19	$12,134	19% above the national average	$10,501	$52,176
Staten Island University HospitalStaten Island, NY · CCN 330160	26	$12,134	19% above the national average	$10,499	$46,626
Westchester Medical CenterValhalla, NY · CCN 330234	25	$12,134	19% above the national average	$10,499	$116,359
Englewood Hospital And Medical CenterEnglewood, NJ · CCN 310045	83	$12,134	19% above the national average	$10,499	$181,408
Kuakini Medical CenterHonolulu, HI · CCN 120007	12	$12,264	20% above the national average	$10,632	$19,966
Pali Momi Medical CenterAiea, HI · CCN 120026	13	$12,264	20% above the national average	$10,632	$32,959
The Queens Medical CenterHonolulu, HI · CCN 120001	48	$12,264	20% above the national average	$10,632	$35,242
Sierra View Medical CenterPorterville, CA · CCN 050261	29	$12,339	21% above the national average	$10,707	$80,521
Uci Health - Fountain ValleyFountain Valley, CA · CCN 050570	23	$12,619	24% above the national average	$10,958	$159,639
Temecula Valley HospitalTemecula, CA · CCN 050775	25	$12,649	24% above the national average	$11,017	$54,521
Asante Rogue Regional Medical CenterMedford, OR · CCN 380018	87	$12,685	24% above the national average	$11,051	$59,217
AHMC Anaheim Regional Medical CenterAnaheim, CA · CCN 050226	17	$12,854	26% above the national average	$11,208	$96,949
Providence Medford Medical CenterMedford, OR · CCN 380075	25	$12,945	27% above the national average	$11,313	$48,678
Northern Nevada Medical CenterSparks, NV · CCN 290032	18	$12,945	27% above the national average	$11,309	$103,117
Shasta Regional Medical CenterRedding, CA · CCN 050764	80	$12,965	27% above the national average	$11,314	$71,539
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025	76	$12,971	27% above the national average	$11,348	$48,652
Ronald Reagan UCLA Medical CenterLos Angeles, CA · CCN 050262	96	$12,988	27% above the national average	$11,356	$51,060
Hoag Memorial Hospital PresbyterianNewport Beach, CA · CCN 050224	178	$13,013	28% above the national average	$11,380	$48,040
Memorial Medical CenterModesto, CA · CCN 050557	36	$13,030	28% above the national average	$11,398	$59,956
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 050324	168	$13,039	28% above the national average	$11,407	$85,036
University Of California Davis Medical CenterSacramento, CA · CCN 050599	60	$13,095	28% above the national average	$11,463	$49,610
Sharp Memorial HospitalSan Diego, CA · CCN 050100	26	$13,096	28% above the national average	$11,464	$62,917
Saint John's Health CenterSanta Monica, CA · CCN 050290	66	$13,107	28% above the national average	$11,475	$30,651
Adventist Health BakersfieldBakersfield, CA · CCN 050455	89	$13,108	28% above the national average	$11,476	$67,701
Antelope Valley HospitalLancaster, CA · CCN 050056	15	$13,108	28% above the national average	$11,476	$75,715
Bakersfield Memorial HospitalBakersfield, CA · CCN 050036	48	$13,108	28% above the national average	$11,476	$63,893
Community Regional Medical CenterFresno, CA · CCN 050060	55	$13,108	28% above the national average	$11,476	$48,060
Doctors Medical CenterModesto, CA · CCN 050464	13	$13,108	28% above the national average	$11,476	$169,159
Hemet Global Medical CenterHemet, CA · CCN 050390	13	$13,108	28% above the national average	$11,476	$98,727

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.