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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

Hospitals in South Dakota

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
South Dakota
Specific hospitals up to 10
Average payment across these 5 hospitals
$10,035National $10,202 · South Dakota $10,035
Median hospital
$10,004
Lowest to highest
$9,810–$10,711
Medicare procedures
579

5 hospitals reported at least 11 Medicare procedures for this in 2024. Download as CSV

Medicare payments per case for Level 3 Pacemaker and Similar Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Sanford USDMedical CenterSioux Falls, SD · CCN 430027200$9,810About average$8,176$46,733
Avera Heart Hospital Of South DakotaSioux Falls, SD · CCN 430095 · +$22 outlier payments per case237$9,897About average$8,264$71,916
Avera St LukesAberdeen, SD · CCN 43001426$10,004About average$8,359$29,989
Monument Health Rapid City HospitalRapid City, SD · CCN 43007796$10,711About average$9,078$41,232
Prairie Lakes Healthcare System, IncWatertown, SD · CCN 43000520$10,711About average$9,074$43,212

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont3144$4,280$3,711–$4,912
Alabama251,284$8,860$8,650–$8,910
Louisiana19891$8,939$8,875–$9,004
Mississippi18918$8,949$8,717–$8,932
Tennessee271,918$8,976$8,796–$9,182
Ohio532,185$9,097$9,082–$9,342
West Virginia10460$9,116$8,930–$9,419
Oklahoma211,005$9,172$9,064–$9,195
Arkansas211,185$9,183$9,003–$9,515
Kentucky26992$9,219$8,959–$9,482
South Carolina221,566$9,243$9,129–$9,208
Kansas21989$9,313$9,112–$9,757
Missouri361,490$9,340$9,303–$9,610
Iowa16871$9,364$9,156–$9,644
Texas984,461$9,482$9,260–$9,695
Georgia391,835$9,511$9,274–$9,832
North Carolina352,005$9,570$9,433–$9,674
Michigan381,468$9,572$9,366–$9,857
Virginia332,149$9,590$9,189–$9,905
Nebraska15809$9,598$9,616–$9,846
Florida864,409$9,599$9,666–$9,666
New Mexico10274$9,616$9,302–$9,715
Utah11544$9,629$9,426–$9,560
Indiana331,541$9,672$9,512–$9,853
Maine6209$9,782$9,899–$10,025
Wisconsin28999$9,836$9,614–$10,036
Idaho10562$9,869$9,508–$10,257
Illinois562,438$10,032$9,861–$10,130
South Dakota5579$10,035$9,897–$10,711
Pennsylvania622,710$10,079$9,531–$10,292
Montana9454$10,172$10,003–$10,711
Colorado19773$10,175$10,156–$10,157
North Dakota6299$10,210$10,003–$10,445
Minnesota151,139$10,368$10,160–$10,417
New Hampshire9349$10,471$10,229–$10,418
Arizona281,253$10,492$10,383–$10,403
Delaware5340$10,654$10,611–$10,703
Wyoming385$10,682$10,608–$10,711
Rhode Island4111$10,745$10,665–$10,825
District of Columbia3182$10,914$10,914–$10,914
Washington291,403$10,983$10,706–$11,286
Alaska286$11,300$11,193–$11,560
Nevada12488$11,434$11,409–$11,422
Massachusetts291,534$11,444$11,454–$11,454
New Jersey311,769$11,502$11,166–$11,908
Oregon17651$11,536$11,095–$11,652
New York513,114$11,704$11,308–$12,062
Connecticut19613$11,923$11,896–$12,003
Hawaii5180$12,250$12,264–$12,264
California1155,315$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.