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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 Virginia

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
Virginia
Specific hospitals up to 10
Average payment across these 33 hospitals
$9,590National $10,202 · Virginia $9,590
Median hospital
$9,482
Lowest to highest
$9,079–$10,374
Medicare procedures
2,149

33 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
Bon Secours St Francis Medical CenterMidlothian, VA · CCN 49013639$9,07911% below the national average$7,445$77,085
Lewisgale Medical CenterSalem, VA · CCN 49004872$9,08311% below the national average$7,442$102,773
CJW Medical CenterRichmond, VA · CCN 49011273$9,08411% below the national average$7,451$184,734
Chesapeake General HospitalChesapeake, VA · CCN 49012045$9,11611% below the national average$7,484$32,266
Medical College Of Virginia HospitalsRichmond, VA · CCN 490032146$9,15310% below the national average$7,514$47,971
Carilion Medical CenterRoanoke, VA · CCN 490024132$9,188About average$7,555$54,668
Johnston Memorial HospitalAbingdon, VA · CCN 49005311$9,188About average$7,535$54,906
Bon Secours Maryview Medical CenterPortsmouth, VA · CCN 49001743$9,189About average$7,557$70,739
Sentara Obici HospitalSuffolk, VA · CCN 49004417$9,189About average$7,557$41,208
Riverside Regional Medical CenterNewport News, VA · CCN 49005277$9,189About average$7,554$40,253
Henrico Doctors' HospitalRichmond, VA · CCN 49011851$9,206About average$7,573$154,162
Sentara Martha Jefferson HospitalCharlottesville, VA · CCN 49007764$9,279About average$7,647$42,800
Bon Secours Southside Medical CenterPetersburg, VA · CCN 49006726$9,286About average$7,654$99,216
Sentara Careplex HospitalHampton, VA · CCN 49009343$9,286About average$7,654$46,487
Sentara Norfolk General HospitalNorfolk, VA · CCN 490007 · +$391 outlier payments per case119$9,286About average$7,652$44,685
Sentara Virginia Beach General HospitalVirginia Beach, VA · CCN 49005770$9,286About average$7,647$42,834
Sovah Health DanvilleDanville, VA · CCN 49007514$9,482About average$7,850$90,018
Sentara Northern Virginia Medical CenterWoodbridge, VA · CCN 49011329$9,716About average$8,084$55,307
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009120$9,730About average$8,095$47,680
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 490021104$9,759About average$8,124$69,054
Inova Alexandria HospitalAlexandria, VA · CCN 49004038$9,792About average$8,160$31,944
Bon Secours St Marys HospitalRichmond, VA · CCN 49005926$9,798About average$8,166$70,162
Bon Secours Memorial Regional Medical CenterMechanicsville, VA · CCN 49006968$9,798About average$8,166$81,802
Inova Loudoun HospitalLeesburg, VA · CCN 49004350$9,838About average$8,200$32,078
Uva Health Prince William Medical CenterManassas, VA · CCN 49004546$9,905About average$8,271$38,700
Inova Fairfax HospitalFalls Church, VA · CCN 490063203$9,923About average$8,288$33,899
Spotsylvania Regional Medical CenterFredericksburg, VA · CCN 49014124$10,005About average$8,373$85,781
Virginia Hospital CenterArlington, VA · CCN 49005081$10,005About average$8,373$50,566
Mary Washington HospitalFredericksburg, VA · CCN 49002279$10,005About average$8,369$42,187
Reston Hospital CenterReston, VA · CCN 49010716$10,107About average$8,475$86,025
Augusta HealthFishersville, VA · CCN 49001885$10,312About average$8,680$60,579
Sentara RMH Medical CenterHarrisonburg, VA · CCN 49000462$10,327About average$8,695$39,258
Winchester Medical CenterWinchester, VA · CCN 49000576$10,374About average$8,736$51,823

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.