Outpatient procedure · APC 5224 · Surgery or procedure

Level 4 Pacemaker and Similar Procedures

In 2024, Medicare and patients paid an average of $18,685 per procedure at 550 hospitals. Half of hospitals averaged between $16,980 and $19,427.

Also known as: Pacemaker

National figures, 2024

Average payment per case: $18,685
Typical range (middle half of hospitals): $16,980–$19,427
Medicare’s share: $17,05291% of the payment
Average billed charge: $108,814
Hospitals reporting: 55014,030 procedures

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Year of care

550 hospitals reported at least 11 Medicare procedures for this in 2024; showing 451–500. Download as CSV

Medicare payments per case for Level 4 Pacemaker and Similar Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	45	$20,446	About average	$18,814	$81,923
UPMC HamotErie, PA · CCN 390063	13	$20,485	About average	$18,853	$123,229
St Charles Medical Center - BendBend, OR · CCN 380047	19	$20,538	About average	$18,906	$67,266
Albany Medical Center HospitalAlbany, NY · CCN 330013	12	$20,608	10% above the national average	$18,976	$47,624
Crouse HospitalSyracuse, NY · CCN 330203	12	$20,608	10% above the national average	$18,976	$23,683
Kaleida HealthBuffalo, NY · CCN 330005	21	$20,608	10% above the national average	$18,976	$35,744
St Joseph's Hospital Health CenterSyracuse, NY · CCN 330140	23	$20,608	10% above the national average	$18,976	$75,901
St Peter's HospitalAlbany, NY · CCN 330057	18	$20,608	10% above the national average	$18,976	$49,798
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241	11	$20,608	10% above the national average	$18,976	$60,874
Wynn HospitalUtica, NY · CCN 330044	15	$20,608	10% above the national average	$18,976	$89,360
Renown Regional Medical CenterReno, NV · CCN 290001	23	$20,816	11% above the national average	$19,184	$168,473
Mountainview HospitalLas Vegas, NV · CCN 290039	21	$20,816	11% above the national average	$19,182	$280,246
Northern Nevada Sierra Medical CenterReno, NV · CCN 290061	18	$20,816	11% above the national average	$19,181	$158,358
Saint Rose Dominican Hospitals - Siena CampusHenderson, NV · CCN 290045	14	$20,816	11% above the national average	$19,175	$159,921
Swedish Medical Center / Cherry HillSeattle, WA · CCN 500025	27	$20,827	11% above the national average	$19,195	$72,207
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086	19	$20,874	12% above the national average	$19,242	$46,463
Boston Medical CenterBoston, MA · CCN 220031	11	$20,874	12% above the national average	$19,242	$54,847
Boston Medical Center-BrightonBrighton, MA · CCN 220036	15	$20,874	12% above the national average	$19,242	$100,254
Brigham And Women's HospitalBoston, MA · CCN 220110	66	$20,874	12% above the national average	$19,242	$56,410
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	24	$20,874	12% above the national average	$19,242	$76,704
South Shore HospitalSouth Weymouth, MA · CCN 220100	17	$20,874	12% above the national average	$19,242	$41,321
Massachusetts General HospitalBoston, MA · CCN 220071	35	$20,874	12% above the national average	$19,242	$62,931
Baystate Medical CenterSpringfield, MA · CCN 220077	18	$20,874	12% above the national average	$19,238	$45,114
Cape Cod HospitalHyannis, MA · CCN 220012	15	$20,874	12% above the national average	$19,237	$83,163
Cooperman Barnabas Medical CenterLivingston, NJ · CCN 310076	20	$20,877	12% above the national average	$19,245	$76,991
St Michael Medical CenterSilverdale, WA · CCN 500039	34	$20,962	12% above the national average	$19,330	$93,100
Good Samaritan Hospital Medical CenterWest Islip, NY · CCN 330286	29	$21,015	12% above the national average	$19,383	$139,000
Confluence Health HospitalWenatchee, WA · CCN 500016	23	$21,047	13% above the national average	$19,415	$68,554
Vassar Brothers Medical CenterPoughkeepsie, NY · CCN 330023	30	$21,467	15% above the national average	$19,830	$118,150
Straub Clinic And HospitalHonolulu, HI · CCN 120022	23	$21,469	15% above the national average	$19,837	$49,364
Morristown Medical CenterMorristown, NJ · CCN 310015	44	$21,470	15% above the national average	$19,857	$88,836
White Plains Hospital CenterWhite Plains, NY · CCN 330304	39	$21,558	15% above the national average	$19,926	$84,988
Salem HospitalSalem, OR · CCN 380051	11	$21,610	16% above the national average	$19,957	$105,898
Garnet Health Medical CenterMiddletown, NY · CCN 330126	17	$21,634	16% above the national average	$20,002	$86,144
Hartford HospitalHartford, CT · CCN 070025	15	$21,681	16% above the national average	$20,049	$50,717
John Dempsey Hospital Of The University Of ConnectFarmington, CT · CCN 070036	11	$21,681	16% above the national average	$20,049	$95,901
Huntington HospitalHuntington, NY · CCN 330045	13	$21,707	16% above the national average	$20,075	$89,581
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393	30	$21,707	16% above the national average	$20,071	$102,594
Danbury HospitalDanbury, CT · CCN 070033	13	$21,872	17% above the national average	$20,240	$87,615
Yale-New Haven HospitalNew Haven, CT · CCN 070022	29	$21,872	17% above the national average	$20,240	$69,681
Nyu Langone HospitalsNew York, NY · CCN 330214	128	$21,879	17% above the national average	$20,247	$246,816
Stamford HospitalStamford, CT · CCN 070006	11	$21,891	17% above the national average	$20,259	$97,867
St Vincent's Medical CenterBridgeport, CT · CCN 070028	16	$21,891	17% above the national average	$20,259	$56,179
Mount Sinai WestNew York, NY · CCN 330046	17	$21,891	17% above the national average	$20,259	$86,961
St Francis Hospital - The Heart CenterRoslyn, NY · CCN 330182	88	$21,899	17% above the national average	$20,267	$105,892
The University Of Vermont Health Network - ChamplPlattsburgh, NY · CCN 330250	13	$22,068	18% above the national average	$20,436	$104,285
Englewood Hospital And Medical CenterEnglewood, NJ · CCN 310045	19	$22,115	18% above the national average	$20,483	$278,760
Maimonides Medical CenterBrooklyn, NY · CCN 330194	11	$22,115	18% above the national average	$20,483	$130,356
Valley HospitalParamus, NJ · CCN 310012	36	$22,115	18% above the national average	$20,483	$64,012
New York-Presbyterian HospitalNew York, NY · CCN 330101	84	$22,115	18% above the national average	$20,483	$94,884

National trend

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

Average payment
Average billed charge

2020: 6,700 procedures at 306 hospitals · 2021: 7,587 procedures at 344 hospitals · 2022: 7,799 procedures at 345 hospitals · 2023: 7,965 procedures at 370 hospitals · 2024: 14,030 procedures at 550 hospitals

View data as a table

National average payment and billed charge for Level 4 Pacemaker and Similar Procedures
Year of care	Average payment	Average billed charge
2020	$18K	$95K
2021	$18K	$93K
2022	$19K	$99K
2023	$18K	$101K
2024	$19K	$109K

By state, 2024

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

Show all 49 states

Average payment by state for Level 4 Pacemaker and Similar Procedures, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	1	17	$9,840	$9,840–$9,840
West Virginia	5	98	$15,953	$15,568–$16,268
Alabama	8	189	$16,261	$15,687–$16,281
Louisiana	8	123	$16,330	$16,167–$16,565
Tennessee	13	499	$16,458	$16,037–$16,571
Mississippi	8	203	$16,490	$15,975–$16,355
Arkansas	10	314	$16,508	$16,270–$16,538
Oklahoma	7	243	$16,624	$16,574–$16,752
Kentucky	11	246	$16,698	$16,546–$16,775
South Carolina	12	448	$16,735	$16,639–$16,904
New Mexico	3	83	$16,947	$16,827–$17,070
Missouri	19	436	$16,998	$16,613–$17,406
Ohio	13	283	$17,008	$16,629–$17,386
Kansas	9	171	$17,012	$16,600–$16,980
Iowa	7	191	$17,130	$16,690–$17,060
North Carolina	18	490	$17,201	$17,018–$17,529
Texas	38	972	$17,416	$17,030–$17,956
Nebraska	6	205	$17,421	$17,401–$17,519
Florida	44	1,045	$17,422	$17,611–$17,611
Georgia	20	500	$17,443	$16,673–$18,042
Maine	2	63	$17,518	$17,167–$17,622
Virginia	18	509	$17,519	$16,748–$17,907
Utah	5	87	$17,658	$17,417–$17,417
Indiana	13	230	$17,673	$17,331–$17,887
Michigan	14	236	$17,760	$17,170–$18,199
Wisconsin	12	254	$17,942	$17,711–$18,299
Idaho	6	163	$17,964	$17,002–$18,230
Montana	2	118	$18,227	$18,227–$18,227
Illinois	26	504	$18,323	$18,184–$18,457
Pennsylvania	20	413	$18,402	$17,366–$18,806
Colorado	12	235	$18,588	$18,506–$18,506
North Dakota	3	48	$18,630	$18,227–$18,873
Minnesota	8	326	$18,903	$18,443–$18,874
South Dakota	2	62	$18,956	$18,550–$19,196
Arizona	14	421	$19,073	$18,956–$18,956
New Hampshire	3	65	$19,178	$18,763–$19,420
Delaware	3	68	$19,515	$19,503–$19,528
Rhode Island	1	13	$19,727	$19,727–$19,727
District of Columbia	1	58	$19,888	$19,888–$19,888
Washington	15	319	$19,989	$19,509–$20,103
Alaska	1	45	$20,063	$20,063–$20,063
Nevada	5	89	$20,608	$20,816–$20,816
New Jersey	10	379	$20,757	$20,349–$21,322
Massachusetts	10	265	$20,801	$20,874–$20,874
Oregon	7	127	$21,035	$20,395–$21,074
New York	21	682	$21,560	$20,608–$21,891
Hawaii	2	34	$21,755	$21,690–$22,132
Connecticut	6	95	$21,825	$21,728–$21,886
California	48	1,366	$24,668	$23,891–$27,073

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.