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 501–550. 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
Mount Sinai HospitalNew York, NY · CCN 330024	49	$22,115	18% above the national average	$20,482	$72,098
The Queens Medical CenterHonolulu, HI · CCN 120001	11	$22,352	20% above the national average	$20,699	$59,987
Eisenhower Medical CenterRancho Mirage, CA · CCN 050573	111	$23,045	23% above the national average	$21,457	$74,892
Memorial Medical CenterModesto, CA · CCN 050557	17	$23,565	26% above the national average	$21,933	$106,532
Asante Rogue Regional Medical CenterMedford, OR · CCN 380018	21	$23,594	26% above the national average	$21,962	$104,910
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 050324	98	$23,670	27% above the national average	$22,038	$138,253
Adventist Health BakersfieldBakersfield, CA · CCN 050455	27	$23,891	28% above the national average	$22,259	$120,787
Bakersfield Memorial HospitalBakersfield, CA · CCN 050036	27	$23,891	28% above the national average	$22,259	$114,777
Community Memorial Hospital - VenturaVentura, CA · CCN 050394	26	$23,891	28% above the national average	$22,259	$116,027
Enloe HealthChico, CA · CCN 050039	15	$23,891	28% above the national average	$22,259	$83,785
French Hospital Medical CenterSan Luis Obispo, CA · CCN 050232	15	$23,891	28% above the national average	$22,259	$112,078
Grossmont HospitalLa Mesa, CA · CCN 050026	28	$23,891	28% above the national average	$22,259	$103,542
Hoag Memorial Hospital PresbyterianNewport Beach, CA · CCN 050224	73	$23,891	28% above the national average	$22,259	$103,520
Huntington HospitalPasadena, CA · CCN 050438	31	$23,891	28% above the national average	$22,259	$90,235
Loma Linda University Medical CenterLoma Linda, CA · CCN 050327	17	$23,891	28% above the national average	$22,259	$103,965
Marian Regional Medical CenterSanta Maria, CA · CCN 050107	23	$23,891	28% above the national average	$22,259	$115,108
Providence Mission HospitalMission Viejo, CA · CCN 050567	20	$23,891	28% above the national average	$22,259	$94,546
Providence St. Joseph HospitalOrange, CA · CCN 050069	27	$23,891	28% above the national average	$22,259	$96,647
Providence St. Jude Medical CenterFullerton, CA · CCN 050168	19	$23,891	28% above the national average	$22,259	$104,322
Saint Agnes Medical CenterFresno, CA · CCN 050093	41	$23,891	28% above the national average	$22,259	$117,573
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025	54	$23,891	28% above the national average	$22,259	$84,460
Loma Linda University Medical Center-MurrietaMurrieta, CA · CCN 050770	13	$23,891	28% above the national average	$22,259	$136,410
Ronald Reagan UCLA Medical CenterLos Angeles, CA · CCN 050262	14	$23,891	28% above the national average	$22,259	$74,095
Scripps Mercy HospitalSan Diego, CA · CCN 050077	12	$23,891	28% above the national average	$22,259	$219,519
Sharp Memorial HospitalSan Diego, CA · CCN 050100	12	$23,891	28% above the national average	$22,259	$97,034
St Johns Regional Medical CenterOxnard, CA · CCN 050082	14	$23,891	28% above the national average	$22,259	$119,438
Temecula Valley HospitalTemecula, CA · CCN 050775	12	$23,891	28% above the national average	$22,259	$181,588
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 050625	75	$23,891	28% above the national average	$22,258	$298,422
Keck Hospital Of USCLos Angeles, CA · CCN 050696	25	$23,891	28% above the national average	$22,258	$116,933
Sharp Chula Vista Medical CenterChula Vista, CA · CCN 050222	24	$23,891	28% above the national average	$22,247	$114,011
University Of California Davis Medical CenterSacramento, CA · CCN 050599	23	$24,222	30% above the national average	$22,590	$109,321
Mercy General HospitalSacramento, CA · CCN 050017	62	$24,817	33% above the national average	$23,182	$151,852
Sutter Medical Center, SacramentoSacramento, CA · CCN 050108	24	$25,192	35% above the national average	$23,560	$108,139
Dominican HospitalSanta Cruz, CA · CCN 050242	15	$25,458	36% above the national average	$23,826	$100,740
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 050396	25	$25,585	37% above the national average	$23,953	$87,091
St Joseph's Medical Center Of StocktonStockton, CA · CCN 050084	27	$26,656	43% above the national average	$25,024	$105,916
Alta Bates Summit Medical CenterOakland, CA · CCN 050043	15	$26,981	44% above the national average	$25,349	$147,175
John Muir Medical Center - Concord CampusConcord, CA · CCN 050496	22	$27,053	45% above the national average	$25,421	$229,823
MarinHealth Medical CenterGreenbrae, CA · CCN 050360	21	$27,134	45% above the national average	$25,502	$225,327
Providence Santa Rosa Memorial HospitalSanta Rosa, CA · CCN 050174	34	$27,211	46% above the national average	$25,579	$135,773
Community Hospital Of The Monterey PeninsulaMonterey, CA · CCN 050145	30	$27,359	46% above the national average	$25,727	$158,226
Good Samaritan HospitalSan Jose, CA · CCN 050380	12	$27,359	46% above the national average	$25,727	$420,815
Salinas Valley Health Medical CenterSalinas, CA · CCN 050334	25	$27,359	46% above the national average	$25,727	$152,633
Stanford Health CareStanford, CA · CCN 050441	34	$27,359	46% above the national average	$25,727	$218,899
UCSF Medical CenterSan Francisco, CA · CCN 050454	16	$27,359	46% above the national average	$25,727	$129,092
El Camino HealthMountain View, CA · CCN 050308	20	$27,359	46% above the national average	$25,727	$143,329
Sequoia HospitalRedwood City, CA · CCN 050197	18	$27,359	46% above the national average	$25,721	$113,117
Washington HospitalFremont, CA · CCN 050195	13	$27,360	46% above the national average	$25,710	$120,734
California Pacific Medical Center- Van Ness CampusSan Francisco, CA · CCN 050047	28	$27,772	49% above the national average	$26,140	$131,458
Peninsula Medical CenterBurlingame, CA · CCN 050007	12	$27,772	49% above the national average	$26,121	$117,986

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.