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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

Compare hospitals

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
Specific hospitals up to 10

550 hospitals reported at least 11 Medicare procedures for this in 2024; showing 201–250. Download as CSV

Medicare payments per case for Level 4 Pacemaker and Similar Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Baylor Scott And White Medical Center Lake PointeRowlett, TX · CCN 45074216$17,496About average$15,864$106,665
Medical City Dallas HospitalDallas, TX · CCN 45064712$17,496About average$15,864$283,742
St Luke's Regional Medical CenterBoise, ID · CCN 13000619$17,496About average$15,864$52,565
Texas Health Harris Methodist Fort WorthFort Worth, TX · CCN 45013521$17,496About average$15,864$90,058
Texas Health Presbyterian Hospital AllenAllen, TX · CCN 45084012$17,496About average$15,864$106,139
Texas Health Presbyterian Hospital DallasDallas, TX · CCN 45046229$17,496About average$15,864$98,334
UT Of Texas Southwestern University Hospital - William P. Clements Jr.Dallas, TX · CCN 45004415$17,496About average$15,864$84,495
Baylor Scott & White Heart & Vascular Hospital - DallasDallas, TX · CCN 45085170$17,497About average$15,858$92,238
Eastern Idaho Regional Medical CenterIdaho Falls, ID · CCN 13001829$17,497About average$15,857$212,632
AdventHealth OrlandoOrlando, FL · CCN 10000751$17,499About average$15,867$152,492
Baylor Scott & White Medical Center HillcrestWaco, TX · CCN 45010111$17,503About average$15,871$96,136
WakeMed, Cary HospitalCary, NC · CCN 34017312$17,504About average$15,854$109,639
Cox Medical Center BransonBranson, MO · CCN 26009411$17,509About average$15,877$78,827
Poplar Bluff Regional Medical CenterPoplar Bluff, MO · CCN 26011917$17,509About average$15,877$141,053
Wellstar Kennestone Regional Medical CenterMarietta, GA · CCN 11003531$17,513About average$15,881$88,753
CHI Health Bergan MercyOmaha, NE · CCN 28006024$17,519About average$15,887$74,112
The Nebraska Medical CenterOmaha, NE · CCN 28001326$17,519About average$15,887$104,984
The Nebraska Methodist HospitalOmaha, NE · CCN 28004019$17,519About average$15,887$81,859
Bryan Medical CenterLincoln, NE · CCN 28000385$17,519About average$15,887$84,517
Duke Regional HospitalDurham, NC · CCN 34015520$17,537About average$15,905$111,927
Duke University HospitalDurham, NC · CCN 34003051$17,537About average$15,905$114,145
Baylor Scott & White Medical Center GrapevineGrapevine, TX · CCN 45056320$17,552About average$15,920$89,352
Texas Health Harris Methodist Hurst-Euless-BedfordBedford, TX · CCN 45063913$17,552About average$15,920$105,908
Texas Health Heart & Vascular Hospital ArlingtonArlington, TX · CCN 67007113$17,552About average$15,920$85,929
The Heart Hospital Baylor DentonDenton, TX · CCN 45089327$17,552About average$15,920$100,026
Sarasota Memorial HospitalSarasota, FL · CCN 10008794$17,555About average$15,923$126,980
Indiana University Health Bloomington HospitalBloomington, IN · CCN 15005116$17,561About average$15,929$117,186
St Vincent Heart CenterCarmel, IN · CCN 15015313$17,561About average$15,929$77,241
White River Medical CenterBatesville, AR · CCN 04011917$17,564About average$15,932$73,190
AdventHealth Daytona BeachDaytona Beach, FL · CCN 10006825$17,611About average$15,979$118,072
AdventHealth OcalaOcala, FL · CCN 10006223$17,611About average$15,979$205,590
AdventHealth Port CharlottePort Charlotte, FL · CCN 10007712$17,611About average$15,979$180,793
AdventHealth SebringSebring, FL · CCN 10010911$17,611About average$15,979$159,438
Ascension St Vincent's RiversideJacksonville, FL · CCN 10004019$17,611About average$15,979$188,906
Baptist HospitalPensacola, FL · CCN 10009311$17,611About average$15,979$63,473
Central Florida Lake Monroe HospitalSanford, FL · CCN 10016112$17,611About average$15,979$146,540
Cleveland Clinic HospitalWeston, FL · CCN 10028921$17,611About average$15,979$60,645
Cleveland Clinic Indian River HospitalVero Beach, FL · CCN 10010515$17,611About average$15,979$123,498
Cleveland Clinic Martin North HospitalStuart, FL · CCN 10004417$17,611About average$15,979$80,785
HCA Florida Englewood HospitalEnglewood, FL · CCN 10026713$17,611About average$15,979$152,925
HCA Florida Fawcett HospitalPort Charlotte, FL · CCN 10023616$17,611About average$15,979$147,153
HCA Florida Gulf Coast HospitalPanama City, FL · CCN 10024213$17,611About average$15,979$139,591
HCA Florida JFK HospitalAtlantis, FL · CCN 10008020$17,611About average$15,979$146,564
HCA Florida Lawnwood HospitalFort Pierce, FL · CCN 10024617$17,611About average$15,979$129,793
HCA Florida Memorial HospitalJacksonville, FL · CCN 10017917$17,611About average$15,979$156,708
HCA Florida Orange Park HospitalOrange Park, FL · CCN 10022615$17,611About average$15,979$183,693
Jupiter Medical CenterJupiter, FL · CCN 10025317$17,611About average$15,979$81,888
Lee Memorial HospitalFort Myers, FL · CCN 10001223$17,611About average$15,979$120,789
Manatee Memorial HospitalBradenton, FL · CCN 10003527$17,611About average$15,979$228,311
Mayo ClinicJacksonville, FL · CCN 10015128$17,611About average$15,979$93,542

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont117$9,840$9,840–$9,840
West Virginia598$15,953$15,568–$16,268
Alabama8189$16,261$15,687–$16,281
Louisiana8123$16,330$16,167–$16,565
Tennessee13499$16,458$16,037–$16,571
Mississippi8203$16,490$15,975–$16,355
Arkansas10314$16,508$16,270–$16,538
Oklahoma7243$16,624$16,574–$16,752
Kentucky11246$16,698$16,546–$16,775
South Carolina12448$16,735$16,639–$16,904
New Mexico383$16,947$16,827–$17,070
Missouri19436$16,998$16,613–$17,406
Ohio13283$17,008$16,629–$17,386
Kansas9171$17,012$16,600–$16,980
Iowa7191$17,130$16,690–$17,060
North Carolina18490$17,201$17,018–$17,529
Texas38972$17,416$17,030–$17,956
Nebraska6205$17,421$17,401–$17,519
Florida441,045$17,422$17,611–$17,611
Georgia20500$17,443$16,673–$18,042
Maine263$17,518$17,167–$17,622
Virginia18509$17,519$16,748–$17,907
Utah587$17,658$17,417–$17,417
Indiana13230$17,673$17,331–$17,887
Michigan14236$17,760$17,170–$18,199
Wisconsin12254$17,942$17,711–$18,299
Idaho6163$17,964$17,002–$18,230
Montana2118$18,227$18,227–$18,227
Illinois26504$18,323$18,184–$18,457
Pennsylvania20413$18,402$17,366–$18,806
Colorado12235$18,588$18,506–$18,506
North Dakota348$18,630$18,227–$18,873
Minnesota8326$18,903$18,443–$18,874
South Dakota262$18,956$18,550–$19,196
Arizona14421$19,073$18,956–$18,956
New Hampshire365$19,178$18,763–$19,420
Delaware368$19,515$19,503–$19,528
Rhode Island113$19,727$19,727–$19,727
District of Columbia158$19,888$19,888–$19,888
Washington15319$19,989$19,509–$20,103
Alaska145$20,063$20,063–$20,063
Nevada589$20,608$20,816–$20,816
New Jersey10379$20,757$20,349–$21,322
Massachusetts10265$20,801$20,874–$20,874
Oregon7127$21,035$20,395–$21,074
New York21682$21,560$20,608–$21,891
Hawaii234$21,755$21,690–$22,132
Connecticut695$21,825$21,728–$21,886
California481,366$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.