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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 401–450. Download as CSV

Medicare payments per case for Level 4 Pacemaker and Similar Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Abrazo Arrowhead HospitalGlendale, AZ · CCN 03009452$18,956About average$17,319$178,387
Chandler Regional Medical CenterChandler, AZ · CCN 03003632$18,956About average$17,315$144,848
Banner Desert Medical CenterMesa, AZ · CCN 03006513$18,956About average$17,309$109,336
Banner - University Medical Center Tucson CampusTucson, AZ · CCN 03006419$18,956About average$17,302$130,630
St Lukes HospitalBethlehem, PA · CCN 39004926$18,960About average$17,328$126,912
Lehigh Valley HospitalAllentown, PA · CCN 39013331$18,960About average$17,321$204,961
Catholic Medical CenterManchester, NH · CCN 30003425$18,983About average$17,345$114,634
Sentara RMH Medical CenterHarrisonburg, VA · CCN 49000413$19,116About average$17,484$52,770
Winchester Medical CenterWinchester, VA · CCN 49000531$19,116About average$17,476$75,654
Blessing HospitalQuincy, IL · CCN 14001532$19,240About average$17,608$157,205
Deaconess Medical CenterSpokane, WA · CCN 50004426$19,246About average$17,614$109,163
Carson Tahoe Regional Medical CenterCarson City, NV · CCN 29001913$19,390About average$17,758$105,897
USC Arcadia HospitalArcadia, CA · CCN 05023820$19,439About average$17,807$115,089
Virginia Mason Medical CenterSeattle, WA · CCN 50000522$19,467About average$17,835$88,576
Beebe Medical CenterLewes, DE · CCN 08000719$19,503About average$17,871$70,581
Christiana HospitalNewark, DE · CCN 08000132$19,503About average$17,871$80,203
Northern Westchester HospitalMount Kisco, NY · CCN 33016222$19,508About average$17,876$91,204
Kadlec Regional Medical CenterRichland, WA · CCN 50005811$19,509About average$17,877$90,306
University Of Washington Medical CenterSeattle, WA · CCN 50000815$19,509About average$17,877$70,860
Providence Sacred Heart Medical Center & Childrens HospitalSpokane, WA · CCN 50005433$19,509About average$17,877$40,626
Monument Health Rapid City HospitalRapid City, SD · CCN 43007735$19,518About average$17,886$88,100
Altru HospitalGrand Forks, ND · CCN 35001915$19,518About average$17,886$112,193
Bayhealth Medical Center, Kent CampusDover, DE · CCN 08000417$19,553About average$17,921$105,813
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111 · +$1,790 outlier payments per case34$19,584About average$17,952$274,822
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 39022319$19,584About average$17,952$148,878
Skagit Valley HospitalMount Vernon, WA · CCN 50000323$19,653About average$18,021$85,381
The Miriam HospitalProvidence, RI · CCN 41001213$19,727About average$18,095$66,418
Centracare - St. Cloud HospitalSaint Cloud, MN · CCN 24003645$19,750About average$18,118$68,895
Intermountain Health St. Mary's Regional HospitalGrand Junction, CO · CCN 06002327$19,818About average$18,186$95,210
Overlake Hospital Medical Center & ClinicsBellevue, WA · CCN 50005113$19,851About average$18,219$78,348
Mary Hitchcock Memorial HospitalLebanon, NH · CCN 30000323$19,858About average$18,226$66,701
MedStar Washington Hospital CenterWashington, DC · CCN 090011 · +$569 outlier payments per case58$19,888About average$18,256$118,994
Mayo Clinic Hospital RochesterRochester, MN · CCN 24001054$20,024About average$18,392$72,881
Capital Medical CenterOlympia, WA · CCN 50013912$20,027About average$18,395$111,349
St Joseph Medical CenterTacoma, WA · CCN 50010815$20,027About average$18,395$93,121
Tacoma General Allenmore HospitalTacoma, WA · CCN 50012922$20,027About average$18,395$136,750
Providence Alaska Medical CenterAnchorage, AK · CCN 02000145$20,063About average$18,431$83,816
PeaceHealth St Joseph Medical CenterBellingham, WA · CCN 50003027$20,179About average$18,547$87,000
Sacred Heart Medical Center - RiverbendSpringfield, OR · CCN 38010211$20,218About average$18,586$85,300
Yuma Regional Medical CenterYuma, AZ · CCN 03001329$20,299About average$18,667$89,185
Yavapai Regional Medical CenterPrescott, AZ · CCN 03001211$20,300About average$18,650$101,779
Jersey Shore University Medical CenterNeptune, NJ · CCN 31007362$20,312About average$18,678$71,089
AtlantiCare Regional Medical Center - City CampusAtlantic City, NJ · CCN 31006418$20,349About average$18,717$137,727
Community Medical CenterToms River, NJ · CCN 31004118$20,349About average$18,717$54,850
Deborah Heart And Lung CenterBrowns Mills, NJ · CCN 31003166$20,349About average$18,717$107,545
Cooper University HospitalCamden, NJ · CCN 31001453$20,349About average$18,715$140,073
Virtua Our Lady Of Lourdes HospitalCamden, NJ · CCN 31002943$20,349About average$18,710$188,959
Adventist Health PortlandPortland, OR · CCN 38006016$20,395About average$18,763$83,722
OHSU Hospital And ClinicsPortland, OR · CCN 38000917$20,395About average$18,763$84,789
Providence St Vincent Medical CenterPortland, OR · CCN 38000432$20,395About average$18,756$86,273

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.