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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

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 18 hospitals
$17,519National $18,685 · Virginia $17,519
Median hospital
$17,843
Lowest to highest
$15,983–$19,116
Medicare procedures
509

18 hospitals reported at least 11 Medicare procedures for this in 2024. Download as CSV

Medicare payments per case for Level 4 Pacemaker and Similar Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Carilion Medical CenterRoanoke, VA · CCN 49002440$15,98314% below the national average$14,351$84,062
Sentara Martha Jefferson HospitalCharlottesville, VA · CCN 49007729$16,01914% below the national average$14,387$55,452
Sentara Virginia Beach General HospitalVirginia Beach, VA · CCN 49005721$16,29113% below the national average$14,659$58,546
CJW Medical CenterRichmond, VA · CCN 49011214$16,73910% below the national average$15,107$337,330
Riverside Regional Medical CenterNewport News, VA · CCN 49005216$16,74110% below the national average$15,109$60,572
Medical College Of Virginia HospitalsRichmond, VA · CCN 49003222$16,76810% below the national average$15,124$108,895
Sentara Norfolk General HospitalNorfolk, VA · CCN 49000742$16,918About average$15,286$69,122
Sentara Careplex HospitalHampton, VA · CCN 49009311$16,918About average$15,279$64,574
Inova Fairfax HospitalFalls Church, VA · CCN 49006342$17,835About average$16,203$66,326
University Of Virginia Medical CenterCharlottesville, VA · CCN 49000931$17,851About average$16,219$83,516
Bon Secours Memorial Regional Medical CenterMechanicsville, VA · CCN 49006916$17,851About average$16,219$160,602
Bon Secours St Marys HospitalRichmond, VA · CCN 49005912$17,851About average$16,219$139,323
Mary Washington HospitalFredericksburg, VA · CCN 49002244$17,853About average$16,221$78,924
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 49002178$17,925About average$16,292$121,091
Spotsylvania Regional Medical CenterFredericksburg, VA · CCN 49014112$18,230About average$16,598$180,861
Augusta HealthFishersville, VA · CCN 49001835$18,790About average$17,158$117,840
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

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.