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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 West 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
West Virginia
Specific hospitals up to 10
Average payment across these 5 hospitals
$15,953National $18,685 · West Virginia $15,953
Median hospital
$16,268
Lowest to highest
$15,409–$16,483
Medicare procedures
98

5 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
Mon Health Medical CenterMorgantown, WV · CCN 510024 · +$7,395 outlier payments per case28$15,40918% below the national average$13,777$186,640
St Marys Medical CenterHuntington, WV · CCN 51000715$15,56817% below the national average$13,934$89,008
West Virginia University Hospitals, IncMorgantown, WV · CCN 51000121$16,26813% below the national average$14,636$53,340
Wheeling Hospital, IncWheeling, WV · CCN 51005017$16,26813% below the national average$14,636$98,291
Charleston Area Medical CenterCharleston, WV · CCN 51002217$16,48312% below the national average$14,851$88,931

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.