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Outpatient procedure · APC 5231 · Surgery or procedure

Level 1 ICD and Similar Procedures

In 2024, Medicare and patients paid an average of $22,647 per procedure at 135 hospitals. Half of hospitals averaged between $20,258 and $24,413.

Also known as: ICD, implantable defibrillator

National figures, 2024

Average payment per case
$22,647
Typical range (middle half of hospitals)
$20,258–$24,413
Medicare’s share
$21,01193% of the payment
Average billed charge
$119,770
Hospitals reporting
1352,175 procedures

Hospitals in Wisconsin

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
Wisconsin
Specific hospitals up to 10
Average payment (1 hospital)
$22,123National $22,647 · Wisconsin $22,123
Too few hospitals to compare
An average across fewer than 3 hospitals says little about the area. Widen the distance or pick more hospitals.
Medicare procedures
12

1 hospital reported at least 11 Medicare procedures for this in 2024. Download as CSV

Medicare payments per case for Level 1 ICD and Similar Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Aurora St Lukes Medical CenterMilwaukee, WI · CCN 52013812$22,123About average$20,491$117,325

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

  • Average payment
  • Average billed charge
2020: 3,898 procedures at 233 hospitals · 2021: 3,475 procedures at 207 hospitals · 2022: 2,520 procedures at 156 hospitals · 2023: 1,918 procedures at 124 hospitals · 2024: 2,175 procedures at 135 hospitals
View data as a table
National average payment and billed charge for Level 1 ICD and Similar Procedures
Year of careAverage paymentAverage billed charge
2020$22K$105K
2021$23K$109K
2022$23K$110K
2023$23K$121K
2024$23K$120K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 34 states
Average payment by state for Level 1 ICD and Similar Procedures, 2024
StateHospitalsCasesAverage paymentTypical range
Arkansas123$18,906$18,906–$18,906
Oklahoma582$19,509$18,876–$20,258
Tennessee7111$19,646$19,447–$20,148
Kentucky116$19,787$19,787–$19,787
Alabama116$19,862$19,862–$19,862
Missouri233$19,924$19,892–$19,970
Ohio9143$20,062$19,852–$20,582
South Carolina689$20,122$20,156–$20,288
Florida684$20,132$18,820–$21,297
Kansas114$20,609$20,609–$20,609
Michigan456$20,647$20,230–$21,184
Texas8132$20,746$20,359–$21,319
North Carolina699$20,770$20,462–$21,198
Virginia351$20,788$20,364–$20,844
Iowa459$21,044$20,159–$21,435
Utah113$21,062$21,062–$21,062
Mississippi111$21,084$21,084–$21,084
Indiana569$21,143$21,060–$21,237
Nebraska113$21,186$21,186–$21,186
Georgia336$21,553$21,420–$21,819
Illinois453$21,639$21,014–$22,865
Pennsylvania10143$21,882$21,017–$22,615
Wisconsin112$22,123$22,123–$22,123
Arizona114$22,924$22,924–$22,924
Minnesota232$23,386$22,684–$23,705
Delaware119$23,586$23,586–$23,586
Rhode Island111$23,857$23,857–$23,857
Washington228$24,220$23,992–$24,789
Oregon112$24,665$24,665–$24,665
Massachusetts6104$24,790$23,882–$25,244
New Jersey9166$25,172$24,609–$26,746
New York11278$26,006$24,922–$26,468
Connecticut111$26,452$26,452–$26,452
California10142$30,072$28,895–$31,763

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.