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Outpatient procedure · APC 5232 · Surgery or procedure

Level 2 ICD and Similar Procedures

In 2024, Medicare and patients paid an average of $31,009 per procedure at 787 hospitals. Half of hospitals averaged between $28,516 and $32,029.

Also known as: ICD, implantable defibrillator

National figures, 2024

Average payment per case
$31,009
Typical range (middle half of hospitals)
$28,516–$32,029
Medicare’s share
$29,37595% of the payment
Average billed charge
$170,325
Hospitals reporting
78724,295 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

787 hospitals reported at least 11 Medicare procedures for this in 2024; showing 451–500. Download as CSV

Medicare payments per case for Level 2 ICD and Similar Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Saint Francis Medical CenterPeoria, IL · CCN 14006768$30,313About average$28,677$167,661
Trinity Rock IslandRock Island, IL · CCN 14028043$30,313About average$28,677$151,770
St Marys HospitalDecatur, IL · CCN 14016624$30,313About average$28,668$103,271
Wellspan York HospitalYork, PA · CCN 39004653$30,322About average$28,688$98,961
Trinity Health Ann Arbor HospitalAnn Arbor, MI · CCN 23015632$30,343About average$28,710$91,784
Owensboro Health Regional HospitalOwensboro, KY · CCN 18003830$30,347About average$28,712$196,398
Houston Methodist HospitalHouston, TX · CCN 45035861$30,414About average$28,782$272,549
HCA Houston Healthcare Clear LakeWebster, TX · CCN 45061725$30,414About average$28,782$153,096
HCA Houston Healthcare KingwoodKingwood, TX · CCN 45077512$30,414About average$28,782$237,272
HCA Houston Healthcare Medical CenterHouston, TX · CCN 45065924$30,414About average$28,782$395,404
Houston Methodist Baytown HospitalBaytown, TX · CCN 45042416$30,414About average$28,782$261,121
Houston Methodist Willowbrook HospitalHouston, TX · CCN 45084416$30,414About average$28,782$265,237
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 45006830$30,414About average$28,782$104,766
St Luke's The Woodlands HospitalThe Woodlands, TX · CCN 45086215$30,414About average$28,782$253,409
Baylor St Lukes Medical CenterHouston, TX · CCN 45019337$30,415About average$28,773$254,589
Memorial Hermann Memorial City HospitalHouston, TX · CCN 45061019$30,415About average$28,768$64,606
HCA Houston Healthcare WestHouston, TX · CCN 45064412$30,415About average$28,763$282,644
Piedmont Fayette HospitalFayetteville, GA · CCN 11021544$30,440About average$28,808$130,298
Wellstar Cobb Medical CenterAustell, GA · CCN 11014329$30,440About average$28,808$170,955
Northside Hospital ForsythCumming, GA · CCN 11000515$30,440About average$28,808$218,584
Wellstar Paulding Medical CenterHiram, GA · CCN 11004214$30,440About average$28,808$173,785
Northside Hospital GwinnettLawrenceville, GA · CCN 11008726$30,440About average$28,804$211,290
Honor Health John C. Lincoln Medical CenterPhoenix, AZ · CCN 03001420$30,466About average$28,822$181,718
Shannon Medical CenterSan Angelo, TX · CCN 45057126$30,481About average$28,849$186,290
Allina United HospitalSaint Paul, MN · CCN 24003840$30,561About average$28,929$103,028
Carolina East Medical CenterNew Bern, NC · CCN 34013123$30,570About average$28,938$148,548
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 14001075$30,593About average$28,959$175,256
Munson Medical CenterTraverse City, MI · CCN 230097 · +$2,033 outlier payments per case34$30,603About average$28,971$168,355
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 52009815$30,619About average$28,984$128,089
UnityPoint Health - MeriterMadison, WI · CCN 52008931$30,619About average$28,984$189,519
United Regional Health Care SystemWichita Falls, TX · CCN 45001025$30,619About average$28,987$98,116
Augusta HealthFishersville, VA · CCN 49001828$30,629About average$28,991$200,980
Avera Heart Hospital Of South DakotaSioux Falls, SD · CCN 430095 · +$554 outlier payments per case59$30,752About average$29,120$196,626
Billings Clinic HospitalBillings, MT · CCN 27000440$30,752About average$29,120$97,068
St. Patrick HospitalMissoula, MT · CCN 27001448$30,752About average$29,120$109,535
Sanford Medical Center BismarckBismarck, ND · CCN 35001520$30,752About average$29,120$86,530
Sanford Medical Center FargoFargo, ND · CCN 35001144$30,752About average$29,116$102,349
Intermountain Health St Vincent Regional HospitalBillings, MT · CCN 27004919$30,752About average$29,096$142,188
Inova Loudoun HospitalLeesburg, VA · CCN 49004321$30,757About average$29,125$106,244
Mary Washington HospitalFredericksburg, VA · CCN 49002242$30,757About average$29,125$149,773
Spotsylvania Regional Medical CenterFredericksburg, VA · CCN 49014113$30,757About average$29,125$316,164
Virginia Hospital CenterArlington, VA · CCN 49005021$30,757About average$29,114$180,217
Inova Alexandria HospitalAlexandria, VA · CCN 49004013$30,758About average$29,100$110,980
Jefferson Einstein Montgomery HospitalEast Norriton, PA · CCN 39032917$30,770About average$29,138$88,069
Jefferson Abington HospitalAbington, PA · CCN 39023147$30,770About average$29,137$187,660
Hendrick Medical CenterAbilene, TX · CCN 45022938$30,787About average$29,155$348,971
Mymichigan Medical Center MidlandMidland, MI · CCN 230222 · +$6,567 outlier payments per case16$30,799About average$29,167$151,456
St Lukes HospitalBethlehem, PA · CCN 39004951$30,800About average$29,168$217,527
Advocate Sherman HospitalElgin, IL · CCN 14003025$30,833About average$29,191$81,320
Franciscan Health Crown PointCrown Point, IN · CCN 15012612$30,848About average$29,216$110,749

National trend

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

  • Average payment
  • Average billed charge
2020: 29,565 procedures at 893 hospitals · 2021: 29,078 procedures at 869 hospitals · 2022: 27,201 procedures at 844 hospitals · 2023: 25,955 procedures at 812 hospitals · 2024: 24,295 procedures at 787 hospitals
View data as a table
National average payment and billed charge for Level 2 ICD and Similar Procedures
Year of careAverage paymentAverage billed charge
2020$32K$149K
2021$33K$152K
2022$33K$158K
2023$31K$164K
2024$31K$170K

By state, 2024

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

Show all 50 states
Average payment by state for Level 2 ICD and Similar Procedures, 2024
StateHospitalsCasesAverage paymentTypical range
Vermont130$16,912$16,912–$16,912
Alabama12300$27,001$26,832–$27,384
West Virginia5165$27,075$26,323–$27,445
New Mexico258$27,142$26,358–$27,587
Tennessee15682$27,292$26,800–$28,221
Louisiana12326$27,611$27,274–$27,807
Mississippi11362$27,619$26,901–$27,465
Arkansas13447$27,680$27,149–$28,118
Oklahoma10443$27,816$27,828–$28,262
Ohio331,005$28,064$27,938–$28,755
South Carolina16712$28,121$27,798–$28,370
Missouri24641$28,211$27,511–$28,773
Kentucky15415$28,264$27,625–$29,288
Iowa9304$28,523$28,061–$29,275
Kansas11299$28,692$28,199–$29,319
Maine368$28,943$28,363–$29,158
Texas551,633$29,023$28,463–$30,414
Michigan28677$29,030$28,473–$29,572
North Carolina22820$29,082$28,448–$29,444
Georgia29905$29,131$28,109–$30,061
Virginia27879$29,286$28,390–$30,757
Nebraska7294$29,361$29,183–$29,557
Florida571,707$29,493$29,712–$29,712
Utah7157$29,809$29,384–$29,384
Indiana24658$29,813$29,391–$30,078
Idaho5138$29,966$28,887–$29,796
Wisconsin18395$30,113$29,404–$30,864
Illinois401,140$30,658$30,313–$31,141
South Dakota3137$30,926$30,454–$31,520
Montana4124$31,051$30,752–$31,297
Pennsylvania451,298$31,080$29,394–$31,865
Colorado11233$31,227$31,224–$31,224
North Dakota5120$31,291$30,752–$32,933
Minnesota14470$31,840$31,033–$32,362
Wyoming232$31,955$31,466–$32,444
Arizona15408$32,032$31,779–$31,983
New Hampshire486$32,374$31,883–$32,398
Delaware4200$32,918$32,898–$32,928
District of Columbia1110$32,923$32,923–$32,923
Rhode Island124$33,284$33,284–$33,284
Washington18481$33,501$32,917–$34,374
Nevada8147$33,575$32,344–$33,631
Alaska125$33,852$33,852–$33,852
New Jersey15834$34,790$33,824–$36,045
Massachusetts15563$34,923$34,573–$35,221
Oregon9208$35,481$34,412–$35,831
New York371,364$35,923$34,695–$36,952
Connecticut7203$36,088$35,826–$36,761
Hawaii130$37,717$37,717–$37,717
California561,538$41,736$40,316–$43,904

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.