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

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Year of care

787 hospitals reported at least 11 Medicare procedures for this in 2024; showing 601–650. Download as CSV

Medicare payments per case for Level 2 ICD and Similar Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Blessing HospitalQuincy, IL · CCN 140015	27	$32,463	About average	$30,831	$267,595
Arnot Ogden Medical CenterElmira, NY · CCN 330090	13	$32,495	About average	$30,909	$122,812
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 390223	51	$32,523	About average	$30,887	$209,683
St Mary Medical CenterLanghorne, PA · CCN 390258	23	$32,597	About average	$30,950	$165,219
Sanford Bemidji Medical CenterBemidji, MN · CCN 240100	11	$32,698	About average	$31,066	$106,536
Kadlec Regional Medical CenterRichland, WA · CCN 500058	40	$32,701	About average	$31,063	$118,862
Wellspan Chambersburg HospitalChambersburg, PA · CCN 390151	22	$32,724	About average	$31,092	$180,319
Newark Beth Israel Medical CenterNewark, NJ · CCN 310002	27	$32,738	About average	$31,106	$113,873
Saint Rose Dominican Hospitals - Siena CampusHenderson, NV · CCN 290045	14	$32,749	About average	$31,117	$255,702
Centracare - St. Cloud HospitalSaint Cloud, MN · CCN 240036	58	$32,777	About average	$31,143	$110,290
St Joseph Medical CenterTacoma, WA · CCN 500108	33	$32,817	About average	$31,174	$166,625
United Health Services Hospitals, IncBinghamton, NY · CCN 330394	17	$32,822	About average	$31,190	$87,240
Virginia Mason Medical CenterSeattle, WA · CCN 500005	13	$32,845	About average	$31,213	$183,973
Christiana HospitalNewark, DE · CCN 080001	90	$32,873	About average	$31,237	$131,130
Beebe Medical CenterLewes, DE · CCN 080007	31	$32,906	About average	$31,270	$126,348
Tidalhealth Nanticoke, Inc.Seaford, DE · CCN 080006	15	$32,907	About average	$31,265	$105,770
Providence Sacred Heart Medical Center & Childrens HospitalSpokane, WA · CCN 500054	61	$32,917	About average	$31,285	$78,402
Deaconess Medical CenterSpokane, WA · CCN 500044	27	$32,917	About average	$31,285	$171,065
MedStar Washington Hospital CenterWashington, DC · CCN 090011	110	$32,923	About average	$31,291	$172,187
Altru HospitalGrand Forks, ND · CCN 350019 · +$2,736 outlier payments per case	32	$32,933	About average	$31,301	$183,605
Trinity HospitalsMinot, ND · CCN 350006	11	$32,933	About average	$31,301	$61,122
Banner Wyoming Medical CenterCasper, WY · CCN 530012	16	$32,933	About average	$31,299	$175,200
Logan Health Medical CenterKalispell, MT · CCN 270051	17	$32,933	About average	$31,297	$99,199
Bayhealth Medical Center, Kent CampusDover, DE · CCN 080004 · +$1,164 outlier payments per case	64	$32,991	About average	$31,359	$189,282
Tacoma General Allenmore HospitalTacoma, WA · CCN 500129	41	$33,007	About average	$31,372	$161,029
Pennsylvania HospitalPhiladelphia, PA · CCN 390226	15	$33,043	About average	$31,411	$196,650
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	109	$33,043	About average	$31,411	$318,984
Mount Nittany Medical CenterState College, PA · CCN 390268	11	$33,097	About average	$31,465	$112,712
Providence St Peter HospitalOlympia, WA · CCN 500024	41	$33,161	About average	$31,529	$150,298
Skagit Valley HospitalMount Vernon, WA · CCN 500003	15	$33,161	About average	$31,529	$163,062
Crouse HospitalSyracuse, NY · CCN 330203	21	$33,194	About average	$31,562	$44,815
Kaleida HealthBuffalo, NY · CCN 330005	65	$33,242	About average	$31,608	$62,586
The Miriam HospitalProvidence, RI · CCN 410012	24	$33,284	About average	$31,649	$100,280
Cooper University HospitalCamden, NJ · CCN 310014	63	$33,337	About average	$31,693	$214,261
Summerlin Hospital Medical CenterLas Vegas, NV · CCN 290041	19	$33,374	About average	$31,729	$321,624
Intermountain Health St. Mary's Regional HospitalGrand Junction, CO · CCN 060023	12	$33,438	About average	$31,806	$142,577
Rochester General HospitalRochester, NY · CCN 330125	25	$33,446	About average	$31,814	$107,945
Mayo Clinic Hospital RochesterRochester, MN · CCN 240010	93	$33,489	About average	$31,855	$97,208
Evergreenhealth Medical CenterKirkland, WA · CCN 500124	12	$33,494	About average	$31,862	$78,391
Overlake Hospital Medical Center & ClinicsBellevue, WA · CCN 500051	11	$33,494	About average	$31,862	$110,196
Providence Regional Medical Center EverettEverett, WA · CCN 500014	21	$33,494	About average	$31,859	$119,348
Mercy Hospital Of BuffaloBuffalo, NY · CCN 330279	26	$33,497	About average	$31,861	$135,927
Mary Hitchcock Memorial HospitalLebanon, NH · CCN 300003	26	$33,505	About average	$31,873	$71,207
Carson Tahoe Regional Medical CenterCarson City, NV · CCN 290019	17	$33,506	About average	$31,874	$179,740
Cooperman Barnabas Medical CenterLivingston, NJ · CCN 310076	61	$33,575	About average	$31,943	$108,455
Mayo Clinic Health System - MankatoMankato, MN · CCN 240093	24	$33,618	About average	$31,986	$90,059
AtlantiCare Regional Medical Center - City CampusAtlantic City, NJ · CCN 310064	51	$33,729	About average	$32,097	$199,810
Strong Memorial HospitalRochester, NY · CCN 330285	36	$33,851	About average	$32,208	$93,627
Providence Alaska Medical CenterAnchorage, AK · CCN 020001	25	$33,852	About average	$32,219	$113,174
Virtua Our Lady Of Lourdes HospitalCamden, NJ · CCN 310029	74	$33,920	About average	$32,282	$328,474

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 care	Average payment	Average 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
State	Hospitals	Cases	Average payment	Typical range
Vermont	1	30	$16,912	$16,912–$16,912
Alabama	12	300	$27,001	$26,832–$27,384
West Virginia	5	165	$27,075	$26,323–$27,445
New Mexico	2	58	$27,142	$26,358–$27,587
Tennessee	15	682	$27,292	$26,800–$28,221
Louisiana	12	326	$27,611	$27,274–$27,807
Mississippi	11	362	$27,619	$26,901–$27,465
Arkansas	13	447	$27,680	$27,149–$28,118
Oklahoma	10	443	$27,816	$27,828–$28,262
Ohio	33	1,005	$28,064	$27,938–$28,755
South Carolina	16	712	$28,121	$27,798–$28,370
Missouri	24	641	$28,211	$27,511–$28,773
Kentucky	15	415	$28,264	$27,625–$29,288
Iowa	9	304	$28,523	$28,061–$29,275
Kansas	11	299	$28,692	$28,199–$29,319
Maine	3	68	$28,943	$28,363–$29,158
Texas	55	1,633	$29,023	$28,463–$30,414
Michigan	28	677	$29,030	$28,473–$29,572
North Carolina	22	820	$29,082	$28,448–$29,444
Georgia	29	905	$29,131	$28,109–$30,061
Virginia	27	879	$29,286	$28,390–$30,757
Nebraska	7	294	$29,361	$29,183–$29,557
Florida	57	1,707	$29,493	$29,712–$29,712
Utah	7	157	$29,809	$29,384–$29,384
Indiana	24	658	$29,813	$29,391–$30,078
Idaho	5	138	$29,966	$28,887–$29,796
Wisconsin	18	395	$30,113	$29,404–$30,864
Illinois	40	1,140	$30,658	$30,313–$31,141
South Dakota	3	137	$30,926	$30,454–$31,520
Montana	4	124	$31,051	$30,752–$31,297
Pennsylvania	45	1,298	$31,080	$29,394–$31,865
Colorado	11	233	$31,227	$31,224–$31,224
North Dakota	5	120	$31,291	$30,752–$32,933
Minnesota	14	470	$31,840	$31,033–$32,362
Wyoming	2	32	$31,955	$31,466–$32,444
Arizona	15	408	$32,032	$31,779–$31,983
New Hampshire	4	86	$32,374	$31,883–$32,398
Delaware	4	200	$32,918	$32,898–$32,928
District of Columbia	1	110	$32,923	$32,923–$32,923
Rhode Island	1	24	$33,284	$33,284–$33,284
Washington	18	481	$33,501	$32,917–$34,374
Nevada	8	147	$33,575	$32,344–$33,631
Alaska	1	25	$33,852	$33,852–$33,852
New Jersey	15	834	$34,790	$33,824–$36,045
Massachusetts	15	563	$34,923	$34,573–$35,221
Oregon	9	208	$35,481	$34,412–$35,831
New York	37	1,364	$35,923	$34,695–$36,952
Connecticut	7	203	$36,088	$35,826–$36,761
Hawaii	1	30	$37,717	$37,717–$37,717
California	56	1,538	$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.