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 651–700. 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
St Joseph's Hospital Health CenterSyracuse, NY · CCN 330140	43	$34,001	About average	$32,369	$131,024
Mountainview HospitalLas Vegas, NV · CCN 290039	30	$34,007	About average	$32,375	$396,439
Good Samaritan Regional Medical CenterCorvallis, OR · CCN 380014	12	$34,049	About average	$32,417	$104,552
Jersey Shore University Medical CenterNeptune, NJ · CCN 310073	118	$34,100	About average	$32,466	$122,475
Tufts Medical CenterBoston, MA · CCN 220116	30	$34,102	About average	$32,470	$133,698
Flagstaff Medical CenterFlagstaff, AZ · CCN 030023	19	$34,251	10% above the national average	$32,619	$100,740
Yavapai Regional Medical CenterPrescott, AZ · CCN 030012	20	$34,251	10% above the national average	$32,619	$224,042
Yuma Regional Medical CenterYuma, AZ · CCN 030013	21	$34,251	10% above the national average	$32,619	$150,865
Swedish Medical Center / Cherry HillSeattle, WA · CCN 500025	38	$34,260	10% above the national average	$32,628	$92,273
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086	37	$34,316	11% above the national average	$32,682	$57,933
Capital Health Regional Medical CenterTrenton, NJ · CCN 310092	17	$34,335	11% above the national average	$32,703	$407,106
Deborah Heart And Lung CenterBrowns Mills, NJ · CCN 310031	88	$34,335	11% above the national average	$32,697	$343,429
Providence St Vincent Medical CenterPortland, OR · CCN 380004	26	$34,412	11% above the national average	$32,780	$112,124
OHSU Hospital And ClinicsPortland, OR · CCN 380009	19	$34,412	11% above the national average	$32,780	$123,152
PeaceHealth Southwest Medical CenteVancouver, WA · CCN 500050	18	$34,412	11% above the national average	$32,780	$185,900
Adventist Health PortlandPortland, OR · CCN 380060	18	$34,412	11% above the national average	$32,775	$150,362
Holy Name Medical CenterTeaneck, NJ · CCN 310008	11	$34,429	11% above the national average	$32,871	$190,723
Southcoast Hospitals GroupFall River, MA · CCN 220074	44	$34,458	11% above the national average	$32,825	$145,847
UPMC HamotErie, PA · CCN 390063	28	$34,565	11% above the national average	$32,933	$318,443
St Charles Medical Center - BendBend, OR · CCN 380047	33	$34,654	12% above the national average	$33,016	$110,307
Baystate Medical CenterSpringfield, MA · CCN 220077	63	$34,688	12% above the national average	$33,056	$60,613
Bassett HealthcareCooperstown, NY · CCN 330136	14	$34,695	12% above the national average	$33,063	$83,592
Northern Westchester HospitalMount Kisco, NY · CCN 330162	11	$34,722	12% above the national average	$33,090	$156,413
St Peter's HospitalAlbany, NY · CCN 330057	35	$34,772	12% above the national average	$33,140	$66,813
Wynn HospitalUtica, NY · CCN 330044	26	$34,772	12% above the national average	$33,140	$130,417
Albany Medical Center HospitalAlbany, NY · CCN 330013	27	$34,772	12% above the national average	$33,135	$97,373
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241	16	$34,772	12% above the national average	$33,131	$111,625
Ellis HospitalSchenectady, NY · CCN 330153	17	$34,772	12% above the national average	$33,131	$151,383
Renown Regional Medical CenterReno, NV · CCN 290001	32	$35,124	13% above the national average	$33,492	$332,784
North Shore University HospitalManhasset, NY · CCN 330106	28	$35,142	13% above the national average	$33,510	$176,496
St Vincent HospitalWorcester, MA · CCN 220176	20	$35,220	14% above the national average	$33,588	$249,440
South Shore HospitalSouth Weymouth, MA · CCN 220100	20	$35,221	14% above the national average	$33,589	$80,833
Boston Medical CenterBoston, MA · CCN 220031	17	$35,221	14% above the national average	$33,589	$89,718
Brigham And Women's HospitalBoston, MA · CCN 220110	62	$35,221	14% above the national average	$33,589	$86,074
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	57	$35,221	14% above the national average	$33,589	$134,532
Cape Cod HospitalHyannis, MA · CCN 220012	24	$35,221	14% above the national average	$33,589	$151,933
North Shore Medical Center -Salem, MA · CCN 220035	19	$35,221	14% above the national average	$33,588	$60,557
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	33	$35,221	14% above the national average	$33,587	$107,528
Massachusetts General HospitalBoston, MA · CCN 220071	85	$35,221	14% above the national average	$33,586	$99,106
Boston Medical Center-BrightonBrighton, MA · CCN 220036	41	$35,221	14% above the national average	$33,584	$137,252
PeaceHealth St Joseph Medical CenterBellingham, WA · CCN 500030	16	$35,252	14% above the national average	$33,620	$170,797
Yakima Valley MemorialYakima, WA · CCN 500036	19	$35,252	14% above the national average	$33,608	$88,935
St Michael Medical CenterSilverdale, WA · CCN 500039	32	$35,371	14% above the national average	$33,737	$161,153
Confluence Health HospitalWenatchee, WA · CCN 500016	17	$35,513	15% above the national average	$33,881	$96,993
St Vincent's Medical CenterBridgeport, CT · CCN 070028	25	$35,527	15% above the national average	$33,895	$93,659
Morristown Medical CenterMorristown, NJ · CCN 310015	105	$35,599	15% above the national average	$33,975	$130,740
Mount Sinai WestNew York, NY · CCN 330046	30	$35,762	15% above the national average	$34,123	$119,265
Yale-New Haven HospitalNew Haven, CT · CCN 070022	62	$35,768	15% above the national average	$34,134	$86,604
Englewood Hospital And Medical CenterEnglewood, NJ · CCN 310045	47	$35,804	15% above the national average	$34,166	$592,224
Bay Area HospitalCoos Bay, OR · CCN 380090	12	$35,831	16% above the national average	$34,199	$137,388

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.