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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 151–200. Download as CSV

Medicare payments per case for Level 2 ICD and Similar Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Mercy Health System CorpJanesville, WI · CCN 52006617$28,220About average$26,588$151,438
Oklahoma Heart Hospital South, LLCOklahoma City, OK · CCN 37023475$28,236About average$26,592$123,536
CJW Medical CenterRichmond, VA · CCN 49011232$28,240About average$26,608$512,798
Lewisgale Medical CenterSalem, VA · CCN 49004832$28,240About average$26,594$274,182
Bon Secours Maryview Medical CenterPortsmouth, VA · CCN 49001711$28,242About average$26,610$208,789
Riverside Regional Medical CenterNewport News, VA · CCN 49005240$28,243About average$26,597$148,257
Ascension St John Medical CenterTulsa, OK · CCN 37011425$28,262About average$26,630$141,524
O U Medical CenterOklahoma City, OK · CCN 37009314$28,262About average$26,630$164,490
SSM Health St Anthony Hospital - Oklahoma CityOklahoma City, OK · CCN 37003730$28,262About average$26,630$108,490
Uofl Health - Jewish Hospital And Mary & Elizabeth HospitalLouisville, KY · CCN 18004031$28,262About average$26,630$156,115
Baptist Health LouisvilleLouisville, KY · CCN 18013019$28,262About average$26,630$387,673
Hillcrest Hospital SouthTulsa, OK · CCN 37020241$28,262About average$26,630$181,441
Ascension Saint Thomas HospitalNashville, TN · CCN 44008275$28,262About average$26,627$212,113
Norman RegionalNorman, OK · CCN 37000813$28,262About average$26,620$134,182
Baptist Health HardinElizabethtown, KY · CCN 18001214$28,262About average$26,613$309,841
Kearney Regional Medical CenterKearney, NE · CCN 28013420$28,264About average$26,620$107,437
St Lukes HospitalCedar Rapids, IA · CCN 16004529$28,287About average$26,655$95,761
Genesis Medical Center-DavenportDavenport, IA · CCN 16003325$28,288About average$26,650$128,958
St Francis-DowntownGreenville, SC · CCN 42002338$28,295About average$26,658$327,240
Medical College Of Virginia HospitalsRichmond, VA · CCN 49003269$28,296About average$26,652$141,419
MUSC Medical CenterCharleston, SC · CCN 42000460$28,302About average$26,666$143,069
Trident Medical CenterCharleston, SC · CCN 42007928$28,302About average$26,662$429,844
Orlando Health Rockledge HospitalRockledge, FL · CCN 10009220$28,308About average$26,664$222,043
St David's Medical CenterAustin, TX · CCN 45043199$28,324About average$26,687$491,572
Aspirus Wausau HospitalWausau, WI · CCN 52003028$28,361About average$26,728$48,501
University Of Kansas HospitalKansas City, KS · CCN 17004075$28,390About average$26,758$105,292
Christus St Frances Cabrini HospitalAlexandria, LA · CCN 19001911$28,400About average$26,768$203,528
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 39027031$28,405About average$26,773$172,240
North Carolina Baptist HospitalWinston-Salem, NC · CCN 34004719$28,416About average$26,779$165,197
Christus Shreveport-Bossier Health SystemShreveport, LA · CCN 19004118$28,429About average$26,797$258,468
Advocate Trinity HospitalChicago, IL · CCN 14004811$28,458About average$26,826$126,980
CHI St Lukes Health Memorial LufkinLufkin, TX · CCN 45021113$28,463About average$26,831$386,599
Covenant Medical CenterLubbock, TX · CCN 45004015$28,463About average$26,831$198,452
Harlingen Medical CenterHarlingen, TX · CCN 45085513$28,463About average$26,831$212,772
Las Palmas Medical Center A Campus Of Lpds HealthcEl Paso, TX · CCN 45010716$28,463About average$26,831$232,663
Lubbock Heart Hospital LpLubbock, TX · CCN 45087621$28,463About average$26,831$110,631
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 45008328$28,463About average$26,831$162,282
Christus Mother Frances HospitalTyler, TX · CCN 45010282$28,463About average$26,828$221,224
Atrium Health Navicent The Medical CenterMacon, GA · CCN 11010764$28,463About average$26,825$111,093
Christus Santa Rosa Medical CenterSan Antonio, TX · CCN 45023731$28,463About average$26,823$226,895
Christus St Michael Health SystemTexarkana, TX · CCN 45080124$28,463About average$26,813$218,946
Doctors Hosptal At RenaissanceEdinburg, TX · CCN 45086911$28,463About average$26,796$148,560
Atrium Medical CenterFranklin, OH · CCN 36007617$28,472About average$26,826$96,947
Henrico Doctors' HospitalRichmond, VA · CCN 49011816$28,485About average$26,853$497,138
HCA Florida Gulf Coast HospitalPanama City, FL · CCN 10024223$28,491About average$26,859$234,866
Johnson City Medical CenterJohnson City, TN · CCN 44006334$28,498About average$26,866$258,460
CHI St Alexius HealthBismarck, ND · CCN 35000213$28,512About average$26,880$136,338
Sentara Martha Jefferson HospitalCharlottesville, VA · CCN 49007723$28,520About average$26,888$88,587
Good Samaritan HospitalCincinnati, OH · CCN 36013418$28,527About average$26,895$73,499
Mercy Health - Fairfield HospitalFairfield, OH · CCN 36005619$28,527About average$26,895$148,646

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.