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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 201–250. Download as CSV

Medicare payments per case for Level 2 ICD and Similar Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
University Of Cincinnati Medical Center, LLCCincinnati, OH · CCN 36000315$28,527About average$26,895$146,540
Chesapeake General HospitalChesapeake, VA · CCN 49012021$28,542About average$26,910$101,286
Sentara Careplex HospitalHampton, VA · CCN 49009317$28,542About average$26,910$97,464
Sentara Virginia Beach General HospitalVirginia Beach, VA · CCN 49005731$28,542About average$26,903$80,712
Bon Secours St Francis Medical CenterMidlothian, VA · CCN 49013622$28,542About average$26,900$285,860
Palm Beach Gardens Medical CenterPalm Beach Gardens, FL · CCN 10017648$28,542About average$26,906$340,164
Memorial Mission Hospital And Asheville Surgery CeAsheville, NC · CCN 34000284$28,545About average$26,912$136,929
Pikeville Medical CenterPikeville, KY · CCN 18004423$28,568About average$26,931$278,054
CHI St Joseph Health Regional HospitalBryan, TX · CCN 45001111$28,570About average$26,931$187,269
Self Regional HealthcareGreenwood, SC · CCN 42007118$28,573About average$26,941$168,718
Henry Ford Health Warren HospitalWarren, MI · CCN 23019514$28,577About average$26,945$131,088
Mercy Health Saint Mary'sGrand Rapids, MI · CCN 23005914$28,577About average$26,911$81,359
Northern Light Eastern Maine Medical CenterBangor, ME · CCN 200033 · +$5,657 outlier payments per case26$28,578About average$26,937$180,393
Mount Sinai Medical Center Of Florida, IncMiami Beach, FL · CCN 10003424$28,581About average$26,940$109,909
Jackson-Madison County General HospitalJackson, TN · CCN 44000227$28,593About average$26,966$97,100
St Lukes HospitalChesterfield, MO · CCN 26017946$28,593About average$26,956$102,504
Barnes Jewish HospitalSaint Louis, MO · CCN 26003247$28,606About average$26,974$105,734
Kettering Health Main CampusKettering, OH · CCN 36007934$28,622About average$26,983$155,666
AdventHealth Shawnee MissionShawnee Mission, KS · CCN 17010426$28,647About average$27,015$257,192
Nkc HealthNorth Kansas City, MO · CCN 26009615$28,647About average$27,015$125,625
Overland Park Regional Medical CenterOverland Park, KS · CCN 17017615$28,647About average$27,015$210,723
St Joseph Medical CenterKansas City, MO · CCN 26008514$28,647About average$27,015$219,484
University Of Kansas Health System - St Francis CampusTopeka, KS · CCN 17001619$28,647About average$27,015$190,815
University Of Kansas Health System Olathe HospitalOlathe, KS · CCN 17004927$28,647About average$27,012$75,435
Centerpoint Medical CenterIndependence, MO · CCN 26009514$28,647About average$26,999$412,914
Missouri Baptist Medical CenterSaint Louis, MO · CCN 26010852$28,673About average$27,036$101,627
University Of Toledo Medical CenterToledo, OH · CCN 36004817$28,682About average$27,050$158,456
Northwestern Lake Forest HospitalLake Forest, IL · CCN 14013013$28,697About average$27,065$231,562
OhioHealth Mansfield HospitalMansfield, OH · CCN 36011820$28,713About average$27,081$92,808
Miami Valley HospitalDayton, OH · CCN 36005142$28,713About average$27,076$128,027
Lima Memorial Health SystemLima, OH · CCN 36000924$28,714About average$27,064$160,516
Baylor Scott & White Heart & Vascular Hospital - DallasDallas, TX · CCN 45085187$28,714About average$27,079$143,996
Riverside Methodist HospitalColumbus, OH · CCN 36000648$28,755About average$27,121$101,361
University Of Virginia Medical CenterCharlottesville, VA · CCN 49000963$28,803About average$27,170$147,043
Hurley Medical CenterFlint, MI · CCN 23013215$28,813About average$27,181$71,001
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 67003412$28,872About average$27,240$133,359
St David's South Austin Medical CenterAustin, TX · CCN 45071343$28,872About average$27,234$526,118
Portneuf Medical CenterPocatello, ID · CCN 13002811$28,887About average$27,255$240,466
Henry Ford Macomb HospitalClinton Township, MI · CCN 23004717$28,890About average$27,258$113,867
McLaren Port HuronPort Huron, MI · CCN 23021613$28,890About average$27,248$151,648
Bon Secours St Marys HospitalRichmond, VA · CCN 490059 · +$4,412 outlier payments per case22$28,936About average$27,304$325,346
Duke University HospitalDurham, NC · CCN 34003067$28,943About average$27,311$203,250
Boulder Community HealthBoulder, CO · CCN 06002712$28,951About average$27,319$180,547
Morton Plant HospitalClearwater, FL · CCN 10012737$28,953About average$27,321$124,198
Lakeland Regional Medical CenterLakeland, FL · CCN 10015737$28,953About average$27,314$207,023
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 45001833$28,990About average$27,333$184,018
Cape Fear Valley Medical CenterFayetteville, NC · CCN 34002819$29,006About average$27,374$193,800
Novant Health Presbyterian Medical CenterCharlotte, NC · CCN 34005331$29,016About average$27,384$88,728
Ohio State University State Health SystemColumbus, OH · CCN 36008567$29,024About average$27,392$109,155
FirstHealth Moore Regional HospitalPinehurst, NC · CCN 34011540$29,069About average$27,437$170,755

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.