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

Hospitals in Michigan

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.

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Year of care

Average payment across these 28 hospitals: $29,030National $31,009 · Michigan $29,030
Median hospital: $29,235
Lowest to highest: $26,504–$31,368
Medicare procedures: 677

28 hospitals reported at least 11 Medicare procedures for this in 2024. 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
Edward W Sparrow HospitalLansing, MI · CCN 230230	26	$26,504	15% below the national average	$24,872	$221,957
Bronson Methodist HospitalKalamazoo, MI · CCN 230017	26	$26,718	14% below the national average	$25,079	$61,547
Ascension Providence Rochester HospitalRochester, MI · CCN 230254	12	$26,935	13% below the national average	$25,283	$223,649
Borgess Medical CenterKalamazoo, MI · CCN 230117	34	$26,994	13% below the national average	$25,360	$131,008
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130	39	$27,819	10% below the national average	$26,187	$207,974
McLaren Bay RegionBay City, MI · CCN 230041 · +$3,059 outlier payments per case	24	$28,085	About average	$26,453	$162,170
Spectrum HealthGrand Rapids, MI · CCN 230038	38	$28,162	About average	$26,530	$97,485
Henry Ford Health Warren HospitalWarren, MI · CCN 230195	14	$28,577	About average	$26,945	$131,088
Mercy Health Saint Mary'sGrand Rapids, MI · CCN 230059	14	$28,577	About average	$26,911	$81,359
Hurley Medical CenterFlint, MI · CCN 230132	15	$28,813	About average	$27,181	$71,001
Henry Ford Macomb HospitalClinton Township, MI · CCN 230047	17	$28,890	About average	$27,258	$113,867
McLaren Port HuronPort Huron, MI · CCN 230216	13	$28,890	About average	$27,248	$151,648
Trinity Health Oakland HospitalPontiac, MI · CCN 230029	15	$29,235	About average	$27,603	$85,606
Beaumont Hospital, TroyTroy, MI · CCN 230269	27	$29,235	About average	$27,595	$194,920
Mymichigan Medical Center SaginawSaginaw, MI · CCN 230077	14	$29,235	About average	$27,593	$98,573
Henry Ford Allegiance HealthJackson, MI · CCN 230092	12	$29,290	About average	$27,658	$112,911
Henry Ford Health HospitalDetroit, MI · CCN 230053	13	$29,290	About average	$27,658	$122,683
Henry Ford Health St John HospitalDetroit, MI · CCN 230165	12	$29,290	About average	$27,658	$144,106
Ascension Providence Hospital, Southfield And NoviSouthfield, MI · CCN 230019	36	$29,290	About average	$27,653	$109,684
Beaumont Hospital - DearbornDearborn, MI · CCN 230020	31	$29,290	About average	$27,651	$213,408
McLaren Northern MichiganPetoskey, MI · CCN 230105	22	$29,473	About average	$27,839	$161,100
McLaren FlintFlint, MI · CCN 230141 · +$8,129 outlier payments per case	31	$29,869	About average	$28,237	$318,849
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046 · +$2,757 outlier payments per case	70	$29,932	About average	$28,300	$173,756
Trinity Health Ann Arbor HospitalAnn Arbor, MI · CCN 230156	32	$30,343	About average	$28,710	$91,784
Munson Medical CenterTraverse City, MI · CCN 230097 · +$2,033 outlier payments per case	34	$30,603	About average	$28,971	$168,355
Mymichigan Medical Center MidlandMidland, MI · CCN 230222 · +$6,567 outlier payments per case	16	$30,799	About average	$29,167	$151,456
Trinity Health Muskegon HospitalMuskegon, MI · CCN 230066	27	$30,927	About average	$29,282	$82,534
Uphs Marquette Dlp HospitalMarquette, MI · CCN 230054	13	$31,368	About average	$29,717	$222,005

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.