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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

Hospitals in Virginia

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
Virginia
Specific hospitals up to 10
Average payment across these 27 hospitals
$29,286National $31,009 · Virginia $29,286
Median hospital
$28,803
Lowest to highest
$27,325–$32,254
Medicare procedures
879

27 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
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Sentara Norfolk General HospitalNorfolk, VA · CCN 49000766$27,32512% below the national average$25,689$90,250
Carilion Medical CenterRoanoke, VA · CCN 49002454$27,74711% below the national average$26,115$133,590
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
Medical College Of Virginia HospitalsRichmond, VA · CCN 49003269$28,296About average$26,652$141,419
Henrico Doctors' HospitalRichmond, VA · CCN 49011816$28,485About average$26,853$497,138
Sentara Martha Jefferson HospitalCharlottesville, VA · CCN 49007723$28,520About average$26,888$88,587
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
University Of Virginia Medical CenterCharlottesville, VA · CCN 49000963$28,803About average$27,170$147,043
Bon Secours St Marys HospitalRichmond, VA · CCN 490059 · +$4,412 outlier payments per case22$28,936About average$27,304$325,346
Bon Secours Memorial Regional Medical CenterMechanicsville, VA · CCN 49006924$30,118About average$28,486$323,225
Inova Fairfax HospitalFalls Church, VA · CCN 49006357$30,198About average$28,562$112,799
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 49002167$30,242About average$28,608$229,986
Augusta HealthFishersville, VA · CCN 49001828$30,629About average$28,991$200,980
Inova Loudoun HospitalLeesburg, VA · CCN 49004321$30,757About average$29,125$106,244
Mary Washington HospitalFredericksburg, VA · CCN 49002242$30,757About average$29,125$149,773
Spotsylvania Regional Medical CenterFredericksburg, VA · CCN 49014113$30,757About average$29,125$316,164
Virginia Hospital CenterArlington, VA · CCN 49005021$30,757About average$29,114$180,217
Inova Alexandria HospitalAlexandria, VA · CCN 49004013$30,758About average$29,100$110,980
Uva Health Prince William Medical CenterManassas, VA · CCN 49004514$31,015About average$29,383$164,460
Sentara RMH Medical CenterHarrisonburg, VA · CCN 49000421$32,254About average$30,622$87,121
Winchester Medical CenterWinchester, VA · CCN 49000539$32,254About average$30,622$167,573

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.