CostGrade

Level 2 Pacemaker and Similar Procedures — what U.S. hospitals charge

APC 5222 · Hospital outpatient visit · 931 U.S. hospitals publish a price

Cheapest quarter

under $28,971

Typical charge

$37,851

Dearest quarter

over $50,929

Actually paid

$8,023

The middle U.S. hospital bills $37,851 for Level 2 Pacemaker and Similar Procedures. The dearest hospitals charge about 3.2x what the cheapest do for the same coded work. Medicare actually paid about $8,023 per case.

These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.

Level 2 Pacemaker and Similar Procedures cost by state

The middle charge in each state where at least three hospitals publish a price, cheapest first.

State Hospitals Typical charge Range
Connecticut 15 $25,416 $21,595 – $65,507
Arkansas 12 $27,094 $19,349 – $42,695
Iowa 14 $28,873 $12,130 – $46,748
Delaware 4 $29,279 $15,414 – $43,966
Nebraska 7 $29,359 $27,012 – $40,303
South Dakota 4 $30,017 $19,081 – $49,287
Massachusetts 23 $30,368 $15,306 – $69,535
Kansas 19 $30,390 $18,111 – $76,543
North Dakota 6 $30,513 $19,589 – $36,061
Minnesota 14 $30,539 $17,736 – $38,983
Wisconsin 19 $30,629 $11,233 – $46,081
Washington 21 $30,629 $22,982 – $54,122
Montana 4 $30,733 $17,051 – $41,990
Oregon 11 $30,858 $20,698 – $45,417
Virginia 24 $31,161 $20,579 – $210,001
Maine 4 $31,247 $24,195 – $44,903
New Hampshire 8 $32,349 $21,195 – $86,161
Ohio 40 $32,708 $12,781 – $56,614
North Carolina 30 $32,931 $21,014 – $62,419
Utah 5 $32,952 $21,057 – $130,007
Idaho 9 $32,953 $12,906 – $76,488
Tennessee 24 $33,808 $17,764 – $94,167
Michigan 31 $34,185 $14,731 – $63,180
Missouri 33 $35,617 $17,963 – $82,414
Alabama 15 $35,697 $18,876 – $157,546
Mississippi 14 $35,951 $28,274 – $113,821
Georgia 26 $36,202 $15,888 – $73,791
New York 52 $36,609 $11,913 – $130,929
Oklahoma 18 $37,231 $23,053 – $62,384
West Virginia 9 $38,406 $20,645 – $67,637
South Carolina 17 $38,688 $20,727 – $104,206
Indiana 21 $39,123 $19,032 – $110,325
Illinois 46 $40,102 $24,874 – $91,829
Louisiana 12 $42,334 $21,276 – $66,248
Texas 62 $43,529 $20,588 – $171,088
Colorado 17 $44,565 $32,017 – $95,599
New Mexico 8 $45,002 $23,295 – $59,909
New Jersey 23 $45,267 $20,564 – $126,772
Pennsylvania 51 $46,310 $17,653 – $118,728
Kentucky 12 $46,360 $26,410 – $112,308
Florida 68 $46,850 $17,071 – $139,366
California 45 $47,140 $20,971 – $142,065
Arizona 19 $56,535 $29,084 – $77,379
Nevada 9 $76,507 $53,454 – $111,368

Where Level 2 Pacemaker and Similar Procedures is charged least

Hospitals that performed it at least eleven times, so a single case cannot set the figure.

Hospital Charged Actually paid
Aspirus Stevens Point Hospital & Clinics, Inc.

Stevens Point, WI

$11,233 $7,602
Bassett Healthcare

Cooperstown, NY

$11,913 $9,640
Mercyone Dubuque Medical Center

Dubuque, IA

$12,130 $7,746
Aspirus Wausau Hospital

Wausau, WI

$12,595 $7,602
Trinity Medical Ctr East &Trinity Medical Ctr West

Steubenville, OH

$12,781 $7,229
Saint Alphonsus Medical Center - Nampa

Nampa, ID

$12,906 $8,222
Mercyone Siouxland Medical Center

Sioux City, IA

$13,597 $7,655
St Lukes Magic Valley Medical Center

Twin Falls, ID

$14,718 $7,962
Bronson Methodist Hospital

Kalamazoo, MI

$14,731 $7,431
Columbia Memorial Hospital

Hudson, NY

$14,746 $9,003
Kaleida Health

Buffalo, NY

$14,943 $8,730
Saint Alphonsus Regional Medical Center

Boise, ID

$15,035 $8,223

Where it is charged most

Hospitals that performed it at least eleven times, so a single case cannot set the figure.

Hospital Charged Actually paid
Cjw Medical Center

Richmond, VA

$210,001 $7,314
Medical City Fort Worth

Fort Worth, TX

$171,088 $7,670
Grandview Medical Center

Birmingham, AL

$157,546 $6,914
Good Samaritan Hospital

San Jose, CA

$142,065 $11,745
Ascension St Vincent's Clay County

Middleburg, FL

$139,366 $7,696
Medical City Denton

Denton, TX

$137,738 $7,670
Flowers Hospital

Dothan, AL

$133,506 $7,295
Medical City Dallas Hospital

Dallas, TX

$132,014 $7,645
Doctors Medical Center

Modesto, CA

$131,655 $10,435
Long Island Community Hospital

Patchogue, NY

$130,929 $9,483
St Mark's Hospital

Salt Lake City, UT

$130,007 $7,246
Englewood Hospital And Medical Center

Englewood, NJ

$126,772 $9,326

Questions people ask

What do U.S. hospitals charge for Level 2 Pacemaker and Similar Procedures?

Across 931 U.S. hospitals, the middle charge for Level 2 Pacemaker and Similar Procedures is $37,851. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $28,971 and the dearest quarter over $50,929.

Why do hospitals charge such different amounts for the same procedure?

Because a hospital charge is a list price it sets itself, not a regulated rate. For Level 2 Pacemaker and Similar Procedures, the hospitals in the dearest tenth charge about 3.2x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.

Is that what I would actually pay?

No. $8,023 is roughly what Medicare actually paid per case, against an average charge of $44,213. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.

What this code covers

CMS records this work as APC 5222: “Level 2 Pacemaker and Similar Procedures”. An APC covers one outpatient visit for that level of service — you go home the same day.