Level 3 Pacemaker and Similar Procedures — what U.S. hospitals charge
APC 5223 · Hospital outpatient visit · 1,294 U.S. hospitals publish a price
Cheapest quarter
under $38,996
Typical charge
$51,507
Dearest quarter
over $70,169
Actually paid
$10,201
The middle U.S. hospital bills $51,507 for Level 3 Pacemaker and Similar Procedures. The dearest hospitals charge about 3.5x what the cheapest do for the same coded work. Medicare actually paid about $10,201 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 3 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 |
|---|---|---|---|
| Vermont | 3 | $20,628 | $20,067 – $46,740 |
| Arkansas | 21 | $30,695 | $21,577 – $165,859 |
| Rhode Island | 4 | $31,157 | $19,308 – $55,949 |
| Hawaii | 5 | $32,959 | $19,966 – $60,245 |
| Connecticut | 19 | $33,559 | $23,761 – $75,697 |
| Massachusetts | 29 | $35,754 | $15,599 – $93,247 |
| Missouri | 36 | $37,110 | $21,826 – $175,545 |
| West Virginia | 10 | $37,362 | $25,413 – $77,296 |
| Nebraska | 15 | $37,917 | $25,436 – $53,511 |
| Ohio | 53 | $39,140 | $16,965 – $84,711 |
| Oregon | 17 | $39,150 | $26,861 – $114,053 |
| North Dakota | 6 | $39,576 | $32,212 – $50,289 |
| New Hampshire | 9 | $39,968 | $24,388 – $120,455 |
| Iowa | 16 | $40,924 | $20,345 – $58,261 |
| Delaware | 5 | $42,568 | $31,742 – $59,133 |
| South Dakota | 5 | $43,212 | $29,989 – $71,916 |
| Michigan | 38 | $43,757 | $25,870 – $96,441 |
| Minnesota | 15 | $44,368 | $31,347 – $68,868 |
| Montana | 9 | $44,379 | $27,954 – $72,348 |
| Wisconsin | 28 | $44,501 | $22,265 – $61,330 |
| Wyoming | 3 | $44,543 | $42,155 – $64,167 |
| Washington | 29 | $44,639 | $19,195 – $72,625 |
| North Carolina | 35 | $45,330 | $19,376 – $93,042 |
| Oklahoma | 21 | $45,792 | $34,228 – $181,304 |
| Kansas | 21 | $46,432 | $17,900 – $116,872 |
| New York | 51 | $46,626 | $14,277 – $160,581 |
| Illinois | 56 | $48,414 | $25,963 – $137,763 |
| Idaho | 10 | $49,912 | $25,522 – $93,796 |
| New Jersey | 31 | $50,911 | $34,875 – $190,958 |
| Virginia | 33 | $51,823 | $31,944 – $184,734 |
| Maine | 6 | $52,089 | $40,541 – $67,062 |
| Utah | 11 | $52,439 | $28,266 – $164,526 |
| Indiana | 33 | $53,586 | $24,785 – $143,910 |
| Mississippi | 18 | $53,631 | $26,277 – $188,309 |
| Tennessee | 27 | $55,428 | $17,047 – $136,630 |
| Alabama | 25 | $55,613 | $21,786 – $221,508 |
| Pennsylvania | 62 | $56,612 | $22,110 – $204,976 |
| Kentucky | 26 | $56,727 | $16,580 – $151,219 |
| Georgia | 39 | $57,872 | $20,414 – $117,060 |
| District of Columbia | 3 | $58,811 | $18,420 – $71,660 |
| Louisiana | 19 | $61,029 | $29,717 – $147,091 |
| Arizona | 28 | $61,358 | $35,574 – $186,236 |
| Colorado | 19 | $64,293 | $44,960 – $137,943 |
| California | 115 | $64,996 | $30,651 – $267,879 |
| South Carolina | 22 | $66,691 | $40,364 – $220,923 |
| New Mexico | 10 | $67,526 | $25,436 – $125,344 |
| Texas | 98 | $67,720 | $24,407 – $183,927 |
| Florida | 86 | $74,148 | $26,064 – $209,110 |
| Nevada | 12 | $105,116 | $52,423 – $201,912 |
Where Level 3 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 |
|---|---|---|
|
Crouse Hospital
Syracuse, NY |
$14,277 | $11,083 |
|
Anna Jaques Hospital
Newburyport, MA |
$15,599 | $11,454 |
|
Saint Joseph East
Lexington, KY |
$16,580 | $9,242 |
|
Trinity Medical Ctr East &Trinity Medical Ctr West
Steubenville, OH |
$16,965 | $9,082 |
|
Cookeville Regional Medical Center
Cookeville, TN |
$17,047 | $9,788 |
|
Taylor Regional Hospital
Campbellsville, KY |
$17,635 | $8,955 |
|
Cooley Dickinson Hospital Inc,The
Northampton, MA |
$17,745 | $11,454 |
|
Nmc Health
Newton, KS |
$17,900 | $9,112 |
|
Sibley Memorial Hospital
Washington, DC |
$18,420 | $10,914 |
|
Prov Sacred Hrt Med Ctr & Childs Hosp.
Spokane, WA |
$19,195 | $10,629 |
|
Kent County Memorial Hospital
Warwick, RI |
$19,308 | $10,825 |
|
Unc Lenoir Health Care
Kinston, NC |
$19,376 | $10,213 |
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 |
|---|---|---|
|
Good Samaritan Hospital
San Jose, CA |
$267,879 | $15,008 |
|
Grandview Medical Center
Birmingham, AL |
$221,508 | $8,814 |
|
Trident Medical Center
Charleston, SC |
$220,923 | $9,208 |
|
Physicians Regional Medical Center - Pine Ridge
Naples, FL |
$209,110 | $9,666 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$204,976 | $10,747 |
|
Los Robles Hospital & Medical Center
Thousand Oaks, CA |
$202,655 | $13,108 |
|
Summerlin Hospital Medical Center
Las Vegas, NV |
$201,912 | $11,423 |
|
Delray Medical Center
Delray Beach, FL |
$195,665 | $8,393 |
|
Capital Health Regional Medical Center
Trenton, NJ |
$190,958 | $11,166 |
|
Flowers Hospital
Dothan, AL |
$190,111 | $8,575 |
|
Merit Health River Region
Vicksburg, MS |
$188,309 | $9,203 |
|
Western Arizona Regional Medical Center
Bullhead City, AZ |
$186,236 | $10,403 |
Questions people ask
What do U.S. hospitals charge for Level 3 Pacemaker and Similar Procedures?
Across 1,294 U.S. hospitals, the middle charge for Level 3 Pacemaker and Similar Procedures is $51,507. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $38,996 and the dearest quarter over $70,169.
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 3 Pacemaker and Similar Procedures, the hospitals in the dearest tenth charge about 3.5x 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. $10,201 is roughly what Medicare actually paid per case, against an average charge of $60,973. 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 5223: “Level 3 Pacemaker and Similar Procedures”. An APC covers one outpatient visit for that level of service — you go home the same day.