APC 5224
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Level 4 Pacemaker and Similar Procedures
Low
$10.0k
Average
$25.9k
Median
$20.8k
High
$59.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
32 payers; the 90th percentile is 2.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Cigna facility · other · outpatient · +5 other terms | 18 | $24.4k | $30.3k | $13.7k | 45% | 17–170 | $64 – $54.9k |
| 2 | Medical Mutual other · outpatient · +2 other terms | 5 | $19.0k | $22.3k | $5.0k | 23% | 5–50 | $17.8k – $29.4k |
| 3 | Excellus case rate · outpatient · +1 other terms | 5 | $54.7k | $55.0k | $14.1k | 26% | 2–20 | $33.9k – $80.0k |
| 4 | UnitedHealthcare fee schedule · outpatient · +6 other terms | 176 | $19.7k | $19.6k | $1.3k | 6% | — | $8.8k – $24.9k |
| 5 | Humana fee schedule · outpatient · +6 other terms | 162 | $19.3k | $20.3k | $5.8k | 29% | — | $16.9k – $80.5k |
| 6 | Aetna fee schedule · outpatient · +5 other terms | 156 | $19.7k | $20.0k | $2.5k | 12% | — | $17.1k – $33.4k |
| 7 | WellCare fee schedule · outpatient · +3 other terms | 132 | $19.9k | $20.0k | $940 | 5% | — | $17.2k – $24.4k |
| 8 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 127 | $19.3k | $20.6k | $7.1k | 35% | — | $16.9k – $107.8k |
| 9 | Devoted fee schedule · outpatient · +3 other terms | 122 | $19.3k | $19.4k | $547 | 3% | — | $16.9k – $20.3k |
| 10 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $20.3k | $19.9k | $838 | 4% | — | $19.3k – $21.5k |
| 11 | Molina fee schedule · outpatient · +5 other terms | 69 | $28.5k | $27.7k | $10.7k | 39% | — | $18.3k – $50.8k |
| 12 | Superior Healthplan fee schedule · outpatient | 40 | $20.3k | $20.3k | $12 | 0% | — | $20.3k – $20.4k |
| 13 | Anthem fee schedule · outpatient · +4 other terms | 31 | $20.3k | $19.9k | $1.2k | 6% | — | $18.3k – $24.8k |
| 14 | Oscar fee schedule · outpatient · +4 other terms | 27 | $19.0k | $21.4k | $4.4k | 20% | — | $19.0k – $33.4k |
| 15 | Medicare facility · fee schedule · outpatient · +2 other terms | 21 | $20.1k | $20.8k | $2.0k | 10% | — | $17.1k – $24.7k |
| 16 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $26.1k | $25.2k | $2.0k | 8% | — | $21.0k – $26.1k |
| 17 | Clover fee schedule · outpatient · +4 other terms | 15 | $20.3k | $19.5k | $967 | 5% | — | $17.8k – $20.3k |
| 18 | Kaiser fee schedule · outpatient · +4 other terms | 15 | $20.7k | $20.5k | $423 | 2% | — | $19.5k – $20.7k |
| 19 | Optum facility · per diem · outpatient · +4 other terms | 15 | $20.4k | $20.1k | $1.2k | 6% | — | $17.4k – $21.8k |
| 20 | Ambetter case rate · outpatient · +5 other terms | 12 | $31.6k | $36.5k | $6.1k | 17% | — | $31.3k – $43.8k |
| 21 | Tricare case rate · outpatient · +1 other terms | 7 | $16.7k | $16.7k | — | — | — | $16.7k – $16.7k |
| 22 | Highmark case rate · outpatient · +2 other terms | 5 | $24.0k | $34.2k | $12.8k | 38% | — | $24.0k – $56.5k |
| 23 | Medica facility · fee schedule · outpatient · +1 other terms | 5 | $20.6k | $20.7k | $128 | 1% | — | $20.4k – $20.8k |
| 24 | Bcbs Nj facility · other · outpatient | 3 | $20.1k | $20.2k | $49 | 0% | — | $20.1k – $20.2k |
| 25 | Caresource facility · fee schedule · outpatient · +1 other terms | 3 | $21.5k | $22.0k | $3.8k | 17% | — | $18.9k – $33.1k |
← Hospitals reporting APC 5224 · Snapshot 20261111T120946Z-9134e7f7