Anesthesia for insertion or replace of pacing heart defibrillator
Medicare pricing data for 17,070 providers across 52 states
This procedure has a 10.7x markup — hospitals charge $2,299 but Medicare allows only $213.91. Uninsured patients may face bills 10.7 times higher than what insurance negotiates. Prices vary significantly by location — from $154 in Alabama to $366 in Alaska. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Anesthesia for insertion or replace of pacing heart defibrillator (HCPCS code 00534) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $213.91, but hospitals typically charge $2,299 — a 10.7x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $213.91, your out-of-pocket cost would be approximately $42.78. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 10.7x more than what Medicare allows for this procedure. Medicare actually pays $168.67 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $366 | $2,214 | 17 | 33 | +71.0% |
| Wyoming | $349 | $2,384 | 9 | 12 | +63.2% |
| Utah | $328 | $2,109 | 96 | 163 | +53.1% |
| Montana | $303 | $1,597 | 56 | 119 | +41.5% |
| California | $295 | $2,283 | 1,081 | 2,251 | +38.1% |
| Idaho | $287 | $2,290 | 40 | 52 | +34.0% |
| Puerto Rico | $286 | $1,482 | 29 | 64 | +33.6% |
| Oregon | $282 | $1,892 | 130 | 197 | +31.8% |
| New Mexico | $277 | $2,501 | 35 | 59 | +29.3% |
| Nevada | $273 | $3,429 | 86 | 181 | +27.7% |
| Arkansas | $256 | $1,472 | 88 | 222 | +19.8% |
| New York | $253 | $3,664 | 979 | 2,859 | +18.1% |
| Illinois | $249 | $2,986 | 559 | 906 | +16.5% |
| Indiana | $245 | $2,465 | 257 | 533 | +14.5% |
| Oklahoma | $242 | $2,230 | 82 | 270 | +13.2% |
| Colorado | $242 | $2,382 | 185 | 280 | +13.1% |
| Arizona | $240 | $2,404 | 270 | 634 | +12.3% |
| Maryland | $239 | $2,099 | 289 | 889 | +11.9% |
| Minnesota | $239 | $2,035 | 300 | 606 | +11.7% |
| Nebraska | $238 | $1,415 | 120 | 219 | +11.1% |
| Vermont | $237 | $1,472 | 19 | 25 | +10.9% |
| Iowa | $234 | $1,711 | 129 | 276 | +9.4% |
| New Hampshire | $234 | $3,699 | 112 | 197 | +9.4% |
| Washington | $231 | $1,845 | 298 | 518 | +7.8% |
| Louisiana | $228 | $1,614 | 181 | 342 | +6.6% |
| Mississippi | $226 | $1,547 | 133 | 285 | +5.8% |
| Hawaii | $225 | $1,694 | 23 | 34 | +5.4% |
| Delaware | $223 | $2,082 | 99 | 310 | +4.2% |
| Florida | $223 | $2,513 | 1,472 | 3,103 | +4.2% |
| Kentucky | $222 | $2,153 | 224 | 384 | +3.7% |
| Massachusetts | $221 | $2,057 | 433 | 978 | +3.2% |
| New Jersey | $218 | $1,904 | 410 | 1,337 | +1.7% |
| Texas | $216 | $2,898 | 1,245 | 2,992 | +0.9% |
| Connecticut | $214 | $3,036 | 242 | 487 | -0.1% |
| Wisconsin | $212 | $2,943 | 400 | 689 | -1.0% |
| District of Columbia | $209 | $1,435 | 112 | 374 | -2.5% |
| Ohio | $208 | $1,836 | 702 | 1,374 | -2.9% |
| Missouri | $206 | $1,841 | 423 | 971 | -3.6% |
| Rhode Island | $203 | $1,728 | 44 | 95 | -5.2% |
| Virginia | $197 | $2,385 | 562 | 1,432 | -8.0% |
| Tennessee | $192 | $2,260 | 479 | 1,321 | -10.4% |
| North Carolina | $181 | $2,014 | 582 | 1,335 | -15.6% |
| North Dakota | $180 | $1,626 | 81 | 127 | -16.0% |
| Pennsylvania | $173 | $1,711 | 1,397 | 3,293 | -18.9% |
| West Virginia | $173 | $1,615 | 84 | 202 | -19.3% |
| Michigan | $172 | $2,681 | 783 | 1,460 | -19.8% |
| Kansas | $168 | $1,090 | 156 | 335 | -21.7% |
| Maine | $167 | $2,099 | 91 | 183 | -22.0% |
| Georgia | $160 | $1,733 | 608 | 1,386 | -25.1% |
| South Carolina | $155 | $2,084 | 485 | 1,656 | -27.5% |
| South Dakota | $154 | $1,306 | 45 | 99 | -27.8% |
| Alabama | $154 | $1,563 | 291 | 828 | -28.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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