Shockwave destruction of calcified plaque in coronary artery accessed through skin using catheter
Medicare pricing data for 1,698 providers across 29 states
This procedure has a 6.3x markup — hospitals charge $1,008 but Medicare allows only $160.19. Uninsured patients may face bills 6.3 times higher than what insurance negotiates. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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
Shockwave destruction of calcified plaque in coronary artery accessed through skin using catheter (HCPCS code 0715T) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $160.19, but hospitals typically charge $1,008 — a 6.3x 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 $160.19, your out-of-pocket cost would be approximately $32.04. 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 6.3x more than what Medicare allows for this procedure. Medicare actually pays $127.83 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $207 | $782 | 13 | 33 | +29.0% |
| South Carolina | $193 | $830 | 10 | 11 | +20.7% |
| Virginia | $180 | $1,190 | 32 | 114 | +12.4% |
| District of Columbia | $173 | $747 | 8 | 35 | +8.1% |
| Michigan | $170 | $1,487 | 116 | 331 | +6.4% |
| West Virginia | $170 | $1,213 | 7 | 14 | +6.0% |
| Maryland | $168 | $809 | 21 | 60 | +5.1% |
| Missouri | $168 | $703 | 93 | 495 | +4.9% |
| Florida | $168 | $833 | 327 | 1,583 | +4.6% |
| New Jersey | $166 | $1,248 | 57 | 174 | +3.6% |
| Iowa | $164 | $787 | 28 | 187 | +2.6% |
| Kansas | $163 | $696 | 36 | 167 | +1.8% |
| Wisconsin | $162 | $555 | 5 | 22 | +0.8% |
| Indiana | $160 | $1,455 | 70 | 268 | +0.1% |
| Ohio | $159 | $909 | 13 | 48 | -0.6% |
| Colorado | $159 | $1,276 | 60 | 212 | -0.9% |
| Illinois | $157 | $1,034 | 9 | 60 | -1.7% |
| Nebraska | $157 | $793 | 23 | 123 | -1.8% |
| Delaware | $157 | $813 | 5 | 16 | -2.2% |
| New Mexico | $156 | $776 | 13 | 71 | -2.5% |
| Louisiana | $155 | $959 | 70 | 303 | -3.1% |
| Pennsylvania | $155 | $1,640 | 147 | 693 | -3.1% |
| North Carolina | $154 | $748 | 31 | 55 | -4.1% |
| Texas | $152 | $1,067 | 324 | 1,197 | -5.2% |
| Tennessee | $147 | $1,247 | 16 | 37 | -8.3% |
| Mississippi | $145 | $625 | 30 | 88 | -9.5% |
| Oklahoma | $143 | $438 | 54 | 236 | -10.5% |
| California | $143 | $1,256 | 9 | 22 | -10.8% |
| Arkansas | $142 | $508 | 40 | 213 | -11.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber