Insertion of implantable defibrillator system
Medicare pricing data for 3,948 providers across 52 states
Prices vary significantly by location — from $805 in Iowa to $6,478 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
Insertion of implantable defibrillator system (HCPCS code 33249) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,707, but hospitals typically charge $5,592 — a 3.3x 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 $1,707, your out-of-pocket cost would be approximately $341.46. 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 3.3x more than what Medicare allows for this procedure. Medicare actually pays $1,359 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $6,478 | $27,299 | 5 | 79 | +279.4% |
| Arizona | $6,179 | $17,655 | 103 | 854 | +261.9% |
| Louisiana | $4,021 | $12,293 | 87 | 471 | +135.5% |
| California | $3,285 | $7,928 | 371 | 2,241 | +92.4% |
| Nevada | $3,264 | $11,184 | 26 | 179 | +91.2% |
| Kansas | $3,014 | $11,571 | 48 | 486 | +76.5% |
| Texas | $2,774 | $9,832 | 337 | 2,409 | +62.5% |
| Missouri | $2,176 | $6,356 | 94 | 718 | +27.4% |
| Florida | $2,104 | $5,662 | 330 | 2,499 | +23.2% |
| Illinois | $1,779 | $6,669 | 166 | 1,332 | +4.2% |
| Colorado | $1,510 | $4,296 | 58 | 274 | -11.5% |
| Virginia | $1,427 | $3,656 | 105 | 1,068 | -16.4% |
| Nebraska | $1,414 | $4,745 | 27 | 269 | -17.2% |
| Oregon | $1,273 | $3,637 | 40 | 257 | -25.4% |
| Oklahoma | $1,254 | $3,898 | 56 | 392 | -26.6% |
| Maryland | $1,119 | $3,268 | 62 | 602 | -34.5% |
| Pennsylvania | $1,073 | $3,567 | 206 | 1,500 | -37.1% |
| Minnesota | $1,041 | $4,981 | 68 | 629 | -39.0% |
| New York | $1,023 | $4,958 | 195 | 1,597 | -40.1% |
| District of Columbia | $1,010 | $3,003 | 13 | 77 | -40.9% |
| Mississippi | $1,003 | $3,784 | 48 | 339 | -41.3% |
| New Jersey | $972 | $3,646 | 93 | 811 | -43.1% |
| Connecticut | $941 | $4,161 | 45 | 229 | -44.9% |
| Massachusetts | $940 | $3,324 | 101 | 739 | -44.9% |
| Michigan | $918 | $2,454 | 114 | 896 | -46.2% |
| Hawaii | $918 | $2,297 | 5 | 24 | -46.2% |
| Delaware | $907 | $2,160 | 11 | 179 | -46.9% |
| New Hampshire | $904 | $6,600 | 15 | 123 | -47.1% |
| Rhode Island | $903 | $2,506 | 10 | 97 | -47.1% |
| Ohio | $903 | $3,208 | 148 | 982 | -47.1% |
| Arkansas | $902 | $2,290 | 47 | 434 | -47.2% |
| Washington | $896 | $2,485 | 61 | 499 | -47.5% |
| New Mexico | $895 | $2,215 | 15 | 85 | -47.6% |
| Puerto Rico | $890 | $913 | 11 | 22 | -47.9% |
| Montana | $890 | $3,043 | 14 | 152 | -47.9% |
| Wyoming | $880 | $9,087 | 5 | 29 | -48.5% |
| West Virginia | $879 | $2,538 | 26 | 224 | -48.5% |
| Georgia | $877 | $3,350 | 93 | 836 | -48.6% |
| North Carolina | $877 | $3,550 | 111 | 845 | -48.6% |
| Vermont | $855 | $3,966 | 7 | 60 | -49.9% |
| North Dakota | $849 | $3,625 | 11 | 77 | -50.3% |
| Utah | $848 | $2,622 | 19 | 138 | -50.3% |
| South Carolina | $848 | $3,586 | 58 | 695 | -50.3% |
| Kentucky | $843 | $2,531 | 59 | 391 | -50.6% |
| South Dakota | $839 | $2,651 | 6 | 97 | -50.8% |
| Maine | $838 | $2,489 | 14 | 64 | -50.9% |
| Alabama | $837 | $3,012 | 69 | 463 | -51.0% |
| Indiana | $823 | $3,183 | 95 | 849 | -51.8% |
| Wisconsin | $819 | $9,374 | 72 | 530 | -52.0% |
| Tennessee | $811 | $2,644 | 103 | 878 | -52.5% |
| Idaho | $806 | $2,610 | 18 | 178 | -52.8% |
| Iowa | $805 | $3,654 | 39 | 281 | -52.8% |
⚠️ 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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