Insertion of permanent leadless pacemaker using imaging guidance
Medicare pricing data for 2,424 providers across 47 states
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 permanent leadless pacemaker using imaging guidance (HCPCS code 33274) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $434.88, but hospitals typically charge $1,610 — a 3.7x 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 $434.88, your out-of-pocket cost would be approximately $86.98. 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 3.7x more than what Medicare allows for this procedure. Medicare actually pays $345.63 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $514 | $1,284 | 4 | 27 | +18.1% |
| New York | $503 | $2,809 | 134 | 909 | +15.7% |
| Maryland | $480 | $1,306 | 37 | 191 | +10.4% |
| New Jersey | $478 | $1,802 | 58 | 297 | +9.9% |
| Illinois | $466 | $1,868 | 105 | 668 | +7.2% |
| Rhode Island | $459 | $1,362 | 4 | 28 | +5.6% |
| Delaware | $459 | $1,493 | 9 | 58 | +5.5% |
| West Virginia | $455 | $1,657 | 16 | 104 | +4.7% |
| Louisiana | $455 | $1,256 | 38 | 150 | +4.6% |
| Pennsylvania | $455 | $1,761 | 101 | 344 | +4.6% |
| Massachusetts | $452 | $1,865 | 62 | 402 | +3.9% |
| New Hampshire | $450 | $4,087 | 12 | 99 | +3.5% |
| Washington | $450 | $1,441 | 45 | 304 | +3.4% |
| Connecticut | $446 | $2,218 | 31 | 113 | +2.5% |
| California | $445 | $1,606 | 282 | 1,849 | +2.3% |
| Utah | $444 | $1,270 | 7 | 38 | +2.2% |
| Nevada | $444 | $1,358 | 16 | 79 | +2.0% |
| Michigan | $443 | $1,104 | 80 | 507 | +1.9% |
| Ohio | $437 | $1,613 | 82 | 331 | +0.6% |
| Vermont | $436 | $1,804 | 3 | 24 | +0.2% |
| Virginia | $435 | $1,333 | 57 | 333 | -0.1% |
| Florida | $434 | $1,345 | 193 | 1,381 | -0.3% |
| Colorado | $428 | $1,179 | 39 | 331 | -1.6% |
| Texas | $423 | $1,562 | 160 | 771 | -2.7% |
| Georgia | $422 | $1,667 | 68 | 333 | -2.9% |
| Mississippi | $420 | $1,437 | 28 | 176 | -3.4% |
| North Carolina | $418 | $1,726 | 73 | 393 | -3.8% |
| North Dakota | $418 | $1,510 | 7 | 26 | -3.9% |
| Montana | $418 | $1,473 | 7 | 59 | -4.0% |
| Maine | $417 | $1,362 | 10 | 47 | -4.1% |
| Arizona | $417 | $1,229 | 58 | 305 | -4.2% |
| Kentucky | $416 | $1,243 | 46 | 286 | -4.3% |
| Arkansas | $416 | $955 | 35 | 291 | -4.4% |
| New Mexico | $411 | $973 | 7 | 40 | -5.5% |
| Minnesota | $409 | $2,327 | 40 | 150 | -5.9% |
| Oregon | $407 | $1,492 | 21 | 111 | -6.5% |
| Missouri | $406 | $1,401 | 54 | 418 | -6.6% |
| Tennessee | $402 | $1,225 | 77 | 538 | -7.6% |
| Iowa | $401 | $1,554 | 27 | 194 | -7.8% |
| Indiana | $400 | $1,318 | 59 | 293 | -7.9% |
| Oklahoma | $398 | $1,296 | 35 | 326 | -8.5% |
| Nebraska | $397 | $1,212 | 18 | 163 | -8.7% |
| Wisconsin | $395 | $3,608 | 50 | 250 | -9.2% |
| South Carolina | $392 | $1,441 | 28 | 176 | -9.9% |
| Kansas | $391 | $1,083 | 36 | 211 | -10.1% |
| Idaho | $389 | $1,503 | 15 | 113 | -10.5% |
| Alabama | $381 | $889 | 39 | 175 | -12.5% |
⚠️ 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