33274

Insertion of permanent leadless pacemaker using imaging guidance

Medicare pricing data for 2,424 providers across 47 states

🤖AI Overview

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

$86.98

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.

Average Allowed Cost
$434.88
Average Hospital Charge
$1,610
Markup Ratio
3.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,610.39
Medicare Allowed$434.88
Medicare Payment$345.63

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

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$514$1,284427+18.1%
New York$503$2,809134909+15.7%
Maryland$480$1,30637191+10.4%
New Jersey$478$1,80258297+9.9%
Illinois$466$1,868105668+7.2%
Rhode Island$459$1,362428+5.6%
Delaware$459$1,493958+5.5%
West Virginia$455$1,65716104+4.7%
Louisiana$455$1,25638150+4.6%
Pennsylvania$455$1,761101344+4.6%
Massachusetts$452$1,86562402+3.9%
New Hampshire$450$4,0871299+3.5%
Washington$450$1,44145304+3.4%
Connecticut$446$2,21831113+2.5%
California$445$1,6062821,849+2.3%
Utah$444$1,270738+2.2%
Nevada$444$1,3581679+2.0%
Michigan$443$1,10480507+1.9%
Ohio$437$1,61382331+0.6%
Vermont$436$1,804324+0.2%
Virginia$435$1,33357333-0.1%
Florida$434$1,3451931,381-0.3%
Colorado$428$1,17939331-1.6%
Texas$423$1,562160771-2.7%
Georgia$422$1,66768333-2.9%
Mississippi$420$1,43728176-3.4%
North Carolina$418$1,72673393-3.8%
North Dakota$418$1,510726-3.9%
Montana$418$1,473759-4.0%
Maine$417$1,3621047-4.1%
Arizona$417$1,22958305-4.2%
Kentucky$416$1,24346286-4.3%
Arkansas$416$95535291-4.4%
New Mexico$411$973740-5.5%
Minnesota$409$2,32740150-5.9%
Oregon$407$1,49221111-6.5%
Missouri$406$1,40154418-6.6%
Tennessee$402$1,22577538-7.6%
Iowa$401$1,55427194-7.8%
Indiana$400$1,31859293-7.9%
Oklahoma$398$1,29635326-8.5%
Nebraska$397$1,21218163-8.7%
Wisconsin$395$3,60850250-9.2%
South Carolina$392$1,44128176-9.9%
Kansas$391$1,08336211-10.1%
Idaho$389$1,50315113-10.5%
Alabama$381$88939175-12.5%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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