33285

Insertion of heart rhythm monitor under skin

Medicare pricing data for 7,833 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $75 in West Virginia to $4,415 in Wyoming. 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 heart rhythm monitor under skin (HCPCS code 33285) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,630, but hospitals typically charge $7,514 — a 4.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$326.01

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,630, your out-of-pocket cost would be approximately $326.01. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$1,630
Average Hospital Charge
$7,514
Markup Ratio
4.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$7,513.95
Medicare Allowed$1,630.06
Medicare Payment$1,296.99

Hospitals charge 4.6x more than what Medicare allows for this procedure. Medicare actually pays $1,297 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Wyoming$4,415$8,296423+170.8%
California$3,156$10,0697715,976+93.6%
Arizona$2,970$9,3663033,289+82.2%
Alaska$2,788$15,7461183+71.0%
New Jersey$2,564$9,0942232,943+57.3%
Florida$2,523$6,4148449,173+54.8%
Maryland$2,353$6,6251091,221+44.3%
District of Columbia$2,147$4,36018157+31.7%
Mississippi$1,967$10,8261031,118+20.7%
Delaware$1,820$5,81628421+11.6%
Texas$1,754$7,6687724,971+7.6%
Virginia$1,711$5,0431761,743+4.9%
Nevada$1,571$5,39963279-3.6%
New York$1,482$21,0083796,425-9.1%
Michigan$1,285$3,2403011,854-21.2%
Pennsylvania$1,128$3,9242873,190-30.8%
Illinois$1,127$9,2642402,047-30.8%
Utah$1,114$5,12137193-31.7%
Louisiana$1,084$7,292193947-33.5%
Rhode Island$1,052$2,5791980-35.5%
South Carolina$1,015$5,6491601,697-37.7%
Massachusetts$929$4,0431771,487-43.0%
Oregon$927$5,11583359-43.2%
Oklahoma$905$2,2821211,082-44.5%
New Mexico$831$7,16024147-49.0%
Georgia$724$5,2531891,084-55.6%
Colorado$715$2,758117725-56.2%
Minnesota$663$5,15175413-59.3%
Alabama$644$1,985138605-60.5%
Kansas$637$2,6841061,522-60.9%
North Carolina$620$5,8311851,584-62.0%
Missouri$595$2,8371871,113-63.5%
Washington$551$2,897121635-66.2%
Nebraska$527$6,80446337-67.7%
Tennessee$503$1,7991671,235-69.1%
Montana$498$1,62324116-69.5%
South Dakota$366$1,05011163-77.5%
Idaho$361$2,39642357-77.8%
Connecticut$352$3,59576515-78.4%
Kentucky$279$1,294106621-82.9%
Wisconsin$236$5,722117707-85.5%
Iowa$195$3,88161312-88.0%
Ohio$194$8682481,596-88.1%
Indiana$169$5,434133712-89.7%
Arkansas$138$2,52362489-91.5%
Hawaii$85$218335-94.8%
Puerto Rico$84$299920-94.8%
Vermont$81$2,9921168-95.0%
New Hampshire$80$73934202-95.1%
Maine$79$72429153-95.2%
North Dakota$78$1,07325224-95.2%
West Virginia$75$98442346-95.4%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber