Insertion of heart rhythm monitor under skin
Medicare pricing data for 7,833 providers across 52 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Wyoming | $4,415 | $8,296 | 4 | 23 | +170.8% |
| California | $3,156 | $10,069 | 771 | 5,976 | +93.6% |
| Arizona | $2,970 | $9,366 | 303 | 3,289 | +82.2% |
| Alaska | $2,788 | $15,746 | 11 | 83 | +71.0% |
| New Jersey | $2,564 | $9,094 | 223 | 2,943 | +57.3% |
| Florida | $2,523 | $6,414 | 844 | 9,173 | +54.8% |
| Maryland | $2,353 | $6,625 | 109 | 1,221 | +44.3% |
| District of Columbia | $2,147 | $4,360 | 18 | 157 | +31.7% |
| Mississippi | $1,967 | $10,826 | 103 | 1,118 | +20.7% |
| Delaware | $1,820 | $5,816 | 28 | 421 | +11.6% |
| Texas | $1,754 | $7,668 | 772 | 4,971 | +7.6% |
| Virginia | $1,711 | $5,043 | 176 | 1,743 | +4.9% |
| Nevada | $1,571 | $5,399 | 63 | 279 | -3.6% |
| New York | $1,482 | $21,008 | 379 | 6,425 | -9.1% |
| Michigan | $1,285 | $3,240 | 301 | 1,854 | -21.2% |
| Pennsylvania | $1,128 | $3,924 | 287 | 3,190 | -30.8% |
| Illinois | $1,127 | $9,264 | 240 | 2,047 | -30.8% |
| Utah | $1,114 | $5,121 | 37 | 193 | -31.7% |
| Louisiana | $1,084 | $7,292 | 193 | 947 | -33.5% |
| Rhode Island | $1,052 | $2,579 | 19 | 80 | -35.5% |
| South Carolina | $1,015 | $5,649 | 160 | 1,697 | -37.7% |
| Massachusetts | $929 | $4,043 | 177 | 1,487 | -43.0% |
| Oregon | $927 | $5,115 | 83 | 359 | -43.2% |
| Oklahoma | $905 | $2,282 | 121 | 1,082 | -44.5% |
| New Mexico | $831 | $7,160 | 24 | 147 | -49.0% |
| Georgia | $724 | $5,253 | 189 | 1,084 | -55.6% |
| Colorado | $715 | $2,758 | 117 | 725 | -56.2% |
| Minnesota | $663 | $5,151 | 75 | 413 | -59.3% |
| Alabama | $644 | $1,985 | 138 | 605 | -60.5% |
| Kansas | $637 | $2,684 | 106 | 1,522 | -60.9% |
| North Carolina | $620 | $5,831 | 185 | 1,584 | -62.0% |
| Missouri | $595 | $2,837 | 187 | 1,113 | -63.5% |
| Washington | $551 | $2,897 | 121 | 635 | -66.2% |
| Nebraska | $527 | $6,804 | 46 | 337 | -67.7% |
| Tennessee | $503 | $1,799 | 167 | 1,235 | -69.1% |
| Montana | $498 | $1,623 | 24 | 116 | -69.5% |
| South Dakota | $366 | $1,050 | 11 | 163 | -77.5% |
| Idaho | $361 | $2,396 | 42 | 357 | -77.8% |
| Connecticut | $352 | $3,595 | 76 | 515 | -78.4% |
| Kentucky | $279 | $1,294 | 106 | 621 | -82.9% |
| Wisconsin | $236 | $5,722 | 117 | 707 | -85.5% |
| Iowa | $195 | $3,881 | 61 | 312 | -88.0% |
| Ohio | $194 | $868 | 248 | 1,596 | -88.1% |
| Indiana | $169 | $5,434 | 133 | 712 | -89.7% |
| Arkansas | $138 | $2,523 | 62 | 489 | -91.5% |
| Hawaii | $85 | $218 | 3 | 35 | -94.8% |
| Puerto Rico | $84 | $299 | 9 | 20 | -94.8% |
| Vermont | $81 | $2,992 | 11 | 68 | -95.0% |
| New Hampshire | $80 | $739 | 34 | 202 | -95.1% |
| Maine | $79 | $724 | 29 | 153 | -95.2% |
| North Dakota | $78 | $1,073 | 25 | 224 | -95.2% |
| West Virginia | $75 | $984 | 42 | 346 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber