33286

Removal of heart rhythm monitor from under the skin

Medicare pricing data for 5,438 providers across 49 states

🤖AI Overview

This procedure has a 7.2x markup — hospitals charge $630.01 but Medicare allows only $86.90. Uninsured patients may face bills 7.2 times higher than what insurance negotiates. Prices vary significantly by location — from $52 in Idaho to $200 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

Removal of heart rhythm monitor from under the skin (HCPCS code 33286) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $86.90, but hospitals typically charge $630.01 — a 7.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$17.38

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $86.90, your out-of-pocket cost would be approximately $17.38. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$86.90
Average Hospital Charge
$630.01
Markup Ratio
7.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$630.01
Medicare Allowed$86.90
Medicare Payment$66.86

Hospitals charge 7.2x more than what Medicare allows for this procedure. Medicare actually pays $66.86 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$200$3,0131049+130.3%
Arizona$134$1,1291911,158+54.3%
California$107$7945282,107+22.7%
Florida$98$4465853,364+13.3%
Louisiana$96$797102275+10.6%
Texas$96$1,0164801,765+10.3%
Maryland$95$34387442+9.4%
Missouri$92$463125463+6.0%
Oregon$92$39458162+5.6%
Nevada$90$4153381+3.6%
New Jersey$88$1,0471571,256+1.7%
Pennsylvania$87$3842361,187-0.3%
New Mexico$85$4132081-1.8%
New York$84$8882932,653-3.1%
Oklahoma$83$31780377-5.1%
Illinois$82$562183727-5.4%
Delaware$82$28324146-5.5%
Mississippi$80$73860251-7.5%
Michigan$79$320199696-8.6%
District of Columbia$75$2511459-13.2%
Massachusetts$75$405140632-13.7%
Kansas$75$66780457-14.1%
Utah$74$3332571-15.2%
Virginia$74$297118479-15.3%
Colorado$73$35381280-15.5%
Montana$73$4101965-15.7%
Washington$73$28984286-16.3%
Minnesota$72$55766182-17.6%
Nebraska$71$47336149-17.8%
South Dakota$71$463865-18.8%
Rhode Island$70$2851445-19.6%
Maine$69$5782548-20.8%
Connecticut$68$40748144-22.0%
New Hampshire$68$66025125-22.1%
Vermont$66$5961155-23.6%
Georgia$66$609115384-23.8%
Alabama$65$21092206-25.2%
South Carolina$65$672108535-25.7%
Arkansas$64$26841171-26.8%
Kentucky$63$27972201-27.5%
North Carolina$61$443136595-29.4%
Ohio$61$274152619-29.5%
Iowa$61$35145121-29.6%
Indiana$61$36493280-30.3%
Tennessee$60$301112404-30.7%
North Dakota$60$9221684-30.7%
Wisconsin$59$88089311-32.7%
West Virginia$58$37228136-33.5%
Idaho$52$26529141-39.9%

⚠️ 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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