33340

Repair of left upper heart chamber with implant with review by radiologist

Medicare pricing data for 2,633 providers across 52 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

Repair of left upper heart chamber with implant with review by radiologist (HCPCS code 33340) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $698.13, but hospitals typically charge $2,728 — a 3.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$139.63

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $698.13, your out-of-pocket cost would be approximately $139.63. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$698.13
Average Hospital Charge
$2,728
Markup Ratio
3.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,728.48
Medicare Allowed$698.13
Medicare Payment$555.40

Hospitals charge 3.9x more than what Medicare allows for this procedure. Medicare actually pays $555.40 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$977$6,032245+40.0%
District of Columbia$831$3,4765101+19.0%
New York$789$4,7491432,314+13.0%
Florida$780$2,2322314,817+11.7%
Rhode Island$771$2,3766110+10.5%
New Mexico$770$1,96010260+10.4%
Georgia$746$2,630561,403+6.9%
Wyoming$745$8,516342+6.8%
Louisiana$743$2,24642609+6.5%
Colorado$741$2,068431,137+6.2%
Puerto Rico$740$770814+6.0%
Arizona$739$2,101801,754+5.9%
Montana$738$2,17913293+5.7%
Hawaii$737$1,896417+5.5%
Ohio$734$3,5621061,832+5.1%
Massachusetts$732$2,798521,019+4.8%
Oregon$729$2,26420451+4.5%
Utah$724$2,10118436+3.8%
Virginia$722$2,134571,300+3.4%
Delaware$720$1,67511232+3.2%
Vermont$713$3,803235+2.1%
North Carolina$710$2,927681,173+1.7%
Mississippi$705$2,76826593+1.0%
Missouri$701$2,299541,027+0.4%
Texas$700$2,5672384,510+0.3%
Oklahoma$698$2,20631990-0.1%
California$697$2,3562274,455-0.2%
Michigan$695$1,8771071,467-0.5%
North Dakota$694$2,19610244-0.6%
New Jersey$693$2,725731,268-0.8%
Kentucky$691$2,01843715-1.1%
Minnesota$690$3,54946960-1.2%
Nevada$688$2,37119215-1.4%
South Carolina$687$6,410431,623-1.6%
Kansas$687$1,945301,048-1.6%
Maryland$685$2,81037562-1.9%
Arkansas$677$1,51531708-3.0%
Maine$670$3,142891-4.1%
Alabama$661$1,82548945-5.4%
Washington$658$2,092421,510-5.7%
Illinois$656$2,9501171,941-6.0%
Wisconsin$649$6,53157972-7.1%
Pennsylvania$645$2,3511321,785-7.5%
West Virginia$642$2,41816286-8.1%
Iowa$638$2,44717471-8.7%
New Hampshire$631$8,8728258-9.6%
Connecticut$630$3,43532376-9.7%
Tennessee$626$2,413511,672-10.3%
Idaho$600$1,91115417-14.0%
South Dakota$595$1,6359284-14.8%
Nebraska$578$1,938181,022-17.2%
Indiana$578$2,044682,258-17.2%

⚠️ 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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