33517

Coronary artery bypass using vein or artery graft, 1 graft

Medicare pricing data for 4,122 providers across 51 states

🤖AI Overview

This procedure has a 5.1x markup — hospitals charge $619.81 but Medicare allows only $121.15. Uninsured patients may face bills 5.1 times higher than what insurance negotiates. Prices vary significantly by location — from $66 in Alaska to $202 in District of Columbia. 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

Coronary artery bypass using vein or artery graft, 1 graft (HCPCS code 33517) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $121.15, but hospitals typically charge $619.81 — a 5.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$24.23

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $121.15, your out-of-pocket cost would be approximately $24.23. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$121.15
Average Hospital Charge
$619.81
Markup Ratio
5.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$619.81
Medicare Allowed$121.15
Medicare Payment$96.75

Hospitals charge 5.1x more than what Medicare allows for this procedure. Medicare actually pays $96.75 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$202$537756+66.7%
Wyoming$161$410316+33.1%
Hawaii$149$484637+22.9%
Maryland$142$57748238+16.9%
Missouri$141$63191496+16.3%
Oklahoma$140$48838223+15.9%
New York$140$936210874+15.7%
Arkansas$137$38432133+13.4%
Massachusetts$134$50694520+10.5%
New Jersey$133$83982417+9.8%
Kentucky$131$37269278+8.1%
Florida$130$5483381,661+7.6%
Georgia$129$67797364+6.3%
Ohio$128$551174769+5.8%
New Mexico$128$4391345+5.6%
Virginia$128$477102523+5.3%
Texas$124$5692891,206+2.0%
Michigan$123$463156567+1.8%
Colorado$123$47948130+1.3%
Pennsylvania$122$5122411,065+1.0%
Kansas$122$43042176+0.9%
Mississippi$122$56630196+0.9%
Illinois$122$1,250146619+0.7%
Minnesota$121$81189318-0.4%
Louisiana$120$52861331-0.8%
Tennessee$120$42793477-1.4%
New Hampshire$119$1,45728120-1.7%
Nevada$117$41638100-3.2%
South Carolina$115$63977376-5.4%
North Carolina$114$614141693-6.3%
Indiana$113$701118458-6.5%
California$113$4883571,465-6.5%
Utah$112$3783298-7.4%
Arizona$112$48372368-7.6%
Montana$111$64324110-8.1%
Connecticut$111$59447181-8.3%
North Dakota$106$7242082-12.1%
South Dakota$106$26512111-12.7%
Idaho$105$41924119-13.1%
Alabama$103$36577359-15.0%
Washington$101$404108440-16.4%
Iowa$100$86643237-17.7%
Delaware$100$53622121-17.8%
Wisconsin$99$1,815105471-18.2%
Rhode Island$99$5541140-18.3%
West Virginia$95$34728103-21.7%
Oregon$94$42465239-22.1%
Nebraska$92$38133217-24.4%
Vermont$89$802740-26.7%
Maine$87$3032296-28.4%
Alaska$66$868618-45.8%

⚠️ 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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