33518

Coronary artery bypass using vein or artery graft, 2 grafts

Medicare pricing data for 4,498 providers across 51 states

🤖AI Overview

Prices vary significantly by location — from $158 in Alaska to $445 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, 2 grafts (HCPCS code 33518) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $266.17, but hospitals typically charge $1,216 — a 4.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$53.23

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $266.17, your out-of-pocket cost would be approximately $53.23. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$266.17
Average Hospital Charge
$1,216
Markup Ratio
4.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,216.26
Medicare Allowed$266.17
Medicare Payment$212.57

Hospitals charge 4.6x more than what Medicare allows for this procedure. Medicare actually pays $212.57 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$445$1,1088104+67.1%
Hawaii$353$1,073957+32.5%
Wyoming$351$937321+31.9%
Oklahoma$318$1,09039417+19.5%
Maryland$317$1,01651425+19.1%
Missouri$300$1,18799723+12.8%
New York$296$1,7172391,549+11.2%
Arkansas$291$75931344+9.2%
New Jersey$290$1,81086860+8.8%
Massachusetts$289$1,17898820+8.5%
Illinois$285$1,9251631,415+7.1%
Ohio$285$1,1121911,307+7.0%
Pennsylvania$284$1,0872511,395+6.5%
Florida$282$1,1493603,016+5.8%
Louisiana$276$1,15468529+3.9%
Nevada$275$91739263+3.1%
Mississippi$273$1,14435354+2.6%
Kentucky$273$77777619+2.5%
Tennessee$273$921100863+2.5%
Virginia$272$1,034105965+2.3%
Kansas$272$89455427+2.2%
New Hampshire$272$2,26333273+2.1%
Georgia$272$1,306118869+2.0%
Texas$266$1,1393142,544-0.0%
South Carolina$265$1,14084779-0.4%
New Mexico$262$1,0221569-1.5%
Minnesota$262$1,65588384-1.5%
Michigan$254$1,026170889-4.6%
Utah$251$84043225-5.9%
California$249$9874132,791-6.4%
Connecticut$248$1,28154282-6.9%
Arizona$247$88565689-7.1%
Idaho$246$98923148-7.6%
North Carolina$245$1,1891491,175-7.8%
Colorado$239$86958247-10.2%
Indiana$239$1,352125821-10.3%
Alabama$238$82885725-10.7%
Montana$237$1,27627189-10.9%
South Dakota$235$61715175-11.8%
North Dakota$231$1,40421130-13.1%
Iowa$226$1,30450451-15.1%
Wisconsin$221$3,467110678-16.9%
Washington$221$822110651-17.0%
Oregon$220$86382522-17.3%
West Virginia$216$76430175-18.8%
Delaware$212$89523184-20.3%
Rhode Island$207$1,1841062-22.3%
Nebraska$202$86936373-24.0%
Maine$185$62323127-30.6%
Vermont$177$1,762656-33.4%
Alaska$158$1,345733-40.6%

⚠️ 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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