33519

Coronary artery bypass using vein or artery graft, 3 grafts

Medicare pricing data for 3,645 providers across 51 states

🤖AI Overview

Prices vary significantly by location — from $245 in Vermont to $588 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, 3 grafts (HCPCS code 33519) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $347.44, but hospitals typically charge $1,572 — a 4.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$69.49

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $347.44, your out-of-pocket cost would be approximately $69.49. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$347.44
Average Hospital Charge
$1,572
Markup Ratio
4.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,571.85
Medicare Allowed$347.44
Medicare Payment$277.55

Hospitals charge 4.5x more than what Medicare allows for this procedure. Medicare actually pays $277.55 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$588$1,495749+69.2%
Wyoming$448$1,249211+29.0%
New Mexico$443$1,1941244+27.4%
Oklahoma$408$1,48533272+17.4%
New Jersey$398$2,43077402+14.7%
Missouri$395$1,61691300+13.7%
New York$391$1,932168599+12.5%
Maryland$389$1,31946183+11.8%
Illinois$379$2,553142772+9.1%
New Hampshire$377$3,08831161+8.4%
Nevada$376$1,35032118+8.3%
Massachusetts$374$1,54780344+7.7%
Tennessee$369$1,25584436+6.3%
Louisiana$369$1,42060339+6.1%
Florida$368$1,5013081,528+6.0%
Pennsylvania$367$1,577183498+5.8%
Georgia$363$1,623103439+4.3%
Arkansas$362$99033251+4.3%
Utah$361$1,13530122+3.9%
Ohio$360$1,564147606+3.7%
Kansas$360$1,13448253+3.7%
Mississippi$353$1,45533135+1.6%
Texas$347$1,4172551,383-0.1%
Virginia$347$1,32186453-0.2%
Kentucky$340$99267322-2.1%
Michigan$340$1,389126352-2.2%
Minnesota$337$2,04067220-3.1%
Arizona$334$1,16163357-3.9%
South Dakota$330$1,2821381-5.1%
South Carolina$328$1,43876496-5.6%
Connecticut$327$1,52838102-6.0%
California$322$1,2333161,464-7.4%
Colorado$321$1,1074487-7.5%
North Carolina$321$1,575123507-7.7%
Hawaii$318$858720-8.5%
Oregon$312$1,14758212-10.2%
Indiana$311$1,743103434-10.5%
Idaho$307$1,0141866-11.6%
Iowa$300$1,59340167-13.7%
Rhode Island$294$1,501928-15.4%
West Virginia$293$96925139-15.6%
Alabama$292$98474376-16.0%
Montana$291$1,3222195-16.1%
Delaware$291$1,2321897-16.2%
North Dakota$290$1,6101269-16.5%
Wisconsin$285$4,79992350-18.0%
Washington$280$1,00580300-19.5%
Nebraska$278$1,07132214-19.9%
Maine$258$8752060-25.8%
Alaska$248$1,458512-28.7%
Vermont$245$2,230636-29.6%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber

🏥 See Medicare hospital data on OpenMedicare