33533

Coronary artery bypass using artery graft, 1 graft

Medicare pricing data for 4,929 providers across 51 states

🤖AI Overview

Prices vary significantly by location — from $761 in Vermont to $1,800 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 artery graft, 1 graft (HCPCS code 33533) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,115, but hospitals typically charge $5,563 — a 5.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$223.09

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,115, your out-of-pocket cost would be approximately $223.09. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$1,115
Average Hospital Charge
$5,563
Markup Ratio
5.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$5,562.67
Medicare Allowed$1,115.43
Medicare Payment$890.08

Hospitals charge 5.0x more than what Medicare allows for this procedure. Medicare actually pays $890.08 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$1,800$5,0528160+61.4%
Wyoming$1,409$4,184346+26.3%
Hawaii$1,382$4,26911135+23.9%
Oklahoma$1,326$5,09441964+18.9%
Maryland$1,322$4,35458903+18.5%
New Mexico$1,257$4,57817160+12.7%
New Jersey$1,245$8,071941,716+11.6%
Missouri$1,240$5,5211091,468+11.1%
New York$1,211$7,1472752,995+8.5%
Massachusetts$1,207$5,7011031,696+8.2%
Mississippi$1,197$5,55935768+7.3%
Illinois$1,192$8,7881752,943+6.9%
Georgia$1,189$6,0291291,819+6.6%
Florida$1,183$5,2063876,497+6.1%
Tennessee$1,183$4,3411051,993+6.1%
Arkansas$1,183$3,64736837+6.0%
Kansas$1,174$4,15659931+5.3%
Ohio$1,162$5,0972102,742+4.2%
Virginia$1,155$4,7861112,051+3.5%
Louisiana$1,150$5,140721,271+3.1%
Pennsylvania$1,148$5,2452903,223+2.9%
Texas$1,147$5,0863405,304+2.8%
Nevada$1,147$4,35541531+2.8%
Kentucky$1,143$3,546791,418+2.5%
South Carolina$1,097$5,856891,850-1.6%
New Hampshire$1,086$9,43035594-2.7%
Minnesota$1,066$7,489100890-4.4%
South Dakota$1,054$3,12815395-5.5%
California$1,046$4,5194705,908-6.2%
Michigan$1,040$4,7551881,635-6.8%
Utah$1,038$3,86647434-6.9%
North Carolina$1,038$5,5241622,441-6.9%
Arizona$1,022$4,155791,516-8.4%
Idaho$1,014$4,03526370-9.1%
Connecticut$1,009$5,57160564-9.5%
Indiana$1,009$5,7261351,790-9.5%
Colorado$997$4,27266463-10.6%
Alabama$978$4,367891,589-12.3%
Iowa$972$4,62651898-12.9%
North Dakota$970$7,02422301-13.0%
Oregon$954$3,944841,000-14.5%
Washington$929$3,7551171,323-16.7%
West Virginia$929$3,41833491-16.7%
Wisconsin$919$17,6261191,471-17.6%
Montana$912$5,50228338-18.2%
Delaware$897$4,46627429-19.6%
Nebraska$879$3,83939864-21.2%
Alaska$829$7,009957-25.7%
Rhode Island$820$5,32011143-26.5%
Maine$794$4,06525316-28.8%
Vermont$761$8,3057136-31.7%

⚠️ 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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