33534

Coronary artery bypass using artery graft, 2 grafts

Medicare pricing data for 2,170 providers across 46 states

🤖AI Overview

Prices vary significantly by location — from $708 in Oregon to $2,204 in District of Columbia. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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, 2 grafts (HCPCS code 33534) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,420, but hospitals typically charge $7,067 — a 5.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$284.00

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,420, your out-of-pocket cost would be approximately $284.00. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$1,420
Average Hospital Charge
$7,067
Markup Ratio
5.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$7,066.95
Medicare Allowed$1,420.02
Medicare Payment$1,133.65

Hospitals charge 5.0x more than what Medicare allows for this procedure. Medicare actually pays $1,134 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$2,204$6,176676+55.2%
Oklahoma$1,866$5,1291051+31.4%
Idaho$1,771$8,935818+24.7%
Missouri$1,761$6,57641170+24.0%
Maryland$1,657$5,1782557+16.7%
New York$1,637$9,934134511+15.2%
Arkansas$1,625$4,9301128+14.4%
Georgia$1,623$8,6164176+14.3%
South Carolina$1,602$6,5452442+12.8%
Kentucky$1,587$4,4232178+11.8%
Louisiana$1,582$8,1252692+11.4%
Tennessee$1,556$4,90047167+9.6%
New Mexico$1,555$3,393832+9.5%
Illinois$1,551$10,69376273+9.2%
Massachusetts$1,545$5,36845208+8.8%
Virginia$1,543$5,82858161+8.6%
Ohio$1,528$6,696104343+7.6%
Michigan$1,488$5,202113396+4.8%
Delaware$1,480$7,0331326+4.2%
Florida$1,477$6,431155417+4.0%
Nevada$1,454$5,5301121+2.4%
New Jersey$1,443$6,40144139+1.6%
Texas$1,417$6,728159509-0.2%
Arizona$1,411$4,3722678-0.6%
Montana$1,392$11,29020103-2.0%
Minnesota$1,383$10,36139124-2.6%
Pennsylvania$1,381$5,060140382-2.7%
Kansas$1,365$5,6992038-3.9%
North Carolina$1,363$6,67374306-4.0%
Nebraska$1,319$5,8521937-7.1%
Indiana$1,306$8,63562167-8.0%
Mississippi$1,269$5,8681530-10.7%
California$1,263$5,742199641-11.0%
Alabama$1,203$5,0673368-15.3%
Utah$1,203$4,6342490-15.3%
West Virginia$1,196$3,9511526-15.8%
New Hampshire$1,185$11,8471845-16.6%
Washington$1,155$4,50481245-18.6%
Colorado$1,145$4,3643156-19.4%
Connecticut$1,139$6,4593076-19.8%
South Dakota$1,072$6,665824-24.5%
North Dakota$1,065$5,3171137-25.0%
Wisconsin$1,016$19,33852227-28.4%
Alaska$881$9,619620-38.0%
Iowa$841$4,9242148-40.7%
Oregon$708$4,3652665-50.1%

⚠️ 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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