33967

Insertion of blood flow assist device in aorta through skin

Medicare pricing data for 4,920 providers across 49 states

🤖AI Overview

This procedure has a 6.1x markup — hospitals charge $973.79 but Medicare allows only $158.64. Uninsured patients may face bills 6.1 times higher than what insurance negotiates. 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

Insertion of blood flow assist device in aorta through skin (HCPCS code 33967) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $158.64, but hospitals typically charge $973.79 — a 6.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$31.73

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $158.64, your out-of-pocket cost would be approximately $31.73. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$158.64
Average Hospital Charge
$973.79
Markup Ratio
6.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$973.79
Medicare Allowed$158.64
Medicare Payment$126.27

Hospitals charge 6.1x more than what Medicare allows for this procedure. Medicare actually pays $126.27 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$199$8,3691027+25.2%
District of Columbia$192$7031569+21.1%
Illinois$184$1,191267625+15.7%
New York$183$1,253291690+15.4%
Massachusetts$181$1,003113290+13.9%
Idaho$180$6351219+13.6%
Maryland$173$74190312+9.0%
Minnesota$169$1,09482177+6.7%
Connecticut$167$1,24561117+5.5%
Colorado$164$7494986+3.6%
Texas$163$1,027346691+3.0%
Delaware$163$7072163+2.9%
Vermont$163$1,176914+2.4%
New Jersey$162$963137272+2.3%
Florida$162$805316564+1.9%
Washington$161$748115235+1.7%
Michigan$158$719144238-0.6%
Georgia$157$1,036136264-0.9%
Rhode Island$157$6981638-1.0%
New Mexico$156$9671624-1.5%
Louisiana$155$83791153-2.3%
Virginia$155$695144276-2.4%
Pennsylvania$154$866253564-2.7%
South Carolina$153$1,22178122-3.4%
California$153$862444867-3.4%
Montana$153$8372034-3.6%
Ohio$152$842205366-4.1%
Missouri$151$790121223-4.9%
Kentucky$150$63467141-5.2%
New Hampshire$149$2,9362560-5.8%
North Dakota$147$9681732-7.1%
Mississippi$147$9524881-7.3%
West Virginia$146$7833270-8.0%
Maine$144$6682245-8.9%
Nevada$144$1,2934574-9.1%
Kansas$144$1,0474474-9.3%
Wisconsin$144$2,19994191-9.3%
Alabama$143$873105247-9.8%
North Carolina$143$888169366-9.9%
Indiana$143$855134266-9.9%
Oregon$142$7784576-10.5%
Oklahoma$142$70466127-10.7%
South Dakota$141$5181838-11.2%
Utah$140$7183046-11.9%
Arizona$137$70885135-13.5%
Tennessee$137$824127231-13.7%
Iowa$135$1,08550134-15.2%
Arkansas$134$5404059-15.2%
Nebraska$134$6674479-15.6%

⚠️ 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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