Insertion of blood flow assist device in lower heart chamber through skin with review by radiologist using artery access
Medicare pricing data for 3,629 providers across 49 states
This procedure has a 6.4x markup — hospitals charge $1,336 but Medicare allows only $209.59. Uninsured patients may face bills 6.4 times higher than what insurance negotiates. 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
Insertion of blood flow assist device in lower heart chamber through skin with review by radiologist using artery access (HCPCS code 33990) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $209.59, but hospitals typically charge $1,336 — a 6.4x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $209.59, your out-of-pocket cost would be approximately $41.92. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 6.4x more than what Medicare allows for this procedure. Medicare actually pays $167.05 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $249 | $995 | 14 | 23 | +18.9% |
| New York | $241 | $1,926 | 172 | 370 | +15.2% |
| Maryland | $232 | $1,318 | 29 | 52 | +10.5% |
| Massachusetts | $231 | $1,853 | 68 | 156 | +10.1% |
| Nevada | $229 | $1,196 | 26 | 44 | +9.1% |
| New Jersey | $226 | $1,952 | 113 | 222 | +7.7% |
| Georgia | $225 | $1,409 | 92 | 165 | +7.3% |
| Florida | $221 | $1,120 | 351 | 710 | +5.3% |
| Connecticut | $219 | $1,685 | 23 | 42 | +4.7% |
| New Mexico | $219 | $1,044 | 25 | 71 | +4.3% |
| Louisiana | $218 | $1,185 | 82 | 174 | +4.0% |
| Illinois | $215 | $1,797 | 150 | 289 | +2.6% |
| California | $215 | $1,427 | 318 | 600 | +2.4% |
| Michigan | $214 | $1,001 | 140 | 297 | +2.0% |
| Pennsylvania | $213 | $1,046 | 161 | 333 | +1.6% |
| Montana | $212 | $1,229 | 21 | 61 | +1.0% |
| Rhode Island | $211 | $1,243 | 8 | 17 | +0.6% |
| Ohio | $210 | $1,189 | 138 | 259 | -0.0% |
| Alabama | $209 | $903 | 33 | 49 | -0.1% |
| Texas | $209 | $1,201 | 335 | 730 | -0.3% |
| Arizona | $209 | $1,009 | 101 | 209 | -0.4% |
| West Virginia | $208 | $1,033 | 9 | 19 | -1.0% |
| South Carolina | $207 | $1,807 | 65 | 115 | -1.3% |
| Washington | $207 | $1,074 | 61 | 134 | -1.4% |
| Virginia | $201 | $1,058 | 78 | 161 | -3.9% |
| Vermont | $201 | $1,569 | 6 | 11 | -4.2% |
| Utah | $201 | $1,088 | 15 | 23 | -4.3% |
| Missouri | $198 | $1,394 | 98 | 201 | -5.3% |
| North Carolina | $197 | $1,504 | 92 | 154 | -6.0% |
| Arkansas | $197 | $894 | 71 | 191 | -6.2% |
| Mississippi | $196 | $1,348 | 54 | 120 | -6.6% |
| Colorado | $195 | $1,064 | 50 | 80 | -7.0% |
| Tennessee | $195 | $1,149 | 94 | 201 | -7.0% |
| South Dakota | $195 | $837 | 9 | 23 | -7.1% |
| New Hampshire | $194 | $2,424 | 15 | 37 | -7.5% |
| Kansas | $193 | $1,056 | 42 | 113 | -7.9% |
| Iowa | $192 | $1,284 | 36 | 101 | -8.5% |
| Kentucky | $192 | $984 | 59 | 131 | -8.5% |
| Minnesota | $189 | $1,577 | 59 | 126 | -9.8% |
| Maine | $189 | $1,045 | 10 | 18 | -9.9% |
| Oklahoma | $189 | $1,110 | 62 | 150 | -9.9% |
| Oregon | $185 | $988 | 43 | 78 | -11.5% |
| Hawaii | $185 | $945 | 5 | 15 | -11.8% |
| Wisconsin | $185 | $2,970 | 55 | 109 | -11.8% |
| Nebraska | $184 | $973 | 25 | 56 | -12.2% |
| Wyoming | $181 | $5,139 | 3 | 28 | -13.7% |
| North Dakota | $178 | $1,323 | 8 | 22 | -14.9% |
| Indiana | $177 | $1,060 | 79 | 154 | -15.5% |
| Idaho | $167 | $1,050 | 12 | 23 | -20.1% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber