33990

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

🤖AI Overview

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

$41.92

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.

Average Allowed Cost
$209.59
Average Hospital Charge
$1,336
Markup Ratio
6.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,335.63
Medicare Allowed$209.59
Medicare Payment$167.05

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

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$249$9951423+18.9%
New York$241$1,926172370+15.2%
Maryland$232$1,3182952+10.5%
Massachusetts$231$1,85368156+10.1%
Nevada$229$1,1962644+9.1%
New Jersey$226$1,952113222+7.7%
Georgia$225$1,40992165+7.3%
Florida$221$1,120351710+5.3%
Connecticut$219$1,6852342+4.7%
New Mexico$219$1,0442571+4.3%
Louisiana$218$1,18582174+4.0%
Illinois$215$1,797150289+2.6%
California$215$1,427318600+2.4%
Michigan$214$1,001140297+2.0%
Pennsylvania$213$1,046161333+1.6%
Montana$212$1,2292161+1.0%
Rhode Island$211$1,243817+0.6%
Ohio$210$1,189138259-0.0%
Alabama$209$9033349-0.1%
Texas$209$1,201335730-0.3%
Arizona$209$1,009101209-0.4%
West Virginia$208$1,033919-1.0%
South Carolina$207$1,80765115-1.3%
Washington$207$1,07461134-1.4%
Virginia$201$1,05878161-3.9%
Vermont$201$1,569611-4.2%
Utah$201$1,0881523-4.3%
Missouri$198$1,39498201-5.3%
North Carolina$197$1,50492154-6.0%
Arkansas$197$89471191-6.2%
Mississippi$196$1,34854120-6.6%
Colorado$195$1,0645080-7.0%
Tennessee$195$1,14994201-7.0%
South Dakota$195$837923-7.1%
New Hampshire$194$2,4241537-7.5%
Kansas$193$1,05642113-7.9%
Iowa$192$1,28436101-8.5%
Kentucky$192$98459131-8.5%
Minnesota$189$1,57759126-9.8%
Maine$189$1,0451018-9.9%
Oklahoma$189$1,11062150-9.9%
Oregon$185$9884378-11.5%
Hawaii$185$945515-11.8%
Wisconsin$185$2,97055109-11.8%
Nebraska$184$9732556-12.2%
Wyoming$181$5,139328-13.7%
North Dakota$178$1,323822-14.9%
Indiana$177$1,06079154-15.5%
Idaho$167$1,0501223-20.1%

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

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