Balloon dilation of single coronary artery or branch
Medicare pricing data for 5,787 providers across 51 states
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
Balloon dilation of single coronary artery or branch (HCPCS code 92920) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $447.23, but hospitals typically charge $2,042 — a 4.6x 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 $447.23, your out-of-pocket cost would be approximately $89.45. 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 4.6x more than what Medicare allows for this procedure. Medicare actually pays $355.61 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $587 | $4,365 | 11 | 31 | +31.2% |
| Colorado | $559 | $1,797 | 56 | 150 | +25.1% |
| Arizona | $556 | $2,724 | 181 | 575 | +24.4% |
| Kansas | $540 | $4,664 | 63 | 233 | +20.6% |
| Texas | $533 | $3,375 | 545 | 1,557 | +19.2% |
| Florida | $529 | $1,818 | 474 | 1,404 | +18.2% |
| District of Columbia | $508 | $2,085 | 19 | 64 | +13.6% |
| Louisiana | $507 | $2,238 | 136 | 404 | +13.4% |
| New York | $506 | $2,386 | 274 | 1,014 | +13.2% |
| Oregon | $506 | $1,711 | 51 | 140 | +13.1% |
| Nevada | $496 | $1,787 | 46 | 117 | +10.8% |
| Michigan | $463 | $1,295 | 211 | 729 | +3.6% |
| Illinois | $459 | $2,433 | 242 | 723 | +2.6% |
| Montana | $450 | $1,521 | 26 | 63 | +0.6% |
| New Jersey | $445 | $2,187 | 173 | 560 | -0.4% |
| Missouri | $435 | $1,744 | 149 | 503 | -2.8% |
| Pennsylvania | $427 | $1,557 | 237 | 647 | -4.6% |
| Mississippi | $427 | $2,484 | 75 | 312 | -4.6% |
| California | $426 | $1,676 | 453 | 1,523 | -4.7% |
| Connecticut | $421 | $2,772 | 52 | 154 | -5.9% |
| Virginia | $417 | $1,370 | 153 | 421 | -6.7% |
| West Virginia | $417 | $1,422 | 37 | 150 | -6.8% |
| Maine | $417 | $1,964 | 16 | 42 | -6.9% |
| Oklahoma | $412 | $1,655 | 104 | 413 | -7.9% |
| Georgia | $409 | $1,957 | 163 | 450 | -8.5% |
| Massachusetts | $407 | $1,929 | 97 | 331 | -9.1% |
| South Carolina | $401 | $2,388 | 106 | 279 | -10.2% |
| Arkansas | $401 | $1,207 | 99 | 446 | -10.4% |
| Ohio | $401 | $1,566 | 230 | 729 | -10.4% |
| Utah | $400 | $1,471 | 35 | 120 | -10.5% |
| Washington | $398 | $1,481 | 114 | 408 | -11.1% |
| Alabama | $392 | $1,522 | 102 | 337 | -12.4% |
| Minnesota | $391 | $2,262 | 85 | 267 | -12.6% |
| North Carolina | $390 | $1,668 | 152 | 466 | -12.8% |
| Iowa | $389 | $1,704 | 54 | 226 | -12.9% |
| Maryland | $385 | $1,328 | 77 | 263 | -13.9% |
| North Dakota | $381 | $2,352 | 20 | 107 | -14.8% |
| Indiana | $376 | $1,655 | 157 | 466 | -15.9% |
| Kentucky | $375 | $1,226 | 97 | 281 | -16.1% |
| Rhode Island | $372 | $1,355 | 11 | 49 | -16.8% |
| Tennessee | $371 | $1,516 | 134 | 434 | -17.0% |
| Nebraska | $371 | $1,602 | 37 | 119 | -17.2% |
| Delaware | $369 | $1,130 | 19 | 96 | -17.6% |
| New Hampshire | $366 | $4,616 | 24 | 76 | -18.1% |
| Hawaii | $364 | $1,077 | 8 | 19 | -18.5% |
| Wisconsin | $361 | $4,601 | 85 | 222 | -19.3% |
| New Mexico | $356 | $1,574 | 18 | 84 | -20.4% |
| Idaho | $355 | $1,240 | 20 | 49 | -20.7% |
| Vermont | $351 | $2,370 | 9 | 34 | -21.6% |
| South Dakota | $347 | $1,134 | 16 | 80 | -22.4% |
| Wyoming | $322 | $3,376 | 2 | 14 | -27.9% |
⚠️ 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