Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch
Medicare pricing data for 8,917 providers across 52 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
Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch (HCPCS code 92928) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $535.06, but hospitals typically charge $2,085 — a 3.9x 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 $535.06, your out-of-pocket cost would be approximately $107.01. 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 3.9x more than what Medicare allows for this procedure. Medicare actually pays $425.01 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $693 | $5,179 | 13 | 381 | +29.5% |
| New York | $631 | $2,697 | 470 | 11,942 | +18.0% |
| District of Columbia | $612 | $2,320 | 21 | 457 | +14.3% |
| Florida | $586 | $1,911 | 728 | 16,867 | +9.5% |
| Illinois | $576 | $2,738 | 349 | 8,138 | +7.7% |
| New Jersey | $574 | $2,433 | 267 | 5,213 | +7.2% |
| Maryland | $569 | $1,769 | 105 | 2,836 | +6.4% |
| Delaware | $559 | $1,217 | 27 | 651 | +4.5% |
| Michigan | $555 | $1,435 | 310 | 5,652 | +3.7% |
| Connecticut | $551 | $2,621 | 88 | 1,245 | +3.0% |
| Kansas | $550 | $2,360 | 82 | 2,714 | +2.8% |
| Arizona | $547 | $1,637 | 242 | 5,013 | +2.3% |
| Texas | $546 | $2,148 | 946 | 15,566 | +2.1% |
| Massachusetts | $546 | $2,129 | 151 | 3,457 | +2.0% |
| Pennsylvania | $536 | $1,706 | 356 | 7,501 | +0.2% |
| Puerto Rico | $530 | $1,197 | 26 | 162 | -1.0% |
| New Hampshire | $529 | $4,445 | 33 | 846 | -1.1% |
| Nevada | $529 | $1,851 | 80 | 1,507 | -1.2% |
| Virginia | $528 | $1,482 | 201 | 4,626 | -1.3% |
| Louisiana | $525 | $1,806 | 217 | 3,386 | -1.9% |
| California | $524 | $2,159 | 810 | 14,628 | -2.1% |
| West Virginia | $521 | $1,488 | 55 | 1,515 | -2.6% |
| Ohio | $520 | $1,679 | 349 | 7,543 | -2.8% |
| Colorado | $518 | $1,608 | 107 | 2,284 | -3.2% |
| New Mexico | $518 | $1,785 | 31 | 720 | -3.3% |
| Rhode Island | $515 | $1,568 | 17 | 505 | -3.7% |
| Georgia | $514 | $2,201 | 252 | 5,407 | -4.0% |
| Hawaii | $511 | $1,720 | 22 | 229 | -4.5% |
| Oklahoma | $508 | $1,793 | 147 | 3,552 | -5.0% |
| Missouri | $507 | $2,022 | 202 | 4,606 | -5.2% |
| Washington | $506 | $1,615 | 149 | 3,663 | -5.4% |
| Montana | $505 | $1,928 | 34 | 1,075 | -5.6% |
| North Carolina | $504 | $1,988 | 224 | 5,462 | -5.8% |
| Alabama | $504 | $1,716 | 154 | 3,024 | -5.8% |
| Kentucky | $502 | $1,367 | 136 | 3,281 | -6.1% |
| Oregon | $502 | $1,743 | 76 | 1,514 | -6.2% |
| Maine | $501 | $2,017 | 22 | 456 | -6.4% |
| Arkansas | $499 | $1,335 | 135 | 4,239 | -6.7% |
| Vermont | $491 | $2,664 | 10 | 312 | -8.1% |
| South Carolina | $491 | $2,465 | 144 | 3,665 | -8.3% |
| North Dakota | $488 | $3,019 | 23 | 1,006 | -8.7% |
| Wyoming | $486 | $6,167 | 9 | 257 | -9.1% |
| Mississippi | $484 | $2,551 | 99 | 2,933 | -9.5% |
| Indiana | $482 | $1,854 | 207 | 4,592 | -10.0% |
| Utah | $480 | $1,622 | 50 | 1,393 | -10.2% |
| Minnesota | $479 | $2,572 | 115 | 2,530 | -10.5% |
| Tennessee | $477 | $1,544 | 226 | 4,778 | -10.9% |
| Nebraska | $476 | $1,755 | 52 | 1,337 | -11.1% |
| South Dakota | $475 | $1,812 | 18 | 1,120 | -11.1% |
| Iowa | $472 | $1,832 | 74 | 2,368 | -11.8% |
| Wisconsin | $469 | $5,890 | 144 | 3,126 | -12.4% |
| Idaho | $464 | $1,409 | 33 | 805 | -13.4% |
⚠️ 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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