Removal of plaque, insertion of stent and balloon dilation of single coronary artery or branch
Medicare pricing data for 3,611 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
Removal of plaque, insertion of stent and balloon dilation of single coronary artery or branch (HCPCS code 92933) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $617.89, but hospitals typically charge $2,342 — a 3.8x 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 $617.89, your out-of-pocket cost would be approximately $123.58. 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 3.8x more than what Medicare allows for this procedure. Medicare actually pays $491.73 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $758 | $5,616 | 6 | 31 | +22.7% |
| New York | $732 | $3,331 | 192 | 1,054 | +18.5% |
| District of Columbia | $708 | $2,364 | 6 | 44 | +14.5% |
| Illinois | $675 | $2,927 | 175 | 674 | +9.3% |
| New Jersey | $669 | $2,691 | 116 | 370 | +8.2% |
| Florida | $658 | $2,007 | 282 | 1,076 | +6.6% |
| Maryland | $654 | $2,033 | 40 | 174 | +5.9% |
| Delaware | $643 | $1,223 | 8 | 29 | +4.0% |
| West Virginia | $636 | $1,928 | 12 | 23 | +2.9% |
| New Hampshire | $633 | $4,370 | 15 | 36 | +2.4% |
| Connecticut | $632 | $3,190 | 35 | 108 | +2.3% |
| Rhode Island | $626 | $1,898 | 11 | 32 | +1.2% |
| Puerto Rico | $623 | $767 | 9 | 17 | +0.8% |
| Colorado | $622 | $1,709 | 45 | 132 | +0.7% |
| California | $621 | $2,133 | 291 | 1,049 | +0.5% |
| Michigan | $621 | $1,728 | 135 | 388 | +0.5% |
| Pennsylvania | $620 | $2,131 | 164 | 528 | +0.3% |
| Virginia | $619 | $1,688 | 99 | 338 | +0.2% |
| Louisiana | $619 | $1,987 | 88 | 248 | +0.2% |
| Nevada | $608 | $2,062 | 35 | 95 | -1.6% |
| Massachusetts | $607 | $2,415 | 67 | 356 | -1.7% |
| Washington | $603 | $2,011 | 82 | 401 | -2.4% |
| Utah | $602 | $1,880 | 22 | 51 | -2.6% |
| Georgia | $602 | $2,486 | 88 | 393 | -2.6% |
| Texas | $599 | $2,204 | 305 | 985 | -3.0% |
| Ohio | $598 | $2,057 | 134 | 455 | -3.2% |
| Vermont | $598 | $2,974 | 7 | 16 | -3.2% |
| Oklahoma | $595 | $1,734 | 73 | 324 | -3.7% |
| New Mexico | $594 | $1,857 | 18 | 117 | -3.9% |
| Arizona | $594 | $1,742 | 120 | 395 | -3.9% |
| Missouri | $594 | $2,557 | 105 | 562 | -3.9% |
| Wyoming | $588 | $7,880 | 3 | 28 | -4.9% |
| Montana | $587 | $1,906 | 9 | 31 | -4.9% |
| Maine | $584 | $2,410 | 12 | 57 | -5.6% |
| North Carolina | $581 | $2,444 | 94 | 312 | -5.9% |
| Kentucky | $580 | $1,545 | 58 | 215 | -6.1% |
| Alabama | $578 | $2,053 | 45 | 131 | -6.4% |
| South Carolina | $576 | $3,327 | 55 | 161 | -6.8% |
| Mississippi | $575 | $2,721 | 31 | 98 | -7.0% |
| Kansas | $571 | $2,333 | 37 | 143 | -7.6% |
| Minnesota | $571 | $2,951 | 62 | 201 | -7.6% |
| Wisconsin | $568 | $6,206 | 59 | 175 | -8.1% |
| Nebraska | $562 | $1,657 | 21 | 97 | -9.1% |
| Oregon | $559 | $2,100 | 32 | 120 | -9.5% |
| Indiana | $556 | $2,093 | 108 | 355 | -10.1% |
| Hawaii | $555 | $1,502 | 6 | 29 | -10.2% |
| Idaho | $554 | $1,831 | 11 | 38 | -10.4% |
| Tennessee | $552 | $1,723 | 80 | 233 | -10.7% |
| South Dakota | $548 | $1,669 | 12 | 75 | -11.3% |
| North Dakota | $548 | $3,538 | 13 | 65 | -11.3% |
| Arkansas | $543 | $1,416 | 40 | 153 | -12.1% |
| Iowa | $503 | $1,847 | 38 | 241 | -18.7% |
⚠️ 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