External shock to heart to regulate heart beat
Medicare pricing data for 28,930 providers across 52 states
This procedure has a 5.6x markup — hospitals charge $599.35 but Medicare allows only $106.49. Uninsured patients may face bills 5.6 times higher than what insurance negotiates. 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
External shock to heart to regulate heart beat (HCPCS code 92960) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $106.49, but hospitals typically charge $599.35 — a 5.6x 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 $106.49, your out-of-pocket cost would be approximately $21.30. 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 5.6x more than what Medicare allows for this procedure. Medicare actually pays $82.82 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $139 | $1,368 | 115 | 654 | +30.2% |
| New York | $118 | $970 | 1,282 | 10,167 | +10.7% |
| District of Columbia | $115 | $474 | 78 | 399 | +7.7% |
| New Jersey | $114 | $557 | 744 | 4,940 | +7.4% |
| California | $114 | $1,068 | 2,711 | 15,454 | +6.8% |
| Wyoming | $112 | $741 | 53 | 311 | +5.6% |
| Maryland | $112 | $439 | 526 | 3,954 | +5.0% |
| Massachusetts | $111 | $546 | 757 | 6,736 | +3.8% |
| Connecticut | $110 | $673 | 371 | 1,898 | +3.1% |
| Washington | $109 | $489 | 811 | 4,648 | +2.6% |
| Illinois | $109 | $706 | 1,068 | 8,485 | +2.5% |
| Florida | $109 | $418 | 1,825 | 15,445 | +1.9% |
| Virginia | $108 | $446 | 809 | 7,303 | +1.5% |
| Montana | $108 | $404 | 131 | 822 | +1.3% |
| Hawaii | $108 | $490 | 82 | 258 | +1.1% |
| Delaware | $108 | $400 | 130 | 1,002 | +0.9% |
| New Hampshire | $107 | $858 | 171 | 1,642 | +0.5% |
| Colorado | $107 | $483 | 512 | 2,736 | +0.5% |
| Rhode Island | $107 | $460 | 105 | 585 | +0.2% |
| Nevada | $107 | $472 | 245 | 1,309 | +0.0% |
| Puerto Rico | $106 | $278 | 30 | 58 | -0.0% |
| Arizona | $106 | $432 | 595 | 4,161 | -0.3% |
| Pennsylvania | $106 | $536 | 1,427 | 10,379 | -0.4% |
| Texas | $105 | $553 | 1,918 | 12,771 | -1.2% |
| Oregon | $105 | $478 | 559 | 2,569 | -1.4% |
| Missouri | $104 | $549 | 681 | 4,881 | -2.0% |
| Michigan | $104 | $443 | 1,094 | 6,404 | -2.0% |
| North Dakota | $104 | $579 | 86 | 563 | -2.1% |
| Maine | $104 | $542 | 175 | 752 | -2.2% |
| Georgia | $104 | $681 | 721 | 5,703 | -2.5% |
| Ohio | $104 | $500 | 1,287 | 11,067 | -2.7% |
| Vermont | $103 | $720 | 78 | 561 | -2.8% |
| Louisiana | $103 | $480 | 371 | 2,822 | -3.3% |
| North Carolina | $102 | $611 | 916 | 7,435 | -3.8% |
| West Virginia | $102 | $377 | 149 | 889 | -3.8% |
| South Carolina | $102 | $494 | 472 | 4,880 | -4.1% |
| Wisconsin | $102 | $1,238 | 584 | 3,708 | -4.5% |
| Oklahoma | $102 | $555 | 324 | 2,829 | -4.5% |
| Alabama | $102 | $424 | 368 | 3,442 | -4.6% |
| Utah | $102 | $478 | 334 | 1,917 | -4.7% |
| Kentucky | $101 | $438 | 396 | 2,947 | -4.9% |
| Kansas | $101 | $471 | 280 | 2,816 | -5.1% |
| South Dakota | $101 | $360 | 91 | 788 | -5.4% |
| Minnesota | $100 | $720 | 729 | 3,467 | -5.6% |
| New Mexico | $100 | $511 | 118 | 518 | -5.8% |
| Indiana | $100 | $553 | 769 | 5,947 | -5.9% |
| Tennessee | $100 | $501 | 619 | 6,089 | -6.1% |
| Mississippi | $100 | $556 | 271 | 2,389 | -6.3% |
| Iowa | $100 | $557 | 310 | 2,847 | -6.3% |
| Nebraska | $100 | $490 | 175 | 2,049 | -6.3% |
| Idaho | $100 | $343 | 178 | 1,239 | -6.4% |
| Arkansas | $99 | $454 | 246 | 2,470 | -6.9% |
⚠️ 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