93264

Remote monitoring of pulmonary artery pressure sensor, up to 30 days

Medicare pricing data for 1,357 providers across 42 states

🤖AI Overview

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

Remote monitoring of pulmonary artery pressure sensor, up to 30 days (HCPCS code 93264) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $40.99, but hospitals typically charge $147.69 — a 3.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$8.20

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $40.99, your out-of-pocket cost would be approximately $8.20. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$40.99
Average Hospital Charge
$147.69
Markup Ratio
3.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$147.69
Medicare Allowed$40.99
Medicare Payment$31.14

Hospitals charge 3.6x more than what Medicare allows for this procedure. Medicare actually pays $31.14 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Colorado$51$1119306+25.4%
New York$50$2111022,333+22.5%
California$49$1451162,677+20.2%
Washington$47$13629444+14.8%
Pennsylvania$47$12843655+14.5%
Oregon$47$15117375+13.6%
Alabama$46$6010146+11.8%
Arizona$45$14347824+10.4%
Nevada$44$1026373+7.1%
Florida$43$13848744+4.8%
Indiana$43$11729641+4.2%
West Virginia$43$115345+3.9%
Maryland$42$1274108+3.6%
North Carolina$42$14229709+3.5%
Texas$42$1421071,991+3.4%
Minnesota$42$170311,473+3.1%
Louisiana$41$15735565+0.6%
South Carolina$41$119241,348-0.6%
Virginia$40$11653949-1.7%
Michigan$40$91461,019-2.5%
Illinois$40$1451074,047-2.8%
Massachusetts$39$13728695-3.8%
Missouri$39$13225787-4.5%
Kansas$38$84271,192-7.1%
New Jersey$38$18813111-7.1%
Utah$38$12812223-7.3%
Iowa$38$16023891-7.6%
Georgia$38$13225821-7.7%
Kentucky$38$12953904-8.0%
Connecticut$36$154431,321-11.3%
Tennessee$35$12626570-13.4%
Nebraska$35$9713830-14.1%
Ohio$35$140501,331-14.4%
Mississippi$35$16117482-14.6%
New Mexico$35$110187-15.8%
Wisconsin$35$320331,273-15.8%
North Dakota$33$1497166-18.5%
Oklahoma$32$969134-21.4%
Idaho$32$100593-21.5%
South Dakota$30$19911427-26.3%
New Hampshire$30$2054398-27.3%
Arkansas$29$888150-28.3%

⚠️ 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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