93279

Programming of single lead pacemaker system

Medicare pricing data for 10,976 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $31 in Maine to $68 in Alaska. Where you get this procedure matters more than almost any other factor. 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

Programming of single lead pacemaker system (HCPCS code 93279) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $53.33, but hospitals typically charge $155.11 — a 2.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$10.67

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $53.33, your out-of-pocket cost would be approximately $10.67. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$53.33
Average Hospital Charge
$155.11
Markup Ratio
2.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$155.11
Medicare Allowed$53.33
Medicare Payment$39.24

Hospitals charge 2.9x more than what Medicare allows for this procedure. Medicare actually pays $39.24 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$68$4086106+28.0%
New Jersey$66$1942972,900+23.9%
Maryland$65$1521812,008+21.5%
District of Columbia$65$15026272+21.1%
Puerto Rico$63$641543+18.9%
Nevada$63$14578786+18.2%
New York$63$2757657,439+17.4%
Colorado$60$1451551,648+11.7%
Florida$59$1339539,268+10.2%
California$59$1521,13410,575+10.1%
Wyoming$58$57514203+8.5%
South Carolina$57$1342361,997+6.1%
Pennsylvania$56$1275314,345+5.5%
Connecticut$56$1781541,280+4.8%
Illinois$56$1793174,173+4.7%
Arizona$55$1232622,139+3.9%
Indiana$55$1351682,169+3.3%
Utah$55$12158621+2.3%
Washington$55$1412573,116+2.2%
Delaware$54$12042491+0.9%
Massachusetts$54$1623272,950+0.6%
Texas$53$1477265,876-0.7%
Georgia$53$1792302,762-1.0%
Minnesota$51$1991662,098-3.6%
Hawaii$51$11033213-4.5%
Alabama$51$981641,552-5.0%
Tennessee$50$1232382,478-5.3%
Nebraska$50$15686905-6.6%
Louisiana$49$1421921,227-7.6%
Montana$49$14247646-7.7%
Missouri$48$1232692,287-10.1%
Virginia$47$1182483,061-11.3%
North Carolina$47$1413253,255-11.3%
Ohio$46$1303662,791-13.7%
Oregon$46$1311341,431-14.0%
Kentucky$46$1051902,020-14.4%
Wisconsin$45$3952031,916-14.9%
Mississippi$45$1281041,298-15.6%
Kansas$44$1151401,311-17.1%
New Mexico$44$12232256-17.2%
Michigan$44$1053643,177-17.8%
Rhode Island$43$11439262-19.5%
Idaho$42$11356420-21.4%
Oklahoma$41$1081641,340-23.2%
Arkansas$39$851141,046-26.8%
Iowa$39$123881,053-27.2%
Vermont$39$13017390-27.4%
New Hampshire$36$16363471-32.0%
West Virginia$36$10762416-32.2%
South Dakota$33$10845554-38.8%
North Dakota$31$11334501-42.0%
Maine$31$9355513-42.0%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber