Programming of dual lead pacemaker system
Medicare pricing data for 16,496 providers across 52 states
Prices vary significantly by location — from $36 in Maine to $78 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 dual lead pacemaker system (HCPCS code 93280) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $63.54, but hospitals typically charge $180.56 — a 2.8x 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 $63.54, your out-of-pocket cost would be approximately $12.71. 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 2.8x more than what Medicare allows for this procedure. Medicare actually pays $46.41 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $78 | $479 | 16 | 1,483 | +23.3% |
| New Jersey | $78 | $245 | 500 | 22,068 | +23.3% |
| Maryland | $77 | $175 | 252 | 14,414 | +21.1% |
| Puerto Rico | $76 | $78 | 36 | 225 | +19.8% |
| Nevada | $75 | $178 | 134 | 6,816 | +17.6% |
| District of Columbia | $74 | $177 | 48 | 2,147 | +16.7% |
| California | $74 | $178 | 1,703 | 74,327 | +16.0% |
| New York | $73 | $297 | 1,137 | 44,227 | +15.3% |
| Colorado | $69 | $176 | 224 | 8,041 | +9.3% |
| Wyoming | $69 | $617 | 33 | 1,457 | +9.3% |
| Florida | $68 | $155 | 1,492 | 70,438 | +7.2% |
| Pennsylvania | $67 | $163 | 767 | 29,327 | +5.9% |
| Illinois | $67 | $206 | 490 | 27,449 | +5.3% |
| Washington | $66 | $173 | 366 | 12,403 | +4.2% |
| Arizona | $66 | $148 | 398 | 21,060 | +3.6% |
| Connecticut | $66 | $213 | 221 | 8,593 | +3.2% |
| South Carolina | $66 | $167 | 336 | 17,277 | +3.1% |
| Delaware | $65 | $143 | 62 | 3,024 | +3.0% |
| Utah | $65 | $143 | 98 | 4,131 | +2.8% |
| Indiana | $65 | $165 | 240 | 17,211 | +2.3% |
| Massachusetts | $63 | $194 | 443 | 18,114 | -0.7% |
| Georgia | $62 | $216 | 373 | 22,718 | -2.0% |
| Texas | $61 | $175 | 1,255 | 54,484 | -3.4% |
| Minnesota | $61 | $239 | 195 | 10,357 | -4.0% |
| Alabama | $60 | $123 | 229 | 12,261 | -4.8% |
| Tennessee | $60 | $145 | 339 | 19,157 | -6.2% |
| Louisiana | $59 | $157 | 296 | 7,487 | -6.4% |
| Nebraska | $59 | $192 | 126 | 5,996 | -6.8% |
| Montana | $58 | $177 | 63 | 4,160 | -9.1% |
| North Carolina | $57 | $176 | 462 | 21,555 | -10.1% |
| Oregon | $57 | $164 | 204 | 7,506 | -10.9% |
| Missouri | $56 | $148 | 382 | 14,859 | -11.5% |
| Hawaii | $56 | $130 | 43 | 1,380 | -11.6% |
| Virginia | $55 | $138 | 369 | 22,057 | -13.6% |
| Ohio | $55 | $148 | 553 | 26,026 | -13.7% |
| Mississippi | $54 | $146 | 136 | 10,444 | -14.4% |
| Michigan | $54 | $131 | 527 | 19,706 | -15.1% |
| Kentucky | $54 | $121 | 281 | 10,493 | -15.2% |
| Wisconsin | $52 | $467 | 295 | 10,309 | -17.6% |
| Oklahoma | $52 | $133 | 272 | 9,149 | -17.9% |
| Rhode Island | $52 | $131 | 55 | 2,011 | -18.6% |
| Kansas | $51 | $132 | 224 | 11,665 | -20.1% |
| New Mexico | $50 | $145 | 53 | 2,600 | -21.6% |
| Arkansas | $49 | $118 | 169 | 11,353 | -23.0% |
| Idaho | $48 | $126 | 89 | 2,807 | -24.2% |
| Iowa | $48 | $163 | 142 | 7,116 | -25.2% |
| New Hampshire | $46 | $211 | 86 | 2,613 | -27.0% |
| West Virginia | $46 | $124 | 97 | 3,302 | -28.3% |
| Vermont | $41 | $165 | 19 | 2,024 | -35.0% |
| South Dakota | $40 | $117 | 51 | 2,837 | -37.7% |
| North Dakota | $37 | $145 | 39 | 2,526 | -41.6% |
| Maine | $36 | $116 | 74 | 2,177 | -42.6% |
⚠️ 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