93280

Programming of dual lead pacemaker system

Medicare pricing data for 16,496 providers across 52 states

🤖AI Overview

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

$12.71

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.

Average Allowed Cost
$63.54
Average Hospital Charge
$180.56
Markup Ratio
2.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$180.56
Medicare Allowed$63.54
Medicare Payment$46.41

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

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$78$479161,483+23.3%
New Jersey$78$24550022,068+23.3%
Maryland$77$17525214,414+21.1%
Puerto Rico$76$7836225+19.8%
Nevada$75$1781346,816+17.6%
District of Columbia$74$177482,147+16.7%
California$74$1781,70374,327+16.0%
New York$73$2971,13744,227+15.3%
Colorado$69$1762248,041+9.3%
Wyoming$69$617331,457+9.3%
Florida$68$1551,49270,438+7.2%
Pennsylvania$67$16376729,327+5.9%
Illinois$67$20649027,449+5.3%
Washington$66$17336612,403+4.2%
Arizona$66$14839821,060+3.6%
Connecticut$66$2132218,593+3.2%
South Carolina$66$16733617,277+3.1%
Delaware$65$143623,024+3.0%
Utah$65$143984,131+2.8%
Indiana$65$16524017,211+2.3%
Massachusetts$63$19444318,114-0.7%
Georgia$62$21637322,718-2.0%
Texas$61$1751,25554,484-3.4%
Minnesota$61$23919510,357-4.0%
Alabama$60$12322912,261-4.8%
Tennessee$60$14533919,157-6.2%
Louisiana$59$1572967,487-6.4%
Nebraska$59$1921265,996-6.8%
Montana$58$177634,160-9.1%
North Carolina$57$17646221,555-10.1%
Oregon$57$1642047,506-10.9%
Missouri$56$14838214,859-11.5%
Hawaii$56$130431,380-11.6%
Virginia$55$13836922,057-13.6%
Ohio$55$14855326,026-13.7%
Mississippi$54$14613610,444-14.4%
Michigan$54$13152719,706-15.1%
Kentucky$54$12128110,493-15.2%
Wisconsin$52$46729510,309-17.6%
Oklahoma$52$1332729,149-17.9%
Rhode Island$52$131552,011-18.6%
Kansas$51$13222411,665-20.1%
New Mexico$50$145532,600-21.6%
Arkansas$49$11816911,353-23.0%
Idaho$48$126892,807-24.2%
Iowa$48$1631427,116-25.2%
New Hampshire$46$211862,613-27.0%
West Virginia$46$124973,302-28.3%
Vermont$41$165192,024-35.0%
South Dakota$40$117512,837-37.7%
North Dakota$37$145392,526-41.6%
Maine$36$116742,177-42.6%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber