93281

Programming of multiple lead pacemaker system

Medicare pricing data for 8,724 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $40 in Maine to $85 in Puerto Rico. 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 multiple lead pacemaker system (HCPCS code 93281) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $67.67, but hospitals typically charge $206.85 — a 3.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$13.53

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $67.67, your out-of-pocket cost would be approximately $13.53. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$67.67
Average Hospital Charge
$206.85
Markup Ratio
3.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$206.85
Medicare Allowed$67.67
Medicare Payment$50.32

Hospitals charge 3.1x more than what Medicare allows for this procedure. Medicare actually pays $50.32 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$85$86714+25.4%
New Jersey$84$2542102,007+24.3%
Alaska$83$58013558+22.6%
District of Columbia$80$21225236+18.5%
Maryland$80$1891411,151+17.5%
New York$78$3275823,632+15.9%
Wyoming$78$6461257+14.6%
California$77$2118145,020+14.2%
Nevada$77$19751526+13.4%
Florida$75$1837825,112+10.3%
Illinois$74$2272893,423+9.4%
Colorado$74$187109575+8.7%
Arizona$73$1892532,240+7.9%
Pennsylvania$71$1714322,691+5.4%
Delaware$71$15735161+4.9%
Georgia$71$2492152,322+4.9%
Indiana$69$1811401,433+2.3%
South Carolina$69$1811912,079+2.2%
Washington$69$1811921,326+1.5%
Minnesota$67$2791461,417-0.8%
Utah$66$16255399-2.1%
Texas$66$2016005,721-2.2%
Connecticut$66$235130806-2.4%
Montana$66$205451,072-2.9%
Louisiana$65$188112534-3.4%
Tennessee$64$1671931,661-5.5%
Oregon$64$193105740-5.5%
Massachusetts$63$2112571,339-6.8%
North Carolina$62$2092722,608-7.7%
Missouri$62$1662081,334-8.1%
Nebraska$62$18577578-9.0%
Ohio$61$1743302,633-9.7%
Mississippi$60$181811,203-11.0%
Wisconsin$60$5891591,115-11.9%
Kentucky$59$1301411,007-13.2%
Kansas$58$1621151,043-13.6%
Alabama$57$120118896-15.3%
Virginia$57$1452232,735-15.7%
Rhode Island$56$15328170-16.8%
Arkansas$56$12282875-17.5%
Michigan$55$1332741,788-18.0%
West Virginia$55$14152424-18.3%
Hawaii$54$13519173-20.4%
Oklahoma$53$134105731-22.4%
Idaho$52$14138228-23.2%
Vermont$48$20418184-29.0%
New Hampshire$47$25150278-30.9%
Iowa$47$18682696-30.9%
New Mexico$46$15124228-31.8%
South Dakota$44$9623191-35.7%
North Dakota$42$17023204-37.9%
Maine$40$12845260-40.8%

⚠️ 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