Programming of multiple lead pacemaker system
Medicare pricing data for 8,724 providers across 52 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $85 | $86 | 7 | 14 | +25.4% |
| New Jersey | $84 | $254 | 210 | 2,007 | +24.3% |
| Alaska | $83 | $580 | 13 | 558 | +22.6% |
| District of Columbia | $80 | $212 | 25 | 236 | +18.5% |
| Maryland | $80 | $189 | 141 | 1,151 | +17.5% |
| New York | $78 | $327 | 582 | 3,632 | +15.9% |
| Wyoming | $78 | $646 | 12 | 57 | +14.6% |
| California | $77 | $211 | 814 | 5,020 | +14.2% |
| Nevada | $77 | $197 | 51 | 526 | +13.4% |
| Florida | $75 | $183 | 782 | 5,112 | +10.3% |
| Illinois | $74 | $227 | 289 | 3,423 | +9.4% |
| Colorado | $74 | $187 | 109 | 575 | +8.7% |
| Arizona | $73 | $189 | 253 | 2,240 | +7.9% |
| Pennsylvania | $71 | $171 | 432 | 2,691 | +5.4% |
| Delaware | $71 | $157 | 35 | 161 | +4.9% |
| Georgia | $71 | $249 | 215 | 2,322 | +4.9% |
| Indiana | $69 | $181 | 140 | 1,433 | +2.3% |
| South Carolina | $69 | $181 | 191 | 2,079 | +2.2% |
| Washington | $69 | $181 | 192 | 1,326 | +1.5% |
| Minnesota | $67 | $279 | 146 | 1,417 | -0.8% |
| Utah | $66 | $162 | 55 | 399 | -2.1% |
| Texas | $66 | $201 | 600 | 5,721 | -2.2% |
| Connecticut | $66 | $235 | 130 | 806 | -2.4% |
| Montana | $66 | $205 | 45 | 1,072 | -2.9% |
| Louisiana | $65 | $188 | 112 | 534 | -3.4% |
| Tennessee | $64 | $167 | 193 | 1,661 | -5.5% |
| Oregon | $64 | $193 | 105 | 740 | -5.5% |
| Massachusetts | $63 | $211 | 257 | 1,339 | -6.8% |
| North Carolina | $62 | $209 | 272 | 2,608 | -7.7% |
| Missouri | $62 | $166 | 208 | 1,334 | -8.1% |
| Nebraska | $62 | $185 | 77 | 578 | -9.0% |
| Ohio | $61 | $174 | 330 | 2,633 | -9.7% |
| Mississippi | $60 | $181 | 81 | 1,203 | -11.0% |
| Wisconsin | $60 | $589 | 159 | 1,115 | -11.9% |
| Kentucky | $59 | $130 | 141 | 1,007 | -13.2% |
| Kansas | $58 | $162 | 115 | 1,043 | -13.6% |
| Alabama | $57 | $120 | 118 | 896 | -15.3% |
| Virginia | $57 | $145 | 223 | 2,735 | -15.7% |
| Rhode Island | $56 | $153 | 28 | 170 | -16.8% |
| Arkansas | $56 | $122 | 82 | 875 | -17.5% |
| Michigan | $55 | $133 | 274 | 1,788 | -18.0% |
| West Virginia | $55 | $141 | 52 | 424 | -18.3% |
| Hawaii | $54 | $135 | 19 | 173 | -20.4% |
| Oklahoma | $53 | $134 | 105 | 731 | -22.4% |
| Idaho | $52 | $141 | 38 | 228 | -23.2% |
| Vermont | $48 | $204 | 18 | 184 | -29.0% |
| New Hampshire | $47 | $251 | 50 | 278 | -30.9% |
| Iowa | $47 | $186 | 82 | 696 | -30.9% |
| New Mexico | $46 | $151 | 24 | 228 | -31.8% |
| South Dakota | $44 | $96 | 23 | 191 | -35.7% |
| North Dakota | $42 | $170 | 23 | 204 | -37.9% |
| Maine | $40 | $128 | 45 | 260 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber