93282

Programming of single lead implantable defibrillator system

Medicare pricing data for 9,093 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $40 in Maine to $80 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 implantable defibrillator system (HCPCS code 93282) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $65.25, but hospitals typically charge $206.01 — a 3.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$13.05

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $65.25, your out-of-pocket cost would be approximately $13.05. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$65.25
Average Hospital Charge
$206.01
Markup Ratio
3.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$206.01
Medicare Allowed$65.25
Medicare Payment$47.05

Hospitals charge 3.2x more than what Medicare allows for this procedure. Medicare actually pays $47.05 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$80$5337138+23.3%
New Jersey$80$2552502,385+23.0%
Puerto Rico$80$811428+22.2%
Maryland$78$1861722,429+19.8%
New York$76$3487107,440+17.1%
Nevada$76$20665427+16.1%
California$74$1888344,705+13.8%
Hawaii$74$15527191+13.0%
District of Columbia$73$20529285+12.3%
Colorado$69$174116614+5.8%
Florida$69$1647945,005+5.0%
Illinois$68$2182873,011+3.7%
Wyoming$68$5511585+3.6%
Arizona$67$1742061,055+2.8%
Delaware$67$15747456+2.5%
Washington$67$1751881,180+2.4%
South Carolina$67$1791771,098+2.1%
Pennsylvania$66$1744813,496+1.6%
Indiana$66$1801421,642+1.3%
Connecticut$65$239129812+0.1%
Utah$65$15142133-0.8%
Georgia$64$2212162,188-2.1%
Massachusetts$63$1962962,521-3.4%
Texas$62$1765543,324-5.5%
Minnesota$61$2791431,143-5.8%
Montana$61$18044437-7.2%
Alabama$60$122129842-7.6%
Tennessee$59$1532041,495-8.8%
Missouri$59$1762141,141-10.3%
Wisconsin$58$5361741,370-11.7%
Virginia$58$1482292,232-11.7%
Kentucky$58$133156927-11.8%
Nebraska$57$18271385-11.9%
Louisiana$57$1761651,001-12.0%
Michigan$57$1303032,302-12.7%
Ohio$57$1613172,236-13.4%
Kansas$56$13892312-14.9%
Oregon$55$163104776-15.8%
Mississippi$54$157971,048-16.9%
Rhode Island$54$14131154-17.0%
New Mexico$54$16832202-17.7%
Oklahoma$54$141126736-17.8%
Idaho$53$14140274-19.0%
West Virginia$52$14051325-20.0%
North Carolina$52$1612661,999-20.1%
Arkansas$49$11788410-25.0%
New Hampshire$49$21756333-25.2%
Vermont$48$20018244-26.4%
Iowa$47$18868332-27.9%
North Dakota$41$15825229-36.5%
South Dakota$41$16221269-36.6%
Maine$40$12330209-38.6%

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

Related from TheDataProject.ai

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