93283

Programming of dual lead implantable defibrillator system

Medicare pricing data for 11,463 providers across 52 states

🤖AI Overview

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 implantable defibrillator system (HCPCS code 93283) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $81.26, but hospitals typically charge $238.29 — a 2.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$16.25

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $81.26, your out-of-pocket cost would be approximately $16.25. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$81.26
Average Hospital Charge
$238.29
Markup Ratio
2.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$238.29
Medicare Allowed$81.26
Medicare Payment$59.61

Hospitals charge 2.9x more than what Medicare allows for this procedure. Medicare actually pays $59.61 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$100$3252994,780+22.5%
Alaska$99$64911213+21.4%
New York$95$3898178,995+16.4%
Maryland$94$2151812,715+15.7%
District of Columbia$93$23136388+14.1%
Nevada$93$241921,133+13.9%
California$92$2251,15214,504+12.9%
Puerto Rico$91$931341+12.5%
Wyoming$87$84721260+6.9%
Florida$86$2101,04912,514+5.9%
Colorado$86$2271531,327+5.8%
Pennsylvania$85$2035696,352+4.9%
Illinois$85$2713396,416+4.4%
Arizona$84$1962994,034+2.9%
Washington$84$2222381,961+2.8%
Indiana$82$2201673,948+0.9%
South Carolina$81$2282193,400+0.2%
Delaware$81$19150582-0.3%
Minnesota$81$3301652,519-0.6%
Massachusetts$81$2643173,074-0.7%
Texas$80$22576010,041-1.5%
Utah$80$18971715-1.8%
Georgia$79$2732634,013-2.4%
Connecticut$78$2841421,519-3.9%
Missouri$77$2062903,100-4.8%
Nebraska$77$227971,141-5.2%
Tennessee$76$2012443,351-6.4%
Alabama$76$1601682,140-6.9%
Montana$76$23147775-6.9%
Louisiana$74$2241871,427-8.4%
Hawaii$74$17227256-8.7%
Virginia$73$1852624,068-10.2%
North Carolina$73$2383254,509-10.7%
Michigan$72$1653744,070-11.0%
Oregon$72$2151401,187-11.3%
Rhode Island$72$18239391-11.5%
Ohio$72$2034116,141-11.9%
Kentucky$71$1712062,288-12.7%
Wisconsin$71$6172002,206-12.8%
Mississippi$70$1841061,679-13.5%
Oklahoma$68$1721751,753-16.6%
New Mexico$68$18142497-16.7%
Kansas$67$1741722,564-17.9%
Idaho$66$18054464-18.2%
Vermont$66$22518367-18.9%
Arkansas$65$1491332,893-20.4%
Iowa$64$2211021,538-20.9%
West Virginia$63$17571654-22.5%
New Hampshire$61$33357315-24.7%
North Dakota$56$17632474-31.2%
South Dakota$55$16127498-31.7%
Maine$54$16333404-33.6%

⚠️ 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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