93284

Programming of multiple lead implantable defibrillator system

Medicare pricing data for 11,518 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 multiple lead implantable defibrillator system (HCPCS code 93284) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $87.33, but hospitals typically charge $268.91 — a 3.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$17.47

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $87.33, your out-of-pocket cost would be approximately $17.47. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$87.33
Average Hospital Charge
$268.91
Markup Ratio
3.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$268.91
Medicare Allowed$87.33
Medicare Payment$64.71

Hospitals charge 3.1x more than what Medicare allows for this procedure. Medicare actually pays $64.71 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$107$3412955,796+22.2%
Alaska$107$78912391+22.0%
Puerto Rico$106$1081575+21.2%
Maryland$103$2461783,691+18.4%
District of Columbia$101$27032453+15.5%
New York$100$42878911,167+14.6%
Nevada$100$265901,353+14.6%
California$99$2541,14415,626+13.1%
Wyoming$95$1,08321331+8.4%
Florida$93$2321,06315,696+6.9%
Colorado$91$2381651,472+3.8%
Illinois$90$3063418,098+3.5%
Washington$90$2362292,565+3.4%
Pennsylvania$90$2525827,427+3.3%
Arizona$90$2182945,130+2.9%
Delaware$89$20548795+1.6%
Georgia$88$3292695,807+0.7%
Indiana$87$2371684,313-0.2%
Connecticut$87$3091581,998-0.6%
Utah$86$20877909-1.1%
Texas$86$25178713,493-1.3%
South Carolina$86$2532264,005-2.0%
Minnesota$85$3601592,597-2.2%
Massachusetts$85$2833263,761-2.3%
Montana$85$264521,334-3.2%
Hawaii$82$18923260-6.0%
Nebraska$82$2551021,625-6.4%
Louisiana$82$2391901,889-6.6%
Alabama$81$1811642,330-6.8%
Tennessee$81$2182534,483-7.3%
Missouri$80$2332833,484-8.4%
Oregon$79$2401341,670-9.3%
North Carolina$79$2693165,212-9.9%
Ohio$78$2264067,081-10.8%
Michigan$77$1813634,678-11.3%
Virginia$77$2012655,913-11.5%
Mississippi$77$2091102,337-12.2%
Wisconsin$77$7732112,634-12.4%
Kentucky$76$1791972,374-12.8%
Rhode Island$74$19540449-14.9%
Vermont$73$27818428-16.6%
Kansas$72$1981892,938-17.1%
Oklahoma$72$2081662,099-17.4%
Arkansas$71$1671292,515-18.8%
Idaho$71$19453628-18.9%
West Virginia$70$19175948-19.7%
Iowa$70$2831061,713-20.4%
New Mexico$70$21441651-20.4%
New Hampshire$68$35061557-21.9%
South Dakota$61$16431685-30.2%
North Dakota$60$19629556-31.5%
Maine$59$18142487-32.5%

⚠️ 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

💊 Need post-procedure medications? Check costs on OpenPrescriber

🏥 See Medicare hospital data on OpenMedicare