Programming of cardiac rhythm monitor system
Medicare pricing data for 4,254 providers across 48 states
Prices vary significantly by location — from $24 in Iowa to $66 in Maryland. 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 cardiac rhythm monitor system (HCPCS code 93285) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $52.99, but hospitals typically charge $151.24 — a 2.9x 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 $52.99, your out-of-pocket cost would be approximately $10.60. 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 2.9x more than what Medicare allows for this procedure. Medicare actually pays $40.06 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $66 | $133 | 51 | 832 | +24.7% |
| New Jersey | $65 | $184 | 122 | 2,531 | +23.4% |
| New York | $64 | $266 | 336 | 4,827 | +21.3% |
| Alaska | $64 | $385 | 5 | 137 | +20.6% |
| California | $60 | $135 | 444 | 4,819 | +14.0% |
| Montana | $60 | $287 | 6 | 32 | +13.4% |
| Puerto Rico | $60 | $69 | 9 | 68 | +13.3% |
| Nevada | $59 | $165 | 20 | 49 | +11.9% |
| Delaware | $59 | $97 | 10 | 187 | +10.9% |
| Arizona | $54 | $132 | 166 | 2,638 | +2.5% |
| Arkansas | $54 | $128 | 17 | 264 | +2.0% |
| District of Columbia | $53 | $81 | 19 | 403 | +0.9% |
| New Mexico | $52 | $125 | 4 | 27 | -1.0% |
| Illinois | $52 | $142 | 151 | 1,314 | -2.5% |
| Virginia | $51 | $118 | 112 | 925 | -3.3% |
| Indiana | $50 | $116 | 46 | 197 | -5.3% |
| Georgia | $50 | $155 | 94 | 537 | -5.5% |
| Florida | $50 | $112 | 492 | 4,152 | -5.9% |
| Pennsylvania | $49 | $147 | 225 | 2,541 | -6.7% |
| Texas | $49 | $128 | 324 | 4,050 | -6.9% |
| Utah | $48 | $122 | 18 | 93 | -8.7% |
| Maine | $48 | $113 | 9 | 87 | -8.7% |
| Massachusetts | $47 | $162 | 98 | 491 | -11.0% |
| Kansas | $47 | $120 | 30 | 107 | -11.9% |
| Michigan | $46 | $94 | 142 | 1,075 | -12.5% |
| Washington | $46 | $120 | 70 | 248 | -12.6% |
| Colorado | $46 | $120 | 57 | 204 | -12.7% |
| Connecticut | $46 | $151 | 38 | 165 | -12.9% |
| Kentucky | $46 | $95 | 60 | 244 | -13.8% |
| Wisconsin | $46 | $422 | 90 | 650 | -14.0% |
| Alabama | $45 | $104 | 36 | 140 | -15.8% |
| South Carolina | $44 | $117 | 89 | 708 | -16.5% |
| Tennessee | $43 | $103 | 73 | 470 | -19.4% |
| Mississippi | $43 | $108 | 54 | 1,171 | -19.7% |
| Ohio | $42 | $102 | 111 | 587 | -19.9% |
| North Carolina | $42 | $118 | 150 | 819 | -21.0% |
| Minnesota | $42 | $158 | 37 | 155 | -21.2% |
| Missouri | $37 | $121 | 66 | 338 | -29.3% |
| West Virginia | $37 | $95 | 27 | 83 | -29.3% |
| Louisiana | $37 | $102 | 68 | 203 | -29.5% |
| Oklahoma | $36 | $88 | 69 | 264 | -31.4% |
| Oregon | $35 | $117 | 33 | 102 | -33.1% |
| Rhode Island | $34 | $98 | 17 | 56 | -35.1% |
| Nebraska | $31 | $103 | 43 | 208 | -40.9% |
| Idaho | $29 | $70 | 30 | 256 | -45.3% |
| South Dakota | $25 | $250 | 5 | 49 | -53.1% |
| North Dakota | $25 | $80 | 10 | 58 | -53.3% |
| Iowa | $24 | $92 | 9 | 42 | -54.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber