Programming of single, dual, or multiple lead or leadless pacemaker system before or after surgery
Medicare pricing data for 2,049 providers across 50 states
Prices vary significantly by location — from $12 in Utah to $46 in Delaware. 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, dual, or multiple lead or leadless pacemaker system before or after surgery (HCPCS code 93286) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $19.94, but hospitals typically charge $91.30 — a 4.6x 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 $19.94, your out-of-pocket cost would be approximately $3.99. 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 4.6x more than what Medicare allows for this procedure. Medicare actually pays $15.58 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $46 | $105 | 5 | 109 | +129.3% |
| Texas | $35 | $165 | 147 | 2,753 | +75.4% |
| North Carolina | $26 | $117 | 50 | 533 | +28.0% |
| Massachusetts | $24 | $104 | 96 | 2,004 | +19.8% |
| California | $24 | $92 | 146 | 1,761 | +19.0% |
| Minnesota | $23 | $85 | 79 | 2,382 | +13.8% |
| Alaska | $22 | $155 | 10 | 218 | +12.7% |
| Florida | $21 | $103 | 119 | 1,849 | +7.4% |
| Indiana | $20 | $50 | 34 | 123 | +1.5% |
| Pennsylvania | $20 | $63 | 130 | 2,089 | -1.4% |
| New Jersey | $20 | $91 | 31 | 198 | -1.9% |
| Missouri | $20 | $58 | 40 | 210 | -2.0% |
| Arizona | $19 | $126 | 56 | 1,728 | -2.9% |
| Maryland | $19 | $57 | 19 | 351 | -4.0% |
| New York | $19 | $96 | 113 | 2,031 | -5.8% |
| Iowa | $19 | $59 | 24 | 88 | -6.0% |
| Georgia | $17 | $69 | 61 | 749 | -17.2% |
| New Hampshire | $17 | $141 | 21 | 272 | -17.2% |
| Washington | $15 | $42 | 56 | 588 | -23.5% |
| District of Columbia | $15 | $54 | 5 | 56 | -24.0% |
| South Carolina | $15 | $60 | 30 | 345 | -24.4% |
| Wisconsin | $15 | $187 | 86 | 1,348 | -24.4% |
| Colorado | $15 | $58 | 26 | 222 | -26.6% |
| Michigan | $15 | $63 | 57 | 878 | -26.7% |
| Montana | $14 | $42 | 20 | 370 | -27.4% |
| Ohio | $14 | $56 | 95 | 1,117 | -27.5% |
| Nevada | $14 | $54 | 6 | 19 | -27.7% |
| North Dakota | $14 | $48 | 8 | 439 | -28.1% |
| Kentucky | $14 | $40 | 34 | 232 | -28.4% |
| Vermont | $14 | $93 | 8 | 59 | -28.8% |
| South Dakota | $14 | $37 | 7 | 42 | -29.1% |
| Maine | $14 | $41 | 20 | 240 | -29.1% |
| Rhode Island | $14 | $38 | 1 | 71 | -29.1% |
| New Mexico | $14 | $51 | 5 | 23 | -29.2% |
| Louisiana | $14 | $54 | 11 | 28 | -29.3% |
| Virginia | $14 | $36 | 63 | 1,430 | -29.8% |
| Kansas | $14 | $92 | 26 | 575 | -29.9% |
| Alabama | $14 | $26 | 15 | 71 | -30.1% |
| Mississippi | $14 | $64 | 4 | 40 | -30.4% |
| Connecticut | $14 | $70 | 23 | 221 | -30.7% |
| Oklahoma | $14 | $48 | 13 | 51 | -30.8% |
| Tennessee | $14 | $39 | 40 | 210 | -30.8% |
| Nebraska | $14 | $89 | 4 | 23 | -31.0% |
| Arkansas | $14 | $44 | 6 | 168 | -31.7% |
| Illinois | $14 | $84 | 68 | 997 | -31.9% |
| Oregon | $14 | $41 | 30 | 374 | -32.3% |
| Wyoming | $13 | $92 | 5 | 79 | -32.9% |
| Idaho | $13 | $53 | 9 | 76 | -33.2% |
| West Virginia | $12 | $41 | 7 | 37 | -37.6% |
| Utah | $12 | $34 | 24 | 865 | -37.8% |
⚠️ 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
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