Evaluation of single, dual, multiple lead or leadless pacemaker system
Medicare pricing data for 9,741 providers across 52 states
Prices vary significantly by location — from $22 in Idaho to $55 in Puerto Rico. 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
Evaluation of single, dual, multiple lead or leadless pacemaker system (HCPCS code 93288) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $41.57, but hospitals typically charge $112.08 — a 2.7x 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 $41.57, your out-of-pocket cost would be approximately $8.31. 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 2.7x more than what Medicare allows for this procedure. Medicare actually pays $30.40 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $55 | $67 | 77 | 753 | +32.9% |
| California | $55 | $125 | 1,005 | 18,883 | +32.8% |
| Wyoming | $52 | $219 | 14 | 111 | +25.2% |
| Delaware | $52 | $91 | 40 | 418 | +25.1% |
| New Jersey | $51 | $153 | 302 | 4,785 | +22.9% |
| Nevada | $48 | $114 | 85 | 1,271 | +14.6% |
| District of Columbia | $47 | $102 | 22 | 265 | +13.4% |
| Nebraska | $47 | $118 | 30 | 501 | +12.9% |
| New York | $47 | $206 | 598 | 7,100 | +12.5% |
| North Carolina | $46 | $116 | 226 | 5,061 | +10.5% |
| Florida | $46 | $112 | 979 | 15,246 | +10.4% |
| South Carolina | $46 | $106 | 175 | 1,848 | +10.3% |
| Pennsylvania | $45 | $98 | 351 | 3,998 | +8.3% |
| Virginia | $45 | $100 | 229 | 3,684 | +7.5% |
| Connecticut | $44 | $144 | 96 | 627 | +6.7% |
| Maryland | $44 | $101 | 161 | 5,189 | +5.9% |
| Alabama | $43 | $95 | 123 | 1,326 | +4.4% |
| Massachusetts | $41 | $136 | 288 | 6,040 | -0.7% |
| Rhode Island | $41 | $85 | 25 | 155 | -1.3% |
| Arizona | $40 | $95 | 215 | 3,925 | -4.0% |
| Washington | $40 | $96 | 206 | 3,990 | -4.4% |
| Hawaii | $39 | $96 | 39 | 904 | -5.6% |
| Illinois | $39 | $110 | 301 | 5,905 | -5.6% |
| Mississippi | $39 | $105 | 82 | 2,642 | -7.2% |
| Arkansas | $38 | $82 | 126 | 3,052 | -8.3% |
| Texas | $38 | $112 | 737 | 11,795 | -8.6% |
| Indiana | $38 | $80 | 167 | 3,620 | -8.9% |
| Georgia | $38 | $114 | 226 | 3,316 | -8.9% |
| Utah | $38 | $77 | 101 | 2,224 | -9.4% |
| New Hampshire | $37 | $104 | 63 | 712 | -11.8% |
| Oklahoma | $36 | $70 | 140 | 2,311 | -13.2% |
| Colorado | $35 | $114 | 137 | 1,297 | -15.0% |
| Louisiana | $35 | $106 | 159 | 2,600 | -15.6% |
| South Dakota | $35 | $85 | 22 | 370 | -16.0% |
| Kansas | $35 | $96 | 121 | 2,170 | -16.1% |
| Tennessee | $35 | $76 | 268 | 6,239 | -16.9% |
| North Dakota | $34 | $116 | 7 | 30 | -17.4% |
| New Mexico | $34 | $91 | 35 | 546 | -17.8% |
| Ohio | $34 | $74 | 334 | 4,751 | -18.5% |
| Michigan | $34 | $93 | 346 | 3,030 | -18.6% |
| Oregon | $33 | $115 | 67 | 329 | -20.1% |
| Alaska | $32 | $175 | 20 | 425 | -22.7% |
| Wisconsin | $32 | $249 | 164 | 3,234 | -22.8% |
| Montana | $31 | $113 | 30 | 513 | -24.8% |
| Kentucky | $31 | $69 | 185 | 3,125 | -25.7% |
| Minnesota | $30 | $117 | 101 | 551 | -26.7% |
| West Virginia | $28 | $79 | 98 | 2,927 | -32.9% |
| Iowa | $27 | $91 | 92 | 999 | -34.2% |
| Missouri | $27 | $82 | 219 | 3,010 | -35.0% |
| Vermont | $27 | $103 | 18 | 164 | -36.2% |
| Maine | $26 | $81 | 36 | 265 | -36.5% |
| Idaho | $22 | $62 | 47 | 1,519 | -46.1% |
⚠️ 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