93288

Evaluation of single, dual, multiple lead or leadless pacemaker system

Medicare pricing data for 9,741 providers across 52 states

🤖AI Overview

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

$8.31

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.

Average Allowed Cost
$41.57
Average Hospital Charge
$112.08
Markup Ratio
2.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$112.08
Medicare Allowed$41.57
Medicare Payment$30.40

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

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$55$6777753+32.9%
California$55$1251,00518,883+32.8%
Wyoming$52$21914111+25.2%
Delaware$52$9140418+25.1%
New Jersey$51$1533024,785+22.9%
Nevada$48$114851,271+14.6%
District of Columbia$47$10222265+13.4%
Nebraska$47$11830501+12.9%
New York$47$2065987,100+12.5%
North Carolina$46$1162265,061+10.5%
Florida$46$11297915,246+10.4%
South Carolina$46$1061751,848+10.3%
Pennsylvania$45$983513,998+8.3%
Virginia$45$1002293,684+7.5%
Connecticut$44$14496627+6.7%
Maryland$44$1011615,189+5.9%
Alabama$43$951231,326+4.4%
Massachusetts$41$1362886,040-0.7%
Rhode Island$41$8525155-1.3%
Arizona$40$952153,925-4.0%
Washington$40$962063,990-4.4%
Hawaii$39$9639904-5.6%
Illinois$39$1103015,905-5.6%
Mississippi$39$105822,642-7.2%
Arkansas$38$821263,052-8.3%
Texas$38$11273711,795-8.6%
Indiana$38$801673,620-8.9%
Georgia$38$1142263,316-8.9%
Utah$38$771012,224-9.4%
New Hampshire$37$10463712-11.8%
Oklahoma$36$701402,311-13.2%
Colorado$35$1141371,297-15.0%
Louisiana$35$1061592,600-15.6%
South Dakota$35$8522370-16.0%
Kansas$35$961212,170-16.1%
Tennessee$35$762686,239-16.9%
North Dakota$34$116730-17.4%
New Mexico$34$9135546-17.8%
Ohio$34$743344,751-18.5%
Michigan$34$933463,030-18.6%
Oregon$33$11567329-20.1%
Alaska$32$17520425-22.7%
Wisconsin$32$2491643,234-22.8%
Montana$31$11330513-24.8%
Kentucky$31$691853,125-25.7%
Minnesota$30$117101551-26.7%
West Virginia$28$79982,927-32.9%
Iowa$27$9192999-34.2%
Missouri$27$822193,010-35.0%
Vermont$27$10318164-36.2%
Maine$26$8136265-36.5%
Idaho$22$62471,519-46.1%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber