Evaluation of single, dual, or multiple lead implantable defibrillator system
Medicare pricing data for 6,553 providers across 52 states
Prices vary significantly by location — from $35 in Vermont to $73 in Wyoming. 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, or multiple lead implantable defibrillator system (HCPCS code 93289) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $56.61, but hospitals typically charge $167.31 — a 3.0x 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 $56.61, your out-of-pocket cost would be approximately $11.32. 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 3.0x more than what Medicare allows for this procedure. Medicare actually pays $41.38 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Wyoming | $73 | $669 | 7 | 47 | +28.7% |
| Puerto Rico | $71 | $73 | 34 | 231 | +25.4% |
| California | $70 | $188 | 649 | 5,735 | +23.3% |
| Delaware | $67 | $161 | 37 | 236 | +19.0% |
| New Jersey | $67 | $187 | 180 | 1,467 | +18.2% |
| New York | $66 | $281 | 386 | 2,520 | +16.8% |
| Nebraska | $65 | $174 | 20 | 204 | +15.0% |
| Florida | $62 | $158 | 667 | 5,266 | +10.0% |
| North Carolina | $61 | $169 | 160 | 1,715 | +7.3% |
| Maryland | $60 | $144 | 124 | 2,674 | +5.7% |
| Pennsylvania | $59 | $148 | 262 | 1,772 | +5.0% |
| South Carolina | $59 | $183 | 110 | 586 | +4.2% |
| Alabama | $58 | $135 | 81 | 444 | +3.1% |
| District of Columbia | $58 | $172 | 17 | 172 | +2.6% |
| Mississippi | $58 | $157 | 59 | 738 | +2.3% |
| Virginia | $58 | $154 | 157 | 1,420 | +2.0% |
| Nevada | $58 | $167 | 55 | 375 | +1.9% |
| North Dakota | $57 | $196 | 7 | 30 | +1.5% |
| Massachusetts | $56 | $214 | 220 | 1,994 | -0.4% |
| Illinois | $56 | $175 | 221 | 2,263 | -1.2% |
| Arizona | $54 | $145 | 156 | 1,399 | -3.9% |
| Texas | $54 | $176 | 474 | 4,237 | -3.9% |
| Alaska | $54 | $331 | 13 | 118 | -4.6% |
| Indiana | $53 | $135 | 118 | 1,405 | -5.9% |
| Connecticut | $53 | $201 | 59 | 177 | -6.3% |
| Michigan | $53 | $133 | 178 | 1,246 | -6.4% |
| Minnesota | $53 | $207 | 79 | 249 | -6.6% |
| Georgia | $52 | $171 | 165 | 1,273 | -7.8% |
| Kansas | $52 | $150 | 90 | 850 | -8.0% |
| Hawaii | $52 | $136 | 30 | 356 | -8.3% |
| Louisiana | $52 | $171 | 111 | 979 | -8.5% |
| Oklahoma | $51 | $119 | 88 | 852 | -10.8% |
| Utah | $50 | $131 | 59 | 764 | -11.0% |
| South Dakota | $50 | $158 | 12 | 150 | -11.7% |
| Arkansas | $50 | $130 | 90 | 1,130 | -12.1% |
| Montana | $50 | $129 | 18 | 117 | -12.3% |
| Washington | $50 | $130 | 135 | 1,608 | -12.3% |
| New Hampshire | $49 | $163 | 43 | 250 | -12.8% |
| Oregon | $49 | $158 | 37 | 66 | -13.7% |
| Ohio | $48 | $129 | 247 | 1,762 | -14.4% |
| Missouri | $48 | $144 | 141 | 1,116 | -14.6% |
| Maine | $48 | $138 | 24 | 87 | -14.7% |
| Tennessee | $48 | $132 | 181 | 2,354 | -14.8% |
| Wisconsin | $48 | $350 | 106 | 1,059 | -15.9% |
| Colorado | $47 | $206 | 93 | 477 | -16.8% |
| New Mexico | $47 | $149 | 16 | 148 | -17.4% |
| Rhode Island | $46 | $126 | 14 | 58 | -19.3% |
| Kentucky | $44 | $110 | 132 | 1,132 | -22.3% |
| West Virginia | $44 | $116 | 70 | 1,060 | -22.4% |
| Iowa | $41 | $150 | 68 | 420 | -26.9% |
| Idaho | $35 | $105 | 28 | 438 | -37.3% |
| Vermont | $35 | $158 | 13 | 42 | -37.6% |
⚠️ 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
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