Evaluation of implantable heart and blood vessel monitoring system
Medicare pricing data for 3,795 providers across 46 states
Prices vary significantly by location — from $18 in New Mexico to $55 in Hawaii. 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 implantable heart and blood vessel monitoring system (HCPCS code 93290) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $39.83, but hospitals typically charge $108.41 — 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 $39.83, your out-of-pocket cost would be approximately $7.97. 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 $30.04 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Hawaii | $55 | $75 | 4 | 65 | +38.9% |
| District of Columbia | $52 | $140 | 8 | 392 | +30.8% |
| New Jersey | $50 | $161 | 153 | 4,545 | +25.7% |
| Maryland | $48 | $109 | 102 | 4,364 | +20.8% |
| Connecticut | $48 | $150 | 34 | 767 | +19.9% |
| Pennsylvania | $46 | $77 | 147 | 2,572 | +15.2% |
| California | $46 | $97 | 400 | 9,430 | +14.4% |
| Wyoming | $45 | $123 | 1 | 63 | +14.0% |
| Puerto Rico | $45 | $54 | 17 | 130 | +13.9% |
| Utah | $44 | $90 | 3 | 64 | +11.2% |
| Nevada | $44 | $73 | 27 | 962 | +10.8% |
| Illinois | $44 | $139 | 67 | 1,328 | +10.3% |
| Colorado | $43 | $100 | 58 | 393 | +7.2% |
| New York | $42 | $198 | 366 | 6,828 | +6.2% |
| North Dakota | $42 | $76 | 2 | 32 | +6.2% |
| Alabama | $42 | $74 | 14 | 63 | +5.8% |
| Florida | $42 | $102 | 531 | 9,634 | +5.2% |
| Minnesota | $42 | $158 | 49 | 400 | +4.3% |
| Massachusetts | $41 | $111 | 68 | 1,997 | +3.8% |
| Delaware | $41 | $86 | 26 | 587 | +3.6% |
| West Virginia | $41 | $62 | 9 | 371 | +2.5% |
| Nebraska | $41 | $116 | 21 | 586 | +1.8% |
| Louisiana | $40 | $82 | 54 | 452 | -0.8% |
| Georgia | $39 | $121 | 79 | 1,811 | -2.2% |
| New Hampshire | $39 | $155 | 3 | 125 | -3.0% |
| North Carolina | $38 | $108 | 77 | 2,357 | -4.6% |
| Texas | $38 | $112 | 225 | 4,939 | -5.4% |
| Oklahoma | $38 | $92 | 38 | 388 | -5.6% |
| Wisconsin | $37 | $348 | 29 | 311 | -6.8% |
| South Carolina | $37 | $98 | 72 | 807 | -6.9% |
| Michigan | $37 | $91 | 133 | 1,751 | -7.7% |
| Ohio | $35 | $75 | 144 | 3,256 | -12.2% |
| Indiana | $33 | $70 | 58 | 1,176 | -17.0% |
| Missouri | $33 | $77 | 124 | 1,616 | -17.9% |
| Kansas | $32 | $103 | 127 | 2,619 | -18.7% |
| Washington | $32 | $90 | 21 | 104 | -19.6% |
| Tennessee | $32 | $75 | 71 | 2,569 | -19.6% |
| Arizona | $32 | $94 | 49 | 538 | -20.4% |
| Mississippi | $30 | $67 | 41 | 705 | -24.1% |
| Kentucky | $30 | $64 | 61 | 1,322 | -25.9% |
| Rhode Island | $28 | $54 | 25 | 288 | -28.8% |
| Iowa | $28 | $80 | 14 | 52 | -30.7% |
| Virginia | $27 | $72 | 93 | 3,106 | -31.8% |
| Arkansas | $25 | $55 | 92 | 2,733 | -38.3% |
| Idaho | $24 | $66 | 22 | 300 | -39.2% |
| New Mexico | $18 | $62 | 1 | 62 | -56.0% |
⚠️ 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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