93293

Telephonic rhythm strip evaluation of single, dual, multiple lead or leadless pacemaker system, up to 90 days

Medicare pricing data for 285 providers across 27 states

🤖AI Overview

Prices vary significantly by location — from $14 in Virginia to $54 in California. 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

Telephonic rhythm strip evaluation of single, dual, multiple lead or leadless pacemaker system, up to 90 days (HCPCS code 93293) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $26.54, but hospitals typically charge $55.29 — a 2.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.31

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $26.54, your out-of-pocket cost would be approximately $5.31. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$26.54
Average Hospital Charge
$55.29
Markup Ratio
2.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$55.29
Medicare Allowed$26.54
Medicare Payment$19.91

Hospitals charge 2.1x more than what Medicare allows for this procedure. Medicare actually pays $19.91 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$54$28712173+103.0%
Massachusetts$52$1539110+96.6%
Maryland$47$108726+78.7%
Minnesota$46$2381868+73.8%
Michigan$43$110224+63.0%
Florida$43$7623176+62.5%
Pennsylvania$43$14537151+60.8%
Nebraska$42$134843+58.2%
Tennessee$41$146259+56.2%
Indiana$41$1481117+54.3%
Ohio$39$83312+47.7%
Iowa$39$118634+46.8%
Alaska$39$50239+46.3%
Alabama$37$131875+40.9%
Missouri$37$397106+39.4%
West Virginia$35$94118+30.5%
North Carolina$31$111917+17.0%
New York$28$62282,363+7.0%
Idaho$25$89624-5.3%
Illinois$24$35147,184-8.0%
Texas$23$11816124-14.2%
Wisconsin$22$196418-15.4%
South Carolina$18$978116-33.8%
New Jersey$16$6218842-38.5%
New Hampshire$14$200421-46.0%
Montana$14$493117-47.1%
Virginia$14$3610117-47.6%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber