Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days
Medicare pricing data for 9,700 providers across 51 states
This procedure has a 5.1x markup — hospitals charge $184.95 but Medicare allows only $36.09. Uninsured patients may face bills 5.1 times higher than what insurance negotiates. 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, remote up to 90 days (HCPCS code 93295) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $36.09, but hospitals typically charge $184.95 — a 5.1x 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 $36.09, your out-of-pocket cost would be approximately $7.22. 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 5.1x more than what Medicare allows for this procedure. Medicare actually pays $25.73 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $43 | $535 | 11 | 1,904 | +18.0% |
| New York | $39 | $318 | 620 | 37,621 | +8.9% |
| New Jersey | $39 | $156 | 263 | 21,213 | +7.4% |
| California | $38 | $181 | 918 | 42,452 | +6.5% |
| District of Columbia | $38 | $167 | 25 | 1,572 | +6.1% |
| Maryland | $38 | $159 | 163 | 13,094 | +4.4% |
| Massachusetts | $37 | $217 | 267 | 20,259 | +3.5% |
| Illinois | $37 | $219 | 291 | 30,524 | +2.3% |
| Washington | $37 | $138 | 204 | 13,933 | +1.9% |
| Rhode Island | $37 | $150 | 35 | 1,349 | +1.7% |
| Connecticut | $36 | $227 | 141 | 7,269 | +1.0% |
| Florida | $36 | $130 | 929 | 48,512 | +0.9% |
| Colorado | $36 | $143 | 139 | 8,636 | +0.9% |
| Hawaii | $36 | $118 | 24 | 733 | +0.9% |
| Virginia | $36 | $154 | 223 | 25,423 | +0.8% |
| Montana | $36 | $128 | 44 | 3,453 | +0.3% |
| Pennsylvania | $36 | $172 | 457 | 40,114 | +0.2% |
| Oregon | $36 | $162 | 120 | 7,259 | -0.3% |
| Nevada | $36 | $139 | 55 | 2,740 | -0.6% |
| Texas | $36 | $170 | 701 | 46,557 | -1.0% |
| New Hampshire | $36 | $362 | 51 | 3,475 | -1.1% |
| North Dakota | $36 | $219 | 20 | 2,200 | -1.4% |
| Minnesota | $36 | $203 | 98 | 11,830 | -1.6% |
| Georgia | $36 | $198 | 231 | 21,108 | -1.6% |
| Maine | $35 | $165 | 40 | 2,722 | -1.9% |
| Michigan | $35 | $150 | 326 | 18,169 | -1.9% |
| Arizona | $35 | $128 | 255 | 15,514 | -2.0% |
| Vermont | $35 | $190 | 16 | 1,265 | -2.1% |
| Ohio | $35 | $172 | 338 | 28,749 | -2.1% |
| Missouri | $35 | $199 | 251 | 18,211 | -2.4% |
| West Virginia | $35 | $136 | 47 | 6,024 | -2.4% |
| North Carolina | $35 | $210 | 210 | 24,305 | -2.5% |
| South Carolina | $35 | $187 | 203 | 17,814 | -2.7% |
| Utah | $35 | $162 | 48 | 3,146 | -2.7% |
| South Dakota | $35 | $202 | 20 | 3,033 | -2.7% |
| New Mexico | $35 | $119 | 34 | 2,653 | -2.8% |
| Louisiana | $35 | $165 | 244 | 11,440 | -2.9% |
| Delaware | $35 | $172 | 38 | 3,878 | -3.4% |
| Wisconsin | $35 | $484 | 144 | 11,503 | -3.5% |
| Kansas | $35 | $158 | 166 | 11,779 | -3.7% |
| Oklahoma | $35 | $169 | 162 | 11,532 | -4.0% |
| Indiana | $35 | $175 | 150 | 18,104 | -4.2% |
| Kentucky | $34 | $132 | 161 | 11,800 | -4.7% |
| Alabama | $34 | $112 | 166 | 11,561 | -4.7% |
| Nebraska | $34 | $121 | 62 | 6,970 | -4.9% |
| Iowa | $34 | $190 | 104 | 8,870 | -5.0% |
| Idaho | $34 | $145 | 53 | 2,919 | -5.2% |
| Mississippi | $34 | $200 | 88 | 6,912 | -5.2% |
| Wyoming | $34 | $286 | 10 | 610 | -5.5% |
| Tennessee | $34 | $177 | 217 | 20,460 | -5.6% |
| Arkansas | $33 | $142 | 114 | 9,499 | -9.0% |
⚠️ 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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