93297

Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days

Medicare pricing data for 5,874 providers across 52 states

🤖AI Overview

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, remote up to 30 days (HCPCS code 93297) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $25.77, but hospitals typically charge $90.52 — a 3.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.15

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $25.77, your out-of-pocket cost would be approximately $5.15. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$25.77
Average Hospital Charge
$90.52
Markup Ratio
3.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$90.52
Medicare Allowed$25.77
Medicare Payment$19.13

Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $19.13 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$30$21962,993+14.6%
New York$28$24946154,749+10.4%
District of Columbia$27$7214381+6.2%
New Jersey$27$8121431,877+6.0%
California$27$7663585,925+5.5%
Maryland$27$6010612,738+5.0%
Massachusetts$26$7914210,119+2.0%
Rhode Island$26$6421815+0.9%
Montana$26$7861,680+0.8%
Hawaii$26$109426+0.8%
Florida$26$6364763,050+0.7%
Illinois$26$9311415,344+0.7%
Michigan$26$5815915,597+0.7%
Pennsylvania$26$7025019,4650.0%
Connecticut$26$86683,939-0.3%
Colorado$25$64624,525-1.4%
Puerto Rico$25$26121-1.6%
Delaware$25$105384,994-1.7%
Nevada$25$74314,128-1.7%
Washington$25$66631,851-1.7%
Texas$25$8352658,733-2.4%
Virginia$25$6414621,068-2.4%
Arizona$25$6224023,894-3.2%
Georgia$25$9214513,503-3.3%
Maine$25$574135-3.5%
New Mexico$25$70163,894-3.6%
Missouri$25$7611311,284-3.6%
West Virginia$25$65215,953-4.0%
Minnesota$25$106471,848-4.4%
Vermont$25$5510835-4.4%
Wyoming$25$935266-4.4%
North Dakota$25$112111,404-4.5%
Ohio$25$7019018,388-4.6%
South Carolina$25$7615919,404-4.6%
Louisiana$25$731319,347-4.6%
Wisconsin$25$305473,087-4.9%
Oklahoma$24$6410410,979-5.0%
North Carolina$24$8711515,020-5.1%
Kentucky$24$711027,370-5.4%
Oregon$24$7117617-5.9%
Utah$24$859591-5.9%
Alabama$24$48907,250-6.6%
Idaho$24$67181,228-6.9%
Kansas$24$6912010,326-7.3%
Tennessee$24$6911916,898-7.4%
New Hampshire$24$156201,827-7.6%
Indiana$23$71768,098-9.1%
Mississippi$23$59666,376-9.7%
Nebraska$23$72306,595-9.9%
Iowa$22$84463,093-13.0%
Arkansas$22$57764,618-14.1%
South Dakota$21$865568-19.5%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber

🏥 See Medicare hospital data on OpenMedicare