93503

Insertion of tube in pulmonary artery for monitoring

Medicare pricing data for 8,625 providers across 51 states

🤖AI Overview

This procedure has a 13.7x markup — hospitals charge $1,185 but Medicare allows only $86.64. Uninsured patients may face bills 13.7 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

Insertion of tube in pulmonary artery for monitoring (HCPCS code 93503) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $86.64, but hospitals typically charge $1,185 — a 13.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$17.33

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $86.64, your out-of-pocket cost would be approximately $17.33. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$86.64
Average Hospital Charge
$1,185
Markup Ratio
13.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,185.21
Medicare Allowed$86.64
Medicare Payment$69.05

Hospitals charge 13.7x more than what Medicare allows for this procedure. Medicare actually pays $69.05 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$118$2,1551078+36.6%
New York$94$1,6724953,122+8.5%
District of Columbia$92$71250240+6.0%
New Jersey$91$9591721,218+4.8%
Massachusetts$90$7542741,471+3.5%
Illinois$90$1,4044261,989+3.5%
California$90$1,1187414,824+3.4%
Maryland$89$871124664+3.2%
Florida$89$1,2456673,414+2.3%
Connecticut$89$1,54193388+2.2%
Washington$88$906168815+1.2%
Rhode Island$87$3982561+0.6%
Pennsylvania$87$9695092,833+0.5%
Delaware$87$1,50626190+0.3%
Nevada$86$1,32355422-0.2%
New Hampshire$86$1,53244432-0.2%
Colorado$86$1,00076383-0.3%
Montana$86$78441250-0.6%
Virginia$86$1,0362211,245-0.7%
West Virginia$86$1,09642259-0.7%
Michigan$86$1,8782791,145-1.0%
Missouri$86$9722151,318-1.1%
Wyoming$85$1,407834-1.6%
Texas$85$1,6806263,799-1.6%
Hawaii$85$9271578-1.6%
Arizona$85$1,5031361,219-2.0%
Georgia$85$1,0992561,303-2.0%
Louisiana$85$787153729-2.1%
Utah$85$1,01376340-2.3%
Vermont$85$1,1051034-2.3%
Oregon$85$1,049100589-2.3%
New Mexico$84$1,21833212-2.7%
Ohio$84$9324772,094-2.7%
Kentucky$84$807127635-3.2%
North Dakota$84$75332101-3.2%
Kansas$84$86447223-3.5%
North Carolina$84$1,5332881,632-3.6%
Minnesota$83$1,284168917-4.0%
Oklahoma$83$82987899-4.2%
South Carolina$83$883118845-4.2%
Maine$83$5322384-4.2%
Mississippi$83$87267242-4.7%
Alabama$83$711156850-4.7%
Iowa$82$1,23197591-5.2%
Wisconsin$82$1,641191981-5.4%
Nebraska$82$66128119-5.5%
South Dakota$82$54834249-5.6%
Indiana$82$1,179151653-5.8%
Idaho$82$82326194-5.9%
Tennessee$81$8092651,506-6.1%
Arkansas$81$50358441-6.8%

⚠️ 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