93623

Programming of heart rhythm stimulation after drug infusion

Medicare pricing data for 2,658 providers across 50 states

🤖AI Overview

This procedure has a 7.0x markup — hospitals charge $575.98 but Medicare allows only $82.68. Uninsured patients may face bills 7.0 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

Programming of heart rhythm stimulation after drug infusion (HCPCS code 93623) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $82.68, but hospitals typically charge $575.98 — a 7.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$16.54

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $82.68, your out-of-pocket cost would be approximately $16.54. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$82.68
Average Hospital Charge
$575.98
Markup Ratio
7.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$575.98
Medicare Allowed$82.68
Medicare Payment$66.00

Hospitals charge 7.0x more than what Medicare allows for this procedure. Medicare actually pays $66.00 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$99$1,3254243+19.8%
New York$98$1,1161693,147+18.3%
Delaware$93$4221049+12.7%
New Jersey$90$560701,061+8.7%
Maryland$87$56345484+4.9%
Connecticut$86$94837229+4.3%
Illinois$86$5351211,235+3.7%
California$85$5012315,274+3.2%
Massachusetts$85$55281568+2.9%
Washington$85$34452894+2.7%
District of Columbia$84$4931068+2.0%
Florida$84$4512074,731+1.0%
Rhode Island$84$507956+1.0%
Pennsylvania$83$5021481,778+0.4%
Colorado$83$69850904+0.2%
Nevada$82$38916118-0.5%
Michigan$82$51880607-0.6%
Puerto Rico$82$167830-1.3%
Montana$81$3138162-2.0%
New Hampshire$81$1,2751147-2.1%
Oregon$81$38329367-2.6%
Texas$80$6672033,979-2.8%
Virginia$80$358811,458-3.0%
Wyoming$80$502217-3.3%
Maine$80$3571040-3.6%
Arizona$79$366671,134-4.3%
New Mexico$79$365984-4.3%
Missouri$79$50344357-4.6%
Georgia$79$61770971-4.7%
Minnesota$79$54063405-5.0%
Ohio$78$368109791-5.6%
North Dakota$78$644563-6.1%
Nebraska$78$56519197-6.2%
North Carolina$77$546821,327-6.7%
Utah$77$41717291-6.9%
West Virginia$77$47717336-7.1%
Louisiana$77$50827336-7.1%
Wisconsin$77$1,38053472-7.3%
Oklahoma$76$57421344-7.9%
South Carolina$76$573391,259-7.9%
South Dakota$76$345542-7.9%
Kansas$75$57328521-8.8%
Alabama$75$55135628-8.8%
Indiana$75$55364840-9.1%
Kentucky$75$36136350-9.2%
Iowa$75$69927125-9.3%
Arkansas$74$33915369-10.5%
Idaho$74$32512232-10.9%
Tennessee$74$46963781-10.9%
Mississippi$73$55413102-11.2%

⚠️ 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