Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation
Medicare pricing data for 2,869 providers across 52 states
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
Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation (HCPCS code 93656) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $938.15, but hospitals typically charge $3,961 — a 4.2x 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 $938.15, your out-of-pocket cost would be approximately $187.63. 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 4.2x more than what Medicare allows for this procedure. Medicare actually pays $745.66 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $1,186 | $9,201 | 4 | 199 | +26.4% |
| New York | $1,098 | $8,156 | 172 | 4,572 | +17.0% |
| District of Columbia | $1,036 | $3,773 | 8 | 230 | +10.5% |
| Illinois | $1,015 | $4,185 | 130 | 3,138 | +8.2% |
| New Jersey | $1,000 | $3,548 | 77 | 1,916 | +6.6% |
| Maryland | $996 | $3,387 | 47 | 1,341 | +6.2% |
| Florida | $995 | $3,200 | 231 | 7,507 | +6.0% |
| Connecticut | $977 | $4,021 | 36 | 508 | +4.1% |
| Massachusetts | $973 | $4,114 | 83 | 2,348 | +3.7% |
| Michigan | $961 | $2,987 | 93 | 1,735 | +2.4% |
| Delaware | $953 | $2,544 | 11 | 223 | +1.5% |
| Washington | $944 | $3,048 | 53 | 1,511 | +0.6% |
| Rhode Island | $943 | $3,076 | 9 | 236 | +0.5% |
| Pennsylvania | $942 | $3,062 | 160 | 3,234 | +0.4% |
| Hawaii | $940 | $2,775 | 3 | 40 | +0.1% |
| New Hampshire | $939 | $15,433 | 11 | 264 | +0.1% |
| New Mexico | $939 | $2,584 | 9 | 329 | +0.1% |
| Nevada | $939 | $3,438 | 17 | 453 | +0.1% |
| Puerto Rico | $934 | $981 | 10 | 30 | -0.4% |
| Virginia | $933 | $2,951 | 82 | 3,058 | -0.6% |
| Colorado | $931 | $4,209 | 49 | 1,271 | -0.8% |
| Louisiana | $929 | $3,145 | 38 | 780 | -1.0% |
| Ohio | $922 | $4,546 | 120 | 2,714 | -1.8% |
| California | $921 | $3,590 | 251 | 7,712 | -1.8% |
| Montana | $919 | $3,738 | 10 | 337 | -2.0% |
| Georgia | $918 | $4,248 | 72 | 2,009 | -2.1% |
| Texas | $914 | $3,730 | 209 | 6,178 | -2.6% |
| West Virginia | $913 | $2,889 | 18 | 388 | -2.6% |
| Missouri | $913 | $3,337 | 48 | 1,178 | -2.7% |
| Arizona | $911 | $3,621 | 66 | 2,237 | -2.9% |
| Oregon | $905 | $2,987 | 31 | 540 | -3.6% |
| Utah | $893 | $2,939 | 18 | 649 | -4.8% |
| Kentucky | $893 | $2,639 | 41 | 675 | -4.8% |
| Maine | $889 | $2,943 | 14 | 203 | -5.2% |
| Vermont | $887 | $4,366 | 6 | 136 | -5.4% |
| North Carolina | $887 | $4,129 | 90 | 2,310 | -5.5% |
| South Carolina | $885 | $4,166 | 42 | 1,801 | -5.7% |
| Oklahoma | $879 | $2,917 | 25 | 923 | -6.3% |
| Minnesota | $876 | $4,903 | 67 | 968 | -6.7% |
| Alabama | $875 | $3,109 | 42 | 1,362 | -6.8% |
| Wyoming | $871 | $4,086 | 2 | 11 | -7.1% |
| Kansas | $864 | $2,985 | 31 | 901 | -8.0% |
| North Dakota | $860 | $3,434 | 7 | 114 | -8.3% |
| Indiana | $859 | $4,315 | 70 | 1,827 | -8.4% |
| Wisconsin | $859 | $9,746 | 62 | 1,015 | -8.5% |
| South Dakota | $857 | $1,108 | 4 | 71 | -8.6% |
| Mississippi | $857 | $4,430 | 14 | 418 | -8.7% |
| Tennessee | $847 | $3,053 | 69 | 2,330 | -9.7% |
| Arkansas | $844 | $2,224 | 17 | 951 | -10.1% |
| Iowa | $844 | $3,283 | 31 | 782 | -10.1% |
| Idaho | $828 | $2,793 | 13 | 376 | -11.7% |
| Nebraska | $828 | $2,967 | 18 | 460 | -11.8% |
⚠️ 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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