93750

Evaluation of lower heart chamber assist device

Medicare pricing data for 2,552 providers across 42 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 lower heart chamber assist device (HCPCS code 93750) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $39.27, but hospitals typically charge $190.03 — a 4.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$7.85

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $39.27, your out-of-pocket cost would be approximately $7.85. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$39.27
Average Hospital Charge
$190.03
Markup Ratio
4.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$190.03
Medicare Allowed$39.27
Medicare Payment$31.02

Hospitals charge 4.8x more than what Medicare allows for this procedure. Medicare actually pays $31.02 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$43$158332,083+10.6%
New York$43$2411734,149+9.8%
Maryland$43$140541,359+9.4%
Florida$42$1951224,216+7.7%
New Hampshire$42$1603219+7.6%
California$42$2191757,444+7.1%
Illinois$42$2491656,285+6.1%
Washington$41$13062670+5.2%
Missouri$41$17522409+4.0%
New Jersey$41$168492,326+3.3%
Massachusetts$40$183982,148+2.2%
Louisiana$40$22111556+2.0%
Virginia$40$157491,576+1.8%
Pennsylvania$40$1442094,033+1.5%
Connecticut$40$16156388+0.6%
Maine$39$2327171-0.3%
Georgia$39$2021023,926-1.5%
Mississippi$39$10312244-1.7%
Texas$38$1822146,615-2.0%
Colorado$38$24123491-2.7%
Oregon$38$14920290-3.5%
Tennessee$38$137682,268-3.9%
Michigan$38$148641,569-4.0%
Idaho$37$1325229-4.6%
Indiana$37$110441,264-4.9%
Utah$37$15527306-5.2%
New Mexico$37$127790-6.2%
South Carolina$37$171471,936-6.5%
West Virginia$37$13312143-6.6%
Minnesota$37$190601,239-6.8%
Ohio$37$2071313,027-6.9%
Arizona$36$228291,214-7.7%
Iowa$36$14710393-8.2%
North Carolina$36$1871163,078-8.2%
Alabama$36$21213583-8.6%
Kentucky$35$160521,531-10.6%
Wisconsin$35$48141986-10.9%
Nebraska$34$13744931-13.1%
Arkansas$34$125211,529-13.3%
Delaware$34$1336279-14.2%
Oklahoma$34$122191,363-14.3%
Kansas$34$141341,249-14.4%

⚠️ 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