Evaluation of lower heart chamber assist device
Medicare pricing data for 2,552 providers across 42 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
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $43 | $158 | 33 | 2,083 | +10.6% |
| New York | $43 | $241 | 173 | 4,149 | +9.8% |
| Maryland | $43 | $140 | 54 | 1,359 | +9.4% |
| Florida | $42 | $195 | 122 | 4,216 | +7.7% |
| New Hampshire | $42 | $160 | 3 | 219 | +7.6% |
| California | $42 | $219 | 175 | 7,444 | +7.1% |
| Illinois | $42 | $249 | 165 | 6,285 | +6.1% |
| Washington | $41 | $130 | 62 | 670 | +5.2% |
| Missouri | $41 | $175 | 22 | 409 | +4.0% |
| New Jersey | $41 | $168 | 49 | 2,326 | +3.3% |
| Massachusetts | $40 | $183 | 98 | 2,148 | +2.2% |
| Louisiana | $40 | $221 | 11 | 556 | +2.0% |
| Virginia | $40 | $157 | 49 | 1,576 | +1.8% |
| Pennsylvania | $40 | $144 | 209 | 4,033 | +1.5% |
| Connecticut | $40 | $161 | 56 | 388 | +0.6% |
| Maine | $39 | $232 | 7 | 171 | -0.3% |
| Georgia | $39 | $202 | 102 | 3,926 | -1.5% |
| Mississippi | $39 | $103 | 12 | 244 | -1.7% |
| Texas | $38 | $182 | 214 | 6,615 | -2.0% |
| Colorado | $38 | $241 | 23 | 491 | -2.7% |
| Oregon | $38 | $149 | 20 | 290 | -3.5% |
| Tennessee | $38 | $137 | 68 | 2,268 | -3.9% |
| Michigan | $38 | $148 | 64 | 1,569 | -4.0% |
| Idaho | $37 | $132 | 5 | 229 | -4.6% |
| Indiana | $37 | $110 | 44 | 1,264 | -4.9% |
| Utah | $37 | $155 | 27 | 306 | -5.2% |
| New Mexico | $37 | $127 | 7 | 90 | -6.2% |
| South Carolina | $37 | $171 | 47 | 1,936 | -6.5% |
| West Virginia | $37 | $133 | 12 | 143 | -6.6% |
| Minnesota | $37 | $190 | 60 | 1,239 | -6.8% |
| Ohio | $37 | $207 | 131 | 3,027 | -6.9% |
| Arizona | $36 | $228 | 29 | 1,214 | -7.7% |
| Iowa | $36 | $147 | 10 | 393 | -8.2% |
| North Carolina | $36 | $187 | 116 | 3,078 | -8.2% |
| Alabama | $36 | $212 | 13 | 583 | -8.6% |
| Kentucky | $35 | $160 | 52 | 1,531 | -10.6% |
| Wisconsin | $35 | $481 | 41 | 986 | -10.9% |
| Nebraska | $34 | $137 | 44 | 931 | -13.1% |
| Arkansas | $34 | $125 | 21 | 1,529 | -13.3% |
| Delaware | $34 | $133 | 6 | 279 | -14.2% |
| Oklahoma | $34 | $122 | 19 | 1,363 | -14.3% |
| Kansas | $34 | $141 | 34 | 1,249 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber