Anesthesia for insertion of permanent heart pacemaker
Medicare pricing data for 26,713 providers across 52 states
This procedure has a 11.1x markup — hospitals charge $1,762 but Medicare allows only $158.27. Uninsured patients may face bills 11.1 times higher than what insurance negotiates. Prices vary significantly by location — from $107 in South Dakota to $301 in Alaska. Where you get this procedure matters more than almost any other factor. 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
Anesthesia for insertion of permanent heart pacemaker (HCPCS code 00530) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $158.27, but hospitals typically charge $1,762 — a 11.1x 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 $158.27, your out-of-pocket cost would be approximately $31.65. 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 11.1x more than what Medicare allows for this procedure. Medicare actually pays $124.90 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $301 | $1,845 | 29 | 206 | +90.2% |
| Wyoming | $274 | $1,791 | 9 | 54 | +72.9% |
| Utah | $233 | $1,545 | 169 | 408 | +47.1% |
| Montana | $222 | $1,213 | 63 | 212 | +40.5% |
| California | $222 | $1,754 | 1,882 | 5,713 | +40.1% |
| Oregon | $213 | $1,452 | 295 | 783 | +34.4% |
| Puerto Rico | $209 | $1,074 | 42 | 157 | +32.1% |
| Idaho | $197 | $1,563 | 39 | 81 | +24.6% |
| Nevada | $194 | $2,212 | 134 | 382 | +22.3% |
| Colorado | $191 | $1,736 | 344 | 736 | +20.8% |
| New York | $191 | $2,828 | 1,718 | 7,766 | +20.5% |
| Indiana | $189 | $1,794 | 365 | 1,006 | +19.4% |
| Illinois | $183 | $2,211 | 879 | 1,965 | +15.9% |
| Maryland | $180 | $1,667 | 409 | 1,904 | +13.7% |
| Arkansas | $180 | $952 | 151 | 593 | +13.6% |
| Hawaii | $179 | $1,375 | 44 | 95 | +13.2% |
| Oklahoma | $178 | $1,222 | 126 | 927 | +12.8% |
| Washington | $177 | $1,462 | 491 | 1,275 | +11.8% |
| Louisiana | $176 | $1,373 | 278 | 664 | +11.5% |
| Minnesota | $173 | $1,494 | 400 | 1,300 | +9.3% |
| New Mexico | $172 | $1,609 | 50 | 153 | +8.5% |
| Delaware | $172 | $1,636 | 131 | 669 | +8.4% |
| Arizona | $170 | $1,673 | 377 | 1,448 | +7.6% |
| Florida | $163 | $1,918 | 2,507 | 9,423 | +2.8% |
| Nebraska | $162 | $1,011 | 191 | 596 | +2.6% |
| Massachusetts | $162 | $1,525 | 702 | 2,292 | +2.4% |
| Missouri | $161 | $1,499 | 650 | 2,239 | +1.9% |
| District of Columbia | $161 | $1,319 | 149 | 666 | +1.8% |
| Iowa | $159 | $1,228 | 180 | 742 | +0.7% |
| New Hampshire | $157 | $2,683 | 157 | 436 | -0.8% |
| Kentucky | $157 | $1,552 | 384 | 944 | -1.0% |
| Texas | $157 | $2,131 | 1,825 | 6,253 | -1.0% |
| Mississippi | $156 | $1,191 | 189 | 640 | -1.4% |
| Connecticut | $156 | $2,019 | 498 | 1,456 | -1.5% |
| Vermont | $155 | $1,236 | 42 | 82 | -2.2% |
| Ohio | $154 | $1,373 | 963 | 2,648 | -2.9% |
| New Jersey | $152 | $1,599 | 823 | 4,283 | -3.7% |
| Wisconsin | $152 | $2,163 | 545 | 1,364 | -4.1% |
| Tennessee | $145 | $1,772 | 759 | 3,719 | -8.4% |
| Rhode Island | $145 | $1,236 | 82 | 251 | -8.4% |
| Virginia | $141 | $1,808 | 806 | 3,890 | -11.0% |
| North Carolina | $137 | $1,643 | 864 | 3,144 | -13.4% |
| Kansas | $131 | $958 | 221 | 644 | -17.2% |
| Michigan | $128 | $1,986 | 1,125 | 3,454 | -19.3% |
| West Virginia | $128 | $1,057 | 135 | 442 | -19.4% |
| Maine | $127 | $1,702 | 170 | 481 | -19.9% |
| Pennsylvania | $127 | $1,395 | 2,141 | 8,280 | -20.0% |
| North Dakota | $123 | $1,491 | 117 | 304 | -22.1% |
| Georgia | $120 | $1,324 | 898 | 3,585 | -24.4% |
| South Carolina | $113 | $1,725 | 671 | 3,745 | -28.8% |
| Alabama | $110 | $1,031 | 398 | 1,871 | -30.3% |
| South Dakota | $107 | $839 | 73 | 278 | -32.6% |
⚠️ 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