33225

Insertion of left lower heart electrode for pacemaker or defibrillator

Medicare pricing data for 3,283 providers across 52 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

Insertion of left lower heart electrode for pacemaker or defibrillator (HCPCS code 33225) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $453.92, but hospitals typically charge $1,541 — a 3.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$90.78

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $453.92, your out-of-pocket cost would be approximately $90.78. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$453.92
Average Hospital Charge
$1,541
Markup Ratio
3.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,540.69
Medicare Allowed$453.92
Medicare Payment$361.98

Hospitals charge 3.4x more than what Medicare allows for this procedure. Medicare actually pays $361.98 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$573$4,4894143+26.3%
New York$523$2,2461751,225+15.3%
District of Columbia$520$1,240960+14.5%
Illinois$492$1,7711401,075+8.4%
New Jersey$488$1,62787729+7.5%
Florida$486$1,2852551,921+7.2%
Maryland$484$1,28156469+6.6%
Connecticut$480$2,01640225+5.7%
Massachusetts$469$1,64893561+3.4%
Michigan$468$1,122102673+3.2%
California$466$1,4422821,587+2.7%
Delaware$463$1,00911139+2.0%
Nevada$463$1,25922127+2.0%
Hawaii$458$1,191227+0.9%
Pennsylvania$457$1,3931801,017+0.8%
New Mexico$457$1,111846+0.7%
New Hampshire$456$3,02814117+0.4%
Puerto Rico$455$463818+0.3%
Montana$454$1,51712195+0.1%
Washington$451$1,26050425-0.6%
Louisiana$451$1,28155304-0.7%
Rhode Island$450$1,2621074-0.9%
Virginia$450$1,20590853-0.9%
Georgia$449$1,68981816-1.0%
Colorado$449$1,50353225-1.1%
West Virginia$448$1,22920200-1.3%
Ohio$447$1,391133910-1.4%
Wyoming$446$5,148521-1.6%
Arizona$445$1,33377656-2.0%
Texas$444$1,4962632,097-2.3%
Missouri$441$1,36569606-2.8%
Oregon$440$1,44238259-3.1%
Utah$435$1,33920129-4.2%
Maine$434$1,1201463-4.4%
North Carolina$433$1,61893769-4.6%
Oklahoma$432$1,26142340-4.7%
Kentucky$432$1,11455330-4.8%
South Carolina$428$1,48248736-5.7%
North Dakota$426$1,751980-6.0%
Alabama$424$1,14053343-6.7%
Mississippi$423$1,55232247-6.8%
Indiana$420$1,36687682-7.6%
Minnesota$417$2,04866572-8.1%
Kansas$416$1,12743399-8.3%
South Dakota$415$1,072675-8.5%
Wisconsin$413$3,93367446-8.9%
Idaho$412$1,31515159-9.2%
Iowa$412$1,98233322-9.2%
Vermont$411$1,642628-9.5%
Tennessee$409$1,32082772-9.8%
Arkansas$409$1,08435333-9.9%
Nebraska$400$1,18226310-11.9%

⚠️ 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