33361

Replacement of aortic valve through the skin and femoral artery

Medicare pricing data for 4,146 providers across 52 states

🤖AI Overview

This procedure has a 5.9x markup — hospitals charge $4,417 but Medicare allows only $742.63. Uninsured patients may face bills 5.9 times higher than what insurance negotiates. 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

Replacement of aortic valve through the skin and femoral artery (HCPCS code 33361) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $742.63, but hospitals typically charge $4,417 — a 5.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$148.53

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $742.63, your out-of-pocket cost would be approximately $148.53. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$742.63
Average Hospital Charge
$4,417
Markup Ratio
5.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$4,417.18
Medicare Allowed$742.63
Medicare Payment$591.84

Hospitals charge 5.9x more than what Medicare allows for this procedure. Medicare actually pays $591.84 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$919$11,0497184+23.8%
New York$851$6,3372257,347+14.5%
District of Columbia$816$3,01312546+9.9%
Illinois$803$5,7681684,163+8.2%
Maryland$793$3,647621,827+6.8%
Florida$789$3,5993457,053+6.2%
New Jersey$783$4,8771052,984+5.4%
Connecticut$773$5,59842750+4.1%
Michigan$763$3,4521583,148+2.8%
Massachusetts$763$4,473872,953+2.7%
Montana$761$5,55921511+2.5%
Rhode Island$751$5,3368440+1.2%
California$750$4,3434088,319+1.0%
Nevada$749$3,36438625+0.9%
New Hampshire$746$8,960261,174+0.4%
Louisiana$740$4,412791,170-0.3%
West Virginia$740$3,79321364-0.4%
Pennsylvania$739$3,8612145,237-0.5%
New Mexico$738$3,34414284-0.6%
Washington$736$2,686772,688-0.8%
Virginia$736$3,442923,086-0.9%
Georgia$735$3,881912,474-1.1%
Delaware$734$3,57717360-1.1%
Ohio$733$4,2661633,227-1.2%
Puerto Rico$733$1,136828-1.3%
Colorado$731$3,446531,162-1.6%
Wyoming$728$6,0964105-2.0%
Hawaii$726$3,177590-2.2%
Texas$723$4,0963295,330-2.7%
Missouri$718$4,4201082,061-3.3%
Arizona$717$3,1521072,101-3.4%
Oregon$714$3,012481,489-3.9%
Kentucky$711$3,472661,216-4.3%
Utah$709$3,25729811-4.5%
South Carolina$707$5,302672,151-4.8%
Oklahoma$705$3,454481,258-5.1%
North Carolina$703$4,480922,522-5.4%
Maine$697$3,61817284-6.1%
Alabama$696$3,197681,233-6.3%
North Dakota$689$3,48220541-7.3%
Vermont$686$5,7976310-7.7%
Mississippi$685$4,98440847-7.7%
Kansas$681$3,075351,070-8.3%
Indiana$676$4,175972,227-9.0%
Tennessee$674$3,405892,762-9.2%
Minnesota$673$5,1351022,795-9.3%
South Dakota$671$2,47011620-9.6%
Wisconsin$668$10,961842,111-10.1%
Iowa$664$3,18244954-10.6%
Idaho$661$3,29722549-11.0%
Arkansas$659$2,74838805-11.2%
Nebraska$653$3,23929614-12.1%

⚠️ 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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