93653

Comprehensive electrophysiologic evaluation with catheter destruction of abnormality of upper chamber of heart causing supraventricular tachycardia (rapid heart rate)

Medicare pricing data for 2,939 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

Comprehensive electrophysiologic evaluation with catheter destruction of abnormality of upper chamber of heart causing supraventricular tachycardia (rapid heart rate) (HCPCS code 93653) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $829.60, but hospitals typically charge $3,062 — a 3.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$165.92

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $829.60, your out-of-pocket cost would be approximately $165.92. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$829.60
Average Hospital Charge
$3,062
Markup Ratio
3.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,061.79
Medicare Allowed$829.60
Medicare Payment$658.67

Hospitals charge 3.7x more than what Medicare allows for this procedure. Medicare actually pays $658.67 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$1,039$6,9004134+25.3%
New York$960$5,6041801,762+15.7%
District of Columbia$914$2,9631274+10.2%
New Jersey$888$2,82879505+7.0%
Illinois$884$3,3211361,256+6.6%
Florida$881$2,5002252,249+6.2%
Maryland$878$2,70349540+5.9%
Connecticut$862$3,20344223+3.9%
Massachusetts$859$2,96890838+3.5%
Michigan$854$2,22293675+3.0%
California$845$2,7832452,393+1.9%
Virginia$833$2,19184949+0.4%
Pennsylvania$832$2,4461631,149+0.3%
Nevada$830$2,53118182+0.1%
New Mexico$826$1,90211104-0.4%
Delaware$826$1,88910103-0.4%
Louisiana$824$2,73340270-0.7%
Puerto Rico$824$837816-0.7%
Washington$822$2,35254633-0.9%
Rhode Island$820$2,246995-1.2%
Colorado$818$3,53253537-1.4%
New Hampshire$817$16,17712131-1.5%
Georgia$811$2,87775817-2.3%
West Virginia$807$2,33619249-2.8%
Ohio$806$2,860126865-2.8%
Montana$804$2,6699165-3.1%
Missouri$800$2,53449402-3.5%
Arizona$800$3,07168795-3.5%
Wyoming$800$3,869220-3.5%
Texas$800$2,7562212,300-3.6%
Hawaii$800$2,366425-3.6%
Oregon$796$2,44832310-4.0%
Utah$791$2,23517214-4.6%
Vermont$789$2,856845-4.9%
Maine$784$2,0341382-5.4%
South Carolina$782$3,13540521-5.7%
North Carolina$781$3,09793812-5.8%
Kentucky$781$1,91843417-5.9%
Oklahoma$775$2,18225357-6.6%
North Dakota$773$2,587565-6.9%
Alabama$769$2,43341374-7.3%
Mississippi$767$3,73814212-7.5%
Minnesota$762$3,73466460-8.1%
Indiana$762$3,00472580-8.2%
South Dakota$760$1,830595-8.4%
Kansas$755$2,52931298-9.0%
Wisconsin$754$7,44963433-9.2%
Idaho$747$2,28213145-9.9%
Tennessee$744$2,33276671-10.3%
Arkansas$743$2,00520226-10.4%
Nebraska$743$2,31520147-10.5%
Iowa$743$2,58032322-10.5%

⚠️ 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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