93655

Insertion of catheters and destruction of tissue to treat abnormal heart rhythm

Medicare pricing data for 2,572 providers across 51 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 catheters and destruction of tissue to treat abnormal heart rhythm (HCPCS code 93655) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $303.47, but hospitals typically charge $1,387 — a 4.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$60.69

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $303.47, your out-of-pocket cost would be approximately $60.69. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$303.47
Average Hospital Charge
$1,387
Markup Ratio
4.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,386.55
Medicare Allowed$303.47
Medicare Payment$242.33

Hospitals charge 4.6x more than what Medicare allows for this procedure. Medicare actually pays $242.33 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$386$3,4514229+27.1%
New York$362$3,1701572,950+19.1%
District of Columbia$341$1,249676+12.4%
Illinois$327$1,4871141,979+7.8%
New Jersey$324$1,348631,130+6.6%
Florida$322$1,0261974,977+6.2%
Maryland$321$1,17941594+5.8%
Connecticut$316$1,50734331+4.0%
Massachusetts$315$1,475751,238+3.9%
Michigan$314$1,258781,060+3.4%
Delaware$305$7118188+0.6%
Washington$305$1,028531,088+0.5%
Pennsylvania$305$1,3431471,981+0.4%
Hawaii$304$888222+0.3%
New Hampshire$304$4,45310164+0.2%
Rhode Island$304$1,1878137+0.2%
New Mexico$303$9678337-0.0%
Virginia$303$972822,090-0.1%
Nevada$303$1,17917280-0.2%
Puerto Rico$302$319712-0.5%
Colorado$301$1,18846940-0.7%
Louisiana$301$1,31533447-0.9%
Ohio$299$1,2201051,425-1.6%
West Virginia$298$1,02617129-1.7%
Georgia$298$1,588651,208-1.8%
Texas$296$1,2251904,428-2.3%
California$296$1,2972226,530-2.4%
Missouri$296$1,13842836-2.5%
Montana$295$1,1498141-2.7%
Arizona$295$1,135621,566-2.9%
Oregon$292$1,01828293-3.6%
Vermont$292$1,228640-3.7%
Utah$290$1,07916383-4.3%
Maine$289$1,02712120-4.7%
Oklahoma$289$1,15022674-4.9%
North Carolina$288$1,508781,764-5.2%
Kentucky$288$82636479-5.2%
South Carolina$285$1,491411,559-6.0%
Alabama$283$80939988-6.7%
Minnesota$282$1,53961798-7.1%
Kansas$280$1,10828671-7.6%
Indiana$280$1,496661,195-7.7%
Mississippi$279$2,00813312-8.0%
South Dakota$278$359428-8.5%
Wisconsin$277$3,65954519-8.8%
Arkansas$276$73414604-8.9%
Iowa$276$1,35131461-9.1%
North Dakota$275$1,200525-9.3%
Tennessee$275$1,094651,622-9.4%
Idaho$271$98413219-10.7%
Nebraska$270$1,10916321-10.9%

⚠️ 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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