93657

Destruction of tissue of upper heart chamber through tube to treat abnormal heart rhythm

Medicare pricing data for 2,292 providers across 50 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

Destruction of tissue of upper heart chamber through tube to treat abnormal heart rhythm (HCPCS code 93657) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $305.56, but hospitals typically charge $1,411 — a 4.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$61.11

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $305.56, your out-of-pocket cost would be approximately $61.11. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$305.56
Average Hospital Charge
$1,411
Markup Ratio
4.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,411.40
Medicare Allowed$305.56
Medicare Payment$244.05

Hospitals charge 4.6x more than what Medicare allows for this procedure. Medicare actually pays $244.05 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$384$3,4534213+25.8%
New York$369$3,5331433,157+20.9%
District of Columbia$339$1,254586+11.0%
Illinois$329$1,342901,104+7.6%
New Jersey$324$1,357661,448+6.0%
Florida$323$1,0381834,843+5.6%
Maryland$322$1,37634530+5.2%
Connecticut$316$1,40127236+3.6%
Michigan$314$1,12876860+2.8%
Massachusetts$314$1,447701,389+2.8%
Rhode Island$306$1,2559123+0.2%
Pennsylvania$305$1,3631231,362-0.1%
Washington$305$1,00043763-0.3%
Hawaii$304$887226-0.4%
Delaware$304$8336143-0.5%
Nevada$303$1,06617177-0.9%
New Hampshire$302$1,716780-1.1%
New Mexico$302$9708364-1.1%
Colorado$302$1,03140630-1.3%
Louisiana$301$1,19624283-1.4%
Montana$301$9868117-1.6%
Virginia$301$996701,815-1.6%
Georgia$298$1,49361890-2.4%
Ohio$298$2,033921,894-2.5%
Texas$297$1,2321694,167-2.8%
Missouri$295$1,09733558-3.3%
Arizona$295$1,041601,604-3.5%
West Virginia$294$97213203-3.8%
Oregon$294$96624175-3.9%
California$292$1,2082086,209-4.5%
Utah$291$1,15114198-4.8%
Vermont$291$1,294648-4.9%
Kentucky$290$92833325-5.1%
Maine$290$1,1061084-5.2%
Oklahoma$287$1,14523588-6.0%
South Carolina$287$1,458391,096-6.1%
North Carolina$287$1,393721,347-6.2%
Minnesota$285$1,54246211-6.6%
Alabama$285$81131592-6.8%
Wisconsin$284$2,81949364-6.9%
Indiana$282$1,32160663-7.9%
Kansas$281$1,09228470-7.9%
Iowa$280$1,14324289-8.5%
Mississippi$278$1,39211168-9.0%
South Dakota$276$281212-9.5%
Tennessee$274$979621,098-10.3%
Arkansas$273$70814460-10.7%
North Dakota$270$1,205452-11.5%
Nebraska$269$1,10615150-11.8%
Idaho$261$1,08611289-14.6%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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