The tool shows national averages for the amount Medicare pays an ASC or hospital, and the national average copayment a patient without Medicare supplemental insurance owes in each setting.
Here’s what 10 cardiology procedures cost at ASCs and hospital outpatient departments:
1. Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber (code: 33249)
ASC
Total cost: $27,655
Medicare pays: $22,124
Patient pays: $5,530
HOPD
Total cost: $33,779
Medicare pays: $32,107
Patient pays: $1,672
2. Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system (code: 33264)
ASC
Total cost: $27,027
Medicare pays: $21,261
Patient pays: $5,405
HOPD
Total cost: $33,255
Medicare pays: $31,687
Patient pays: $1,567
3. Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular (code: 33208)
ASC
Total cost: $8,422
Medicare pays: $6,738
Patient pays: $1,683
HOPD
Total cost: $10,934
Medicare pays: $9,343
Patient pays: $1,590
4. Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); initial vessel (code: 37184)
ASC
Total cost: $7,079
Medicare pays: $5,662
Patient pays: $1,415
HOPD
Total cost: $10,479
Medicare pays: $8,907
Patient pays: $1,571
5. Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance (code: 37187)
ASC
Total cost: $6,940
Medicare pays: $5,551
Patient pays: $1,387
HOPD
Total cost: $10,439
Medicare pays: $8,875
Patient pays: $1,563
6. Placement through the skin of drug eluding heart vessel stent(s), with vessel imaging; single major coronary artery or branch (code: C9600)
ASC
Total cost: $6,264
Medicare pays: $5,011
Patient pays: $1,252
HOPD
Total cost: $10,042
Medicare pays: $8,558
Patient pays: $1,484
7. Blinded clinical trial procedure implantation of interatrial shunt or placebo that includes right heart catheterization, transesophageal echo or intracardiac echo, and all imaging guidance if performed (code: C9758)
ASC
Total cost: $6,316
Medicare pays: $5,053
Patient pays: $1,263
HOPD
Total cost: $17,500
Medicare pays: $16,016
Patient pays: $1,484
8. Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein (code: 37248)
ASC
Total cost: $2,456
Medicare pays: $1,965
Patient pays: $491
HOPD
Total cost: $5,256
Medicare pays: $4,205
Patient pays: $1,051
9. Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed (code: 93458)
ASC
Total cost: $1,702
Medicare pays: $1,361
Patient pays: $339
HOPD
Total cost: $3,198
Medicare pays: $2,273
Patient pays: $923
10. Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed (code: 93451)
ASC
Total cost: $1,535
Medicare pays: $1,228
Patient pays: $306
HOPD
Total cost: $3,031
Medicare pays: $2,140
Patient pays: $890
