Cost analysis for CPT 33249 — Insertion of implantable defibrillator system
Average Medicare Payment
$1360.17
2023 data
Total Payments (2023)
$25.4M
Services (2023)
17.2K
Price Change (2014–2023)
+71.8%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $791.56 | $31.3M | 40.6K | — |
| 2015 | $802.72 | $32.1M | 40.9K | +1.4% |
| 2016 | $896.78 | $36.8M | 39.9K | +11.7% |
| 2017 | $1017.79 | $37.8M | 36.4K | +13.5% |
| 2018 | $1066.49 | $41.0M | 35.1K | +4.8% |
| 2019 | $1101.43 | $39.8M | 32.5K | +3.3% |
| 2020 | $1249.87 | $33.4M | 23.9K | +13.5% |
| 2021 | $1122.65 | $27.2M | 21.3K | -10.2% |
| 2022 | $1262.76 | $25.3M | 17.9K | +12.5% |
| 2023 | $1360.17 | $25.4M | 17.2K | +7.7% |
The most expensive state pays 10.3x more than the cheapest for this procedure. AZ averages $6572.15 vs AR at $636.50.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AZ | $6572.15 | $3.4M | 511 | 29 |
| CA | $3402.93 | $3.8M | 1.1K | 71 |
| LA | $2954.73 | $700.3K | 237 | 12 |
| KS | $2745.23 | $999.3K | 364 | 20 |
| TX | $2114.96 | $2.7M | 1.3K | 79 |
| IL | $1932.63 | $1.5M | 751 | 43 |
| FL | $1852.23 | $2.7M | 1.4K | 82 |
| MO | $1449.21 | $614.5K | 424 | 27 |
| VA | $1275.98 | $1.0M | 799 | 44 |
| PA | $1006.83 | $712.8K | 708 | 44 |
| NY | $821.61 | $764.1K | 930 | 50 |
| NJ | $768.11 | $367.9K | 479 | 26 |
| MD | $760.95 | $296.0K | 389 | 20 |
| MA | $749.17 | $292.9K | 391 | 24 |
| DE | $720.84 | $105.2K | 146 | 7 |
| MI | $712.00 | $333.9K | 469 | 29 |
| WA | $709.15 | $258.1K | 364 | 23 |
| MT | $704.53 | $83.1K | 118 | 6 |
| OH | $703.77 | $275.9K | 392 | 25 |
| WV | $703.13 | $98.4K | 140 | 8 |
| GA | $695.30 | $375.5K | 540 | 32 |
| OR | $683.44 | $96.4K | 141 | 8 |
| OK | $675.78 | $193.9K | 287 | 16 |
| NC | $675.73 | $279.8K | 414 | 27 |
| SC | $675.38 | $374.2K | 554 | 28 |
| MN | $671.01 | $257.0K | 383 | 23 |
| KY | $670.28 | $105.9K | 158 | 11 |
| AL | $663.93 | $137.4K | 207 | 14 |
| IN | $653.92 | $353.8K | 541 | 34 |
| MS | $653.43 | $134.6K | 206 | 10 |
| WI | $650.73 | $182.9K | 281 | 19 |
| TN | $645.23 | $385.2K | 597 | 36 |
| IA | $644.39 | $86.3K | 134 | 9 |
| NE | $639.45 | $96.6K | 151 | 8 |
| ID | $639.28 | $87.6K | 137 | 8 |
| AR | $636.50 | $189.7K | 298 | 12 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Premier Cardiac Surgery Center, Pllc | Ambulatory Surgical Center | IL | $922.5K | 46 | $20054.70 |
| Wichita Asc Lp | Ambulatory Surgical Center | KS | $791.6K | 43 | $18409.24 |
| The Cardiovascular Surgical Center, Inc. | Ambulatory Surgical Center | CA | $746.0K | 32 | $23311.71 |
| Pima Heart Asc Llc | Ambulatory Surgical Center | AZ | $664.9K | 36 | $18470.61 |
| Bcc West Valley Llc | Ambulatory Surgical Center | AZ | $633.1K | 32 | $19785.32 |
| Northern Louisiana Cardiac Services Llc | Ambulatory Surgical Center | LA | $555.5K | 31 | $17920.01 |
| Fresno Ca Multi Asc Lp | Ambulatory Surgical Center | CA | $551.6K | 26 | $21216.36 |
| Sacramento Heart Ambulatory Surgery Center, Inc | Ambulatory Surgical Center | CA | $487.2K | 18 | $27064.66 |
| Lakewood Asc, Llc | Ambulatory Surgical Center | FL | $473.3K | 27 | $17529.97 |
| Cardiac And Vascular Institute Ambulatory Surgery Center, Llc | Ambulatory Surgical Center | FL | $465.3K | 25 | $18611.64 |
| Virginia Cardiovascular Specialists | Ambulatory Surgical Center | VA | $465.3K | 24 | $19385.75 |
| Volusia Asc Bz, Llc | Ambulatory Surgical Center | FL | $454.9K | 25 | $18197.05 |
| Visalia Ambulatory Surgical Center Llc | Ambulatory Surgical Center | CA | $415.2K | 21 | $19769.29 |
| South Plains Surgery Center Llc | Ambulatory Surgical Center | TX | $408.0K | 23 | $17737.62 |
| Tri-City Surgical Centers, Llc | Ambulatory Surgical Center | AZ | $395.7K | 20 | $19785.32 |
| Phoenix Asc, Lp | Ambulatory Surgical Center | AZ | $395.7K | 20 | $19785.32 |
| Waco Ambulatory Surgery Center, Lp | Ambulatory Surgical Center | TX | $363.3K | 19 | $19123.45 |
| Alaska Heart Institute | Ambulatory Surgical Center | AK | $351.3K | 16 | $21958.28 |
| Southwest Cardiovascular Interventional Center, Llc | Ambulatory Surgical Center | AZ | $334.0K | 17 | $19648.68 |
| Premier Surgical Center Llc | Ambulatory Surgical Center | MO | $332.3K | 17 | $19544.98 |
The data suggests significant pricing inconsistencies for CPT 33249. With a 10.3x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have risen 71.8% since 2014, outpacing inflation and raising questions about whether reimbursement rates reflect actual costs.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.