OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
Sister Sites: OpenMedicaid · OpenFeds · OpenSpending

© 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodology•Download Data
  1. Home
  2. Procedures
  3. 33249
  4. Cost Analysis

How Much Does Insertion of implantable defibrillator system Cost on Medicare?

Cost analysis for CPT 33249 — Insertion of implantable defibrillator system

Share:

Average Medicare Payment

$1360.17

2023 data

Total Payments (2023)

$25.4M

Services (2023)

17.2K

Price Change (2014–2023)

+71.8%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$791.56$31.3M40.6K—
2015$802.72$32.1M40.9K+1.4%
2016$896.78$36.8M39.9K+11.7%
2017$1017.79$37.8M36.4K+13.5%
2018$1066.49$41.0M35.1K+4.8%
2019$1101.43$39.8M32.5K+3.3%
2020$1249.87$33.4M23.9K+13.5%
2021$1122.65$27.2M21.3K-10.2%
2022$1262.76$25.3M17.9K+12.5%
2023$1360.17$25.4M17.2K+7.7%

🗺️ State-by-State Cost Variation

The most expensive state pays 10.3x more than the cheapest for this procedure. AZ averages $6572.15 vs AR at $636.50.

StateAvg PaymentTotal PaymentsServicesProviders
AZ$6572.15$3.4M51129
CA$3402.93$3.8M1.1K71
LA$2954.73$700.3K23712
KS$2745.23$999.3K36420
TX$2114.96$2.7M1.3K79
IL$1932.63$1.5M75143
FL$1852.23$2.7M1.4K82
MO$1449.21$614.5K42427
VA$1275.98$1.0M79944
PA$1006.83$712.8K70844
NY$821.61$764.1K93050
NJ$768.11$367.9K47926
MD$760.95$296.0K38920
MA$749.17$292.9K39124
DE$720.84$105.2K1467
MI$712.00$333.9K46929
WA$709.15$258.1K36423
MT$704.53$83.1K1186
OH$703.77$275.9K39225
WV$703.13$98.4K1408
GA$695.30$375.5K54032
OR$683.44$96.4K1418
OK$675.78$193.9K28716
NC$675.73$279.8K41427
SC$675.38$374.2K55428
MN$671.01$257.0K38323
KY$670.28$105.9K15811
AL$663.93$137.4K20714
IN$653.92$353.8K54134
MS$653.43$134.6K20610
WI$650.73$182.9K28119
TN$645.23$385.2K59736
IA$644.39$86.3K1349
NE$639.45$96.6K1518
ID$639.28$87.6K1378
AR$636.50$189.7K29812

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Premier Cardiac Surgery Center, PllcAmbulatory Surgical CenterIL$922.5K46$20054.70
Wichita Asc LpAmbulatory Surgical CenterKS$791.6K43$18409.24
The Cardiovascular Surgical Center, Inc.Ambulatory Surgical CenterCA$746.0K32$23311.71
Pima Heart Asc LlcAmbulatory Surgical CenterAZ$664.9K36$18470.61
Bcc West Valley LlcAmbulatory Surgical CenterAZ$633.1K32$19785.32
Northern Louisiana Cardiac Services LlcAmbulatory Surgical CenterLA$555.5K31$17920.01
Fresno Ca Multi Asc LpAmbulatory Surgical CenterCA$551.6K26$21216.36
Sacramento Heart Ambulatory Surgery Center, IncAmbulatory Surgical CenterCA$487.2K18$27064.66
Lakewood Asc, LlcAmbulatory Surgical CenterFL$473.3K27$17529.97
Cardiac And Vascular Institute Ambulatory Surgery Center, LlcAmbulatory Surgical CenterFL$465.3K25$18611.64
Virginia Cardiovascular SpecialistsAmbulatory Surgical CenterVA$465.3K24$19385.75
Volusia Asc Bz, LlcAmbulatory Surgical CenterFL$454.9K25$18197.05
Visalia Ambulatory Surgical Center LlcAmbulatory Surgical CenterCA$415.2K21$19769.29
South Plains Surgery Center LlcAmbulatory Surgical CenterTX$408.0K23$17737.62
Tri-City Surgical Centers, LlcAmbulatory Surgical CenterAZ$395.7K20$19785.32
Phoenix Asc, LpAmbulatory Surgical CenterAZ$395.7K20$19785.32
Waco Ambulatory Surgery Center, LpAmbulatory Surgical CenterTX$363.3K19$19123.45
Alaska Heart InstituteAmbulatory Surgical CenterAK$351.3K16$21958.28
Southwest Cardiovascular Interventional Center, LlcAmbulatory Surgical CenterAZ$334.0K17$19648.68
Premier Surgical Center LlcAmbulatory Surgical CenterMO$332.3K17$19544.98

🤔 Is Insertion of implantable defibrillator system Overpriced?

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.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.