Cost analysis for CPT 33285 — Insertion of heart rhythm monitor under skin
Average Medicare Payment
$1199.91
2023 data
Total Payments (2023)
$68.8M
Services (2023)
44.0K
Price Change (2019–2023)
+52.4%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2019 | $787.35 | $36.9M | 38.3K | — |
| 2020 | $1156.08 | $45.9M | 31.9K | +46.8% |
| 2021 | $1304.30 | $59.1M | 37.2K | +12.8% |
| 2022 | $1238.37 | $60.2M | 39.1K | -5.1% |
| 2023 | $1199.91 | $68.8M | 44.0K | -3.1% |
The most expensive state pays 54.6x more than the cheapest for this procedure. CA averages $2940.45 vs WI at $53.88.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| CA | $2940.45 | $11.2M | 3.8K | 131 |
| AZ | $2835.89 | $6.8M | 2.4K | 67 |
| FL | $2290.52 | $15.5M | 6.8K | 232 |
| NJ | $2218.06 | $5.2M | 2.3K | 73 |
| MD | $1934.51 | $1.9M | 976 | 39 |
| MS | $1897.56 | $1.6M | 857 | 26 |
| LA | $1893.20 | $687.2K | 363 | 21 |
| VA | $1726.09 | $2.0M | 1.2K | 47 |
| TX | $1685.15 | $4.8M | 2.9K | 132 |
| DE | $1334.44 | $481.7K | 361 | 16 |
| MN | $1279.54 | $202.2K | 158 | 9 |
| IL | $1234.56 | $1.5M | 1.2K | 58 |
| NY | $1219.99 | $6.8M | 5.5K | 161 |
| MI | $1062.85 | $911.9K | 858 | 36 |
| PA | $1012.78 | $2.3M | 2.3K | 96 |
| OK | $971.79 | $748.3K | 770 | 30 |
| SC | $916.28 | $1.1M | 1.2K | 44 |
| CO | $867.72 | $311.5K | 359 | 17 |
| MA | $778.97 | $784.4K | 1.0K | 52 |
| GA | $716.76 | $351.9K | 491 | 29 |
| MO | $697.79 | $326.6K | 468 | 27 |
| WA | $581.51 | $152.4K | 262 | 15 |
| KS | $565.32 | $716.8K | 1.3K | 43 |
| NC | $507.55 | $551.7K | 1.1K | 52 |
| TN | $448.01 | $339.1K | 757 | 38 |
| NE | $404.39 | $84.5K | 209 | 13 |
| ID | $366.84 | $81.4K | 222 | 9 |
| SD | $317.89 | $45.8K | 144 | 6 |
| AL | $258.91 | $47.6K | 184 | 12 |
| KY | $182.15 | $58.3K | 320 | 15 |
| CT | $65.64 | $20.2K | 307 | 15 |
| OH | $62.42 | $48.8K | 781 | 46 |
| IA | $60.81 | $7.7K | 126 | 8 |
| ND | $57.69 | $9.4K | 163 | 7 |
| AR | $57.25 | $16.2K | 283 | 9 |
| IN | $56.93 | $13.1K | 230 | 11 |
| WV | $54.52 | $12.3K | 226 | 10 |
| WI | $53.88 | $17.9K | 333 | 20 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Vikram Lakireddy | Cardiology | CA | $1.5M | 391 | $3810.49 |
| David Hoch | Clinical Cardiac Electrophysiology | NY | $1.3M | 319 | $4227.26 |
| Minimal Invasive Surgery Center,llc | Ambulatory Surgical Center | FL | $1.2M | 236 | $5222.04 |
| Steven Datorre | Clinical Cardiac Electrophysiology | NJ | $1.0M | 254 | $3951.45 |
| Bmmsa Heart & Vascular Center Of The Main Line | Ambulatory Surgical Center | PA | $978.6K | 178 | $5497.67 |
| Bcc West Valley Llc | Ambulatory Surgical Center | AZ | $884.4K | 163 | $5425.58 |
| Joseph Levine | Cardiology | NY | $696.7K | 164 | $4248.47 |
| Lakewood Asc, Llc | Ambulatory Surgical Center | FL | $675.8K | 140 | $4827.45 |
| Advanced Surgical & Research Solutions Llc | Ambulatory Surgical Center | OK | $644.6K | 125 | $5156.77 |
| Ambulatory Cardiovascular Center Of Mississippi | Ambulatory Surgical Center | MS | $635.4K | 136 | $4671.79 |
| Vinod Jayam | Clinical Cardiac Electrophysiology | NY | $588.2K | 138 | $4261.98 |
| Epic Surgery Center Llc | Ambulatory Surgical Center | AZ | $490.8K | 90 | $5453.00 |
| Brian Betensky | Clinical Cardiac Electrophysiology | FL | $473.7K | 167 | $2836.64 |
| The Cardiovascular Surgical Center, Inc. | Ambulatory Surgical Center | CA | $471.1K | 71 | $6635.91 |
| Pima Heart Asc Llc | Ambulatory Surgical Center | AZ | $468.2K | 93 | $5034.00 |
| Sidney Peykar | Cardiology | FL | $462.9K | 134 | $3454.44 |
| Southwest Cardiovascular Interventional Center, Llc | Ambulatory Surgical Center | AZ | $453.0K | 83 | $5457.51 |
| Tri-City Surgical Centers, Llc | Ambulatory Surgical Center | AZ | $442.1K | 81 | $5457.93 |
| Premier Cardiac Surgery Center, Pllc | Ambulatory Surgical Center | IL | $434.5K | 78 | $5570.88 |
| Dalpinder Sandhu | Cardiology | CA | $427.4K | 112 | $3815.95 |
The data suggests significant pricing inconsistencies for CPT 33285. With a 54.6x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have risen 52.4% since 2019, 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.