Cost analysis for CPT 33533 — Coronary artery bypass using artery graft, 1 graft
Average Medicare Payment
$881.75
2023 data
Total Payments (2023)
$55.3M
Services (2023)
58.9K
Price Change (2014–2023)
+0.4%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $878.45 | $90.3M | 97.4K | — |
| 2015 | $875.50 | $90.8M | 97.7K | -0.3% |
| 2016 | $875.76 | $89.9M | 96.4K | +0.0% |
| 2017 | $883.44 | $88.9M | 94.3K | +0.9% |
| 2018 | $887.72 | $85.0M | 90.0K | +0.5% |
| 2019 | $906.33 | $85.3M | 88.3K | +2.1% |
| 2020 | $941.63 | $64.5M | 65.0K | +3.9% |
| 2021 | $908.94 | $64.3M | 66.3K | -3.5% |
| 2022 | $900.91 | $59.2M | 61.9K | -0.9% |
| 2023 | $881.75 | $55.3M | 58.9K | -2.1% |
The most expensive state pays 2.4x more than the cheapest for this procedure. DC averages $1423.46 vs VT at $602.45.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| DC | $1423.46 | $195.0K | 137 | 4 |
| MD | $1143.59 | $838.3K | 733 | 26 |
| NM | $1125.50 | $148.6K | 132 | 8 |
| HI | $1108.74 | $124.2K | 112 | 5 |
| OK | $1071.26 | $975.9K | 911 | 28 |
| NY | $1053.85 | $2.4M | 2.2K | 104 |
| MO | $1045.59 | $1.2M | 1.2K | 51 |
| PA | $1027.76 | $2.4M | 2.4K | 113 |
| CO | $1027.49 | $201.4K | 196 | 14 |
| NJ | $1027.44 | $1.5M | 1.5K | 52 |
| MA | $1017.36 | $1.5M | 1.5K | 61 |
| GA | $1012.58 | $1.6M | 1.5K | 66 |
| IL | $995.99 | $2.6M | 2.6K | 103 |
| FL | $988.40 | $5.6M | 5.6K | 219 |
| OH | $971.20 | $2.1M | 2.2K | 97 |
| KS | $970.83 | $742.7K | 765 | 26 |
| TN | $969.86 | $1.7M | 1.8K | 63 |
| MN | $966.06 | $556.4K | 576 | 33 |
| MS | $961.41 | $700.9K | 729 | 28 |
| KY | $948.24 | $1.2M | 1.3K | 49 |
| NV | $943.48 | $400.0K | 424 | 22 |
| VA | $940.79 | $1.8M | 1.9K | 80 |
| TX | $933.01 | $4.2M | 4.5K | 175 |
| LA | $931.79 | $1.1M | 1.1K | 46 |
| CT | $926.09 | $372.3K | 402 | 21 |
| MI | $912.94 | $917.5K | 1.0K | 54 |
| AR | $912.47 | $681.6K | 747 | 21 |
| SC | $906.49 | $1.6M | 1.7K | 65 |
| NH | $905.90 | $496.4K | 548 | 25 |
| NC | $899.35 | $1.9M | 2.1K | 90 |
| OR | $887.12 | $688.4K | 776 | 41 |
| UT | $885.63 | $248.0K | 280 | 13 |
| CA | $881.30 | $4.3M | 4.9K | 202 |
| ID | $874.06 | $267.5K | 306 | 15 |
| AZ | $848.62 | $1.2M | 1.4K | 51 |
| IN | $835.81 | $1.2M | 1.5K | 72 |
| SD | $828.69 | $319.9K | 386 | 12 |
| WV | $821.44 | $299.8K | 365 | 15 |
| AL | $815.57 | $1.2M | 1.4K | 59 |
| WA | $810.57 | $796.0K | 982 | 52 |
| IA | $810.11 | $673.2K | 831 | 34 |
| WI | $797.22 | $886.5K | 1.1K | 54 |
| ND | $790.77 | $193.7K | 245 | 11 |
| MT | $781.40 | $207.1K | 265 | 14 |
| DE | $769.05 | $296.1K | 385 | 15 |
| RI | $731.94 | $74.7K | 102 | 5 |
| NE | $714.34 | $569.3K | 797 | 25 |
| ME | $658.75 | $158.1K | 240 | 12 |
| VT | $602.45 | $68.7K | 114 | 4 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| John Randolph | Thoracic Surgery | OK | $196.5K | 147 | $1336.41 |
| Sanjay Khicha | Thoracic Surgery | KS | $157.9K | 128 | $1233.52 |
| Matthew Arneson | Cardiac Surgery | KS | $154.7K | 130 | $1189.71 |
| James Davies | Thoracic Surgery | AL | $137.9K | 109 | $1265.55 |
| Roberto Colangelo | Cardiac Surgery | NY | $130.5K | 73 | $1787.08 |
| Jeffrey Sell | Thoracic Surgery | FL | $122.1K | 96 | $1272.26 |
| Barry Davis | Cardiac Surgery | SC | $114.7K | 89 | $1288.38 |
| Patroklos Pappas | Thoracic Surgery | IL | $112.6K | 78 | $1443.31 |
| Alan Winston | Cardiac Surgery | GA | $112.5K | 83 | $1355.49 |
| Kristofer Freeland | Cardiac Surgery | AR | $110.6K | 92 | $1202.02 |
| Kalyan Vunnamadala | Thoracic Surgery | SD | $108.3K | 86 | $1258.73 |
| Albert Dimeo | Thoracic Surgery | NY | $107.1K | 63 | $1700.31 |
| Michael Nolen | Cardiac Surgery | AR | $106.0K | 97 | $1092.58 |
| Clayton Kaiser | Cardiac Surgery | TN | $104.4K | 86 | $1213.72 |
| Francis Sutter | Thoracic Surgery | PA | $104.1K | 75 | $1388.35 |
| Ashok Babu | Thoracic Surgery | TN | $102.8K | 85 | $1209.11 |
| Jonathan Fong | Cardiac Surgery | FL | $102.1K | 74 | $1379.62 |
| Nathan Bates | Cardiology | FL | $100.1K | 71 | $1409.19 |
| James Morrissey | Cardiac Surgery | CA | $99.9K | 75 | $1331.95 |
| R.C. Finney | Thoracic Surgery | MD | $99.3K | 67 | $1482.44 |
The data suggests significant pricing inconsistencies for CPT 33533. With a 2.4x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.
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.