Cost analysis for CPT 93280 — Programming of dual lead pacemaker system
Average Medicare Payment
$45.22
2023 data
Total Payments (2023)
$33.3M
Services (2023)
716.1K
Price Change (2014–2023)
+25.0%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $36.19 | $39.2M | 1.1M | — |
| 2015 | $36.23 | $38.9M | 1.1M | +0.1% |
| 2016 | $35.37 | $37.3M | 1.0M | -2.4% |
| 2017 | $35.19 | $36.3M | 1.0M | -0.5% |
| 2018 | $35.47 | $35.4M | 983.6K | +0.8% |
| 2019 | $38.88 | $38.0M | 955.9K | +9.6% |
| 2020 | $42.10 | $30.8M | 713.1K | +8.3% |
| 2021 | $45.74 | $35.6M | 755.6K | +8.6% |
| 2022 | $46.76 | $35.5M | 735.8K | +2.2% |
| 2023 | $45.22 | $33.3M | 716.1K | -3.3% |
The most expensive state pays 2.3x more than the cheapest for this procedure. NJ averages $58.34 vs ME at $25.89.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NJ | $58.34 | $1.2M | 20.9K | 209 |
| AK | $57.33 | $84.1K | 1.5K | 7 |
| MD | $56.29 | $788.1K | 14.0K | 126 |
| DC | $55.49 | $112.9K | 2.0K | 19 |
| NY | $54.87 | $2.3M | 41.7K | 506 |
| CA | $54.36 | $3.9M | 71.5K | 925 |
| NV | $54.13 | $354.6K | 6.5K | 58 |
| PR | $51.68 | $6.1K | 119 | 5 |
| WY | $51.03 | $71.9K | 1.4K | 14 |
| CO | $50.74 | $386.2K | 7.6K | 107 |
| FL | $50.40 | $3.4M | 67.3K | 736 |
| IL | $49.33 | $1.3M | 26.6K | 222 |
| PA | $49.16 | $1.4M | 27.8K | 351 |
| AZ | $48.56 | $992.0K | 20.4K | 232 |
| CT | $48.21 | $394.0K | 8.2K | 111 |
| SC | $48.19 | $808.8K | 16.8K | 207 |
| WA | $48.09 | $564.7K | 11.7K | 169 |
| UT | $47.88 | $190.8K | 4.0K | 46 |
| IN | $47.10 | $791.5K | 16.8K | 134 |
| DE | $46.85 | $137.6K | 2.9K | 37 |
| MA | $46.39 | $808.0K | 17.4K | 255 |
| GA | $46.02 | $1.0M | 22.1K | 188 |
| TX | $44.67 | $2.3M | 51.6K | 574 |
| MN | $43.76 | $439.5K | 10.0K | 94 |
| AL | $43.58 | $517.9K | 11.9K | 129 |
| NE | $43.57 | $250.4K | 5.7K | 50 |
| TN | $43.38 | $807.2K | 18.6K | 187 |
| LA | $42.68 | $291.5K | 6.8K | 124 |
| NC | $41.82 | $864.2K | 20.7K | 232 |
| OR | $41.10 | $293.7K | 7.1K | 91 |
| MT | $40.86 | $166.0K | 4.1K | 32 |
| MO | $40.81 | $580.2K | 14.2K | 214 |
| VA | $39.96 | $858.1K | 21.5K | 177 |
| HI | $39.85 | $50.6K | 1.3K | 17 |
| OH | $39.76 | $999.1K | 25.1K | 281 |
| KY | $39.73 | $396.3K | 10.0K | 144 |
| MI | $38.93 | $723.9K | 18.6K | 238 |
| MS | $38.52 | $393.2K | 10.2K | 83 |
| WI | $38.28 | $370.7K | 9.7K | 117 |
| KS | $37.45 | $420.6K | 11.2K | 97 |
| OK | $37.26 | $312.8K | 8.4K | 102 |
| RI | $36.50 | $70.5K | 1.9K | 30 |
| NM | $35.62 | $90.4K | 2.5K | 33 |
| AR | $35.04 | $388.3K | 11.1K | 95 |
| IA | $34.97 | $239.7K | 6.9K | 65 |
| ID | $34.19 | $90.9K | 2.7K | 34 |
| NH | $33.19 | $81.8K | 2.5K | 36 |
| WV | $32.99 | $104.4K | 3.2K | 42 |
| VT | $28.81 | $58.1K | 2.0K | 13 |
| SD | $27.99 | $78.0K | 2.8K | 21 |
| ND | $26.87 | $65.8K | 2.4K | 15 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Carmine Oddis | Clinical Cardiac Electrophysiology | GA | $68.1K | 1.2K | $55.05 |
| Charles Kinder | Clinical Cardiac Electrophysiology | IL | $63.2K | 1.0K | $60.75 |
| Devi Nair | Clinical Cardiac Electrophysiology | AR | $62.1K | 1.2K | $49.85 |
| William Shin | Clinical Cardiac Electrophysiology | NY | $57.0K | 776 | $73.41 |
| Mohamed Khan | Interventional Cardiology | CA | $50.0K | 820 | $61.02 |
| Joshua Stern | Clinical Cardiac Electrophysiology | NY | $48.0K | 678 | $70.82 |
| Ahmet Gursoy | Interventional Cardiology | FL | $47.7K | 805 | $59.22 |
| Lynne Hung | Clinical Cardiac Electrophysiology | CA | $47.1K | 696 | $67.72 |
| Denise Valentine | Nurse Practitioner | AK | $46.4K | 779 | $59.60 |
| Kenneth Plunkitt | Clinical Cardiac Electrophysiology | FL | $46.3K | 794 | $58.27 |
| Arun Kolli | Clinical Cardiac Electrophysiology | AZ | $45.9K | 797 | $57.65 |
| Kim Keosian | Nurse Practitioner | MD | $45.9K | 899 | $51.01 |
| Peter Nalos | Cardiology | CA | $45.2K | 767 | $58.91 |
| Sean Tierney | Clinical Cardiac Electrophysiology | IL | $43.5K | 734 | $59.22 |
| Vinod Jayam | Clinical Cardiac Electrophysiology | NY | $42.3K | 571 | $74.03 |
| Leo Polosajian | Cardiology | CA | $41.9K | 604 | $69.44 |
| Caroline Shaw | Physician Assistant | FL | $40.0K | 785 | $50.94 |
| Alexander Asser | Clinical Cardiac Electrophysiology | MD | $39.8K | 600 | $66.41 |
| David Hoch | Clinical Cardiac Electrophysiology | NY | $39.8K | 552 | $72.02 |
| Claudio Bonometti | Cardiology | NV | $39.1K | 631 | $61.99 |
The data suggests significant pricing inconsistencies for CPT 93280. With a 2.3x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have risen 25.0% 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.