Cost analysis for CPT 93296 — Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days
Average Medicare Payment
$16.07
2023 data
Total Payments (2023)
$30.6M
Services (2023)
1.8M
Price Change (2014–2023)
-11.3%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $18.11 | $13.0M | 730.9K | — |
| 2015 | $18.35 | $14.3M | 787.9K | +1.3% |
| 2016 | $18.32 | $16.6M | 920.3K | -0.2% |
| 2017 | $18.49 | $18.9M | 1.0M | +0.9% |
| 2018 | $18.84 | $21.8M | 1.2M | +1.9% |
| 2019 | $18.42 | $24.4M | 1.3M | -2.2% |
| 2020 | $18.56 | $28.8M | 1.5M | +0.8% |
| 2021 | $18.46 | $30.1M | 1.6M | -0.5% |
| 2022 | $16.64 | $29.2M | 1.7M | -9.9% |
| 2023 | $16.07 | $30.6M | 1.8M | -3.4% |
The most expensive state pays 1.5x more than the cheapest for this procedure. NY averages $19.75 vs AR at $13.51.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NY | $19.75 | $7.5M | 381.2K | 326 |
| CA | $19.47 | $1.5M | 78.8K | 401 |
| NJ | $19.01 | $914.9K | 48.1K | 182 |
| CO | $18.46 | $636.3K | 34.5K | 57 |
| AK | $18.07 | $130.4K | 7.2K | 5 |
| CT | $18.05 | $275.2K | 15.2K | 89 |
| HI | $18.01 | $10.4K | 576 | 7 |
| MA | $17.93 | $677.6K | 37.8K | 135 |
| MD | $17.82 | $485.2K | 27.2K | 81 |
| NH | $17.59 | $18.0K | 1.0K | 4 |
| DC | $17.30 | $39.0K | 2.3K | 9 |
| WA | $16.95 | $598.8K | 35.3K | 105 |
| VA | $16.86 | $463.1K | 27.5K | 76 |
| RI | $16.82 | $38.2K | 2.3K | 10 |
| SD | $16.56 | $12.1K | 728 | 4 |
| DE | $16.49 | $133.8K | 8.1K | 29 |
| OR | $16.32 | $139.1K | 8.5K | 43 |
| NV | $16.28 | $61.9K | 3.8K | 34 |
| TX | $16.24 | $2.2M | 137.2K | 374 |
| FL | $16.01 | $2.1M | 131.3K | 570 |
| VT | $15.92 | $21.0K | 1.3K | 2 |
| MN | $15.91 | $606.2K | 38.1K | 55 |
| PA | $15.89 | $1.4M | 88.7K | 281 |
| IL | $15.62 | $927.0K | 59.3K | 179 |
| AZ | $15.60 | $611.5K | 39.2K | 132 |
| SC | $15.17 | $560.2K | 36.9K | 160 |
| GA | $15.17 | $667.6K | 44.0K | 102 |
| MI | $15.17 | $369.9K | 24.4K | 129 |
| MT | $15.04 | $66.2K | 4.4K | 10 |
| NC | $14.86 | $917.3K | 61.7K | 137 |
| KS | $14.69 | $449.6K | 30.6K | 78 |
| UT | $14.58 | $156.7K | 10.8K | 32 |
| NM | $14.54 | $19.3K | 1.3K | 10 |
| ND | $14.44 | $3.4K | 234 | 3 |
| OH | $14.37 | $1.1M | 73.9K | 147 |
| WI | $14.32 | $163.7K | 11.4K | 52 |
| MO | $14.31 | $670.7K | 46.9K | 144 |
| WV | $14.27 | $118.7K | 8.3K | 23 |
| IA | $14.22 | $259.4K | 18.2K | 41 |
| IN | $14.21 | $669.2K | 47.1K | 102 |
| TN | $14.19 | $664.5K | 46.8K | 115 |
| WY | $14.19 | $11.7K | 821 | 7 |
| NE | $14.14 | $324.6K | 22.9K | 31 |
| OK | $14.14 | $234.2K | 16.6K | 49 |
| AL | $14.06 | $412.0K | 29.3K | 112 |
| KY | $13.96 | $389.9K | 27.9K | 98 |
| LA | $13.94 | $316.3K | 22.7K | 108 |
| MS | $13.71 | $243.2K | 17.7K | 49 |
| ID | $13.55 | $53.4K | 3.9K | 21 |
| AR | $13.51 | $190.1K | 14.1K | 45 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Cardionet, Llc | Independent Diagnostic Testing Facility (IDTF) | NY | $1.7M | 87.1K | $19.43 |
| Vector Remote Care, Llc | Independent Diagnostic Testing Facility (IDTF) | NY | $1.1M | 58.3K | $19.54 |
| Rhythm Management Group Corp | Independent Diagnostic Testing Facility (IDTF) | NY | $1.1M | 54.5K | $20.64 |
| Cardiac Rms Llc | Independent Diagnostic Testing Facility (IDTF) | NY | $1.0M | 51.7K | $20.09 |
| Beyond Reps, Inc. | Independent Diagnostic Testing Facility (IDTF) | NY | $553.3K | 27.3K | $20.25 |
| Octagos Health Inc. | Independent Diagnostic Testing Facility (IDTF) | TX | $413.0K | 24.1K | $17.13 |
| Evoke Medical Care Llc | Independent Diagnostic Testing Facility (IDTF) | CO | $314.0K | 14.9K | $21.03 |
| Isis Medical, Incorporated | Independent Diagnostic Testing Facility (IDTF) | OH | $221.6K | 16.1K | $13.76 |
| Vali Medical, Llc | Independent Diagnostic Testing Facility (IDTF) | NY | $218.3K | 10.2K | $21.51 |
| Rhythmscience Inc. | Independent Diagnostic Testing Facility (IDTF) | NY | $196.9K | 10.2K | $19.30 |
| Equimed Corporation | Independent Diagnostic Testing Facility (IDTF) | MN | $178.5K | 10.2K | $17.42 |
| Joseph Levine | Cardiology | NY | $114.3K | 5.3K | $21.70 |
| Denise Valentine | Nurse Practitioner | AK | $82.8K | 4.5K | $18.50 |
| David Hoch | Clinical Cardiac Electrophysiology | NY | $68.5K | 3.5K | $19.36 |
| Charles Love | Clinical Cardiac Electrophysiology | MD | $59.8K | 3.4K | $17.47 |
| Walid Kutayli | Clinical Cardiac Electrophysiology | NE | $57.8K | 4.0K | $14.32 |
| Jason Goebel | Clinical Cardiac Electrophysiology | SC | $51.7K | 3.3K | $15.80 |
| Jason Meyers | Clinical Cardiac Electrophysiology | IA | $46.1K | 3.2K | $14.63 |
| Robert Canby | Clinical Cardiac Electrophysiology | TX | $43.7K | 2.6K | $16.60 |
| William Shin | Clinical Cardiac Electrophysiology | NY | $43.6K | 2.1K | $21.16 |
Based on the data, CPT 93296 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.
Costs have decreased 11.3% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
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.