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Procedure price report · Electrographic cardiac monitoring

In-office reprogramming of a multi-lead pacemaker

CPT 93281the billing code this page is about

An in-person evaluation of a pacemaker with three or more leads in which settings are tested and adjusted to choose the programming the device will use.

Hospitals typically charge $114 cash for this outpatient procedure — the median across 1,304 hospitals that filed a usable cash price; the average of the middle 60% is $125. Most fall between $51 and $261 (20th–80th percentile).

Hospitals
1,304
States
49
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,304 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$40$60$114$223$364

The most expensive tenth of hospitals charges at least 9.2× what the cheapest tenth charges ($40 vs $364).

How the prices are spread

$32 – $42: 102 hospitals$32$42 – $56: 128 hospitals$56 – $73: 130 hospitals$56$73 – $96: 127 hospitals$96 – $127: 168 hospitals$96$127 – $167: 134 hospitals$167 – $220: 110 hospitals$167$220 – $290: 110 hospitals$290 – $383: 114 hospitals$290$383 – $504: 51 hospitals$383median $114price bands are equal on a log scale
Hospitals per price band (1,174 of 1,304 — the bands cover the 5th to 95th percentile)
FromToHospitals
$32$42102
$42$56128
$56$73130
$73$96127
$96$127168
$127$167134
$167$220110
$220$290110
$290$383114
$383$50451

Against Medicare

Medicare pays (OPPS 2026, national rate)$38
Median cash price$114
Cash as a multiple of Medicare3.0×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $114.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 9 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $93 across 11 hospitalsNH$93Washington: median $79 across 25 hospitalsWA$79Idaho: median $152 across 10 hospitalsID$152Montana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $190 across 49 hospitalsMN$190Illinois: median $127 across 41 hospitalsIL$127Wisconsin: median $294 across 63 hospitalsWI$294Michigan: median $108 across 57 hospitalsMI$108New York: median $66 across 57 hospitalsNY$66Massachusetts: median $172 across 28 hospitalsMA$172Oregon: median $93 across 29 hospitalsOR$93Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $78 across 23 hospitalsIA$78Indiana: median $134 across 39 hospitalsIN$134Ohio: median $155 across 66 hospitalsOH$155Pennsylvania: median $63 across 71 hospitalsPA$63New Jersey: median $44 across 26 hospitalsNJ$44Connecticut: median $126 across 14 hospitalsCT$126Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $186 across 90 hospitalsCA$186Utah: median $78 across 23 hospitalsUT$78Colorado: median $214 across 31 hospitalsCO$214Nebraska: median $94 across 32 hospitalsNE$94Missouri: median $54 across 22 hospitalsMO$54Kentucky: median $134 across 19 hospitalsKY$134West Virginia: median $69 across 23 hospitalsWV$69Virginia: median $109 across 30 hospitalsVA$109Maryland: 7 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: median $56 across 13 hospitalsAZ$56New Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $88 across 15 hospitalsKS$88Arkansas: median $32 across 14 hospitalsAR$32Tennessee: median $70 across 17 hospitalsTN$70North Carolina: median $95 across 24 hospitalsNC$95South Carolina: median $90 across 18 hospitalsSC$90Oklahoma: median $67 across 23 hospitalsOK$67Louisiana: median $55 across 22 hospitalsLA$55Mississippi: median $58 across 13 hospitalsMS$58Alabama: median $69 across 13 hospitalsAL$69Georgia: median $107 across 49 hospitalsGA$107Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $305 across 74 hospitalsTX$305Florida: median $114 across 54 hospitalsFL$114
Cash price by state, most expensive first. National median $114. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Texas TX74$305+166%$131 – $596
Wisconsin WI63$294+157%$129 – $426
Colorado CO31$214+87%$134 – $425
Minnesota MN49$190+66%$108 – $225
California CA90$186+63%$80 – $364
Massachusetts MA28$172+50%$65 – $505
Ohio OH66$155+35%$116 – $222
Idaho ID10$152+33%$61 – $186
Indiana IN39$134+17%$59 – $189
Kentucky KY19$134+17%$45 – $150
Illinois IL41$127+11%$65 – $280
Connecticut CT14$126+10%$67 – $330
Florida FL54$1140%$43 – $248
Virginia VA30$109−5%$84 – $389
Michigan MI57$108−6%$51 – $267
Georgia GA49$107−7%$67 – $201
North Carolina NC24$95−17%$51 – $131
Nebraska NE32$94−18%$56 – $122
Oregon OR29$93−19%$73 – $127
New Hampshire NH11$93−19%$54 – $121
South Carolina SC18$90−22%$74 – $222
Kansas KS15$88−23%$13 – $255
Washington WA25$79−31%$61 – $131
Iowa IA23$78−31%$73 – $193
Utah UT23$78−32%$66 – $78
Tennessee TN17$70−39%$37 – $514
West Virginia WV23$69−40%$42 – $115
Alabama AL13$69−40%$33 – $161
Oklahoma OK23$67−41%$40 – $67
New York NY57$66−42%$44 – $136
Pennsylvania PA71$63−45%$36 – $293
Mississippi MS13$58−50%$32 – $142
Arizona AZ13$56−51%$46 – $224
Louisiana LA22$55−52%$37 – $97
Missouri MO22$54−53%$37 – $72
New Jersey NJ26$44−62%$41 – $134
Arkansas AR14$32−72%$23 – $143
Maine ME9not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Maryland MD7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $114.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,075$109$49 – $248
Children’s32$293$199 – $749
Critical access189$118$66 – $223
Ownership
For-profit104$107$42 – $264
Government179$87$46 – $174
Non-profit1,013$122$52 – $284
System affiliation
Part of a system1,118$116$51 – $271
Independent186$98$48 – $190

Cash price vs list price

Median list price (chargemaster)$195
Median cash price$114
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

949 hospitals filed a usable inpatient cash price for this code. The median is $127 and the average of the middle 60% is $145; most fall between $62 and $294.

Cash price percentiles, inpatient, across 949 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$42$69$127$245$389

The most expensive tenth of hospitals charges at least 9.2× what the cheapest tenth charges ($42 vs $389).

Of the 996 hospitals that filed this code inpatient, 949 gave a usable cash price; 15 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 32 a list price only.

How complete is this

1,304 of the 3,956 hospitals with a price file in our corpus (33%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,371 hospitals that filed this code at all gave us
Usable cash price — counted1,304
Cash price carrying a plausibility flag — shown on the compare tool, excluded here31
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded36
Hospitals that filed this code1,371

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Electrographic cardiac monitoring family.

Hospitals file this code under descriptions such as Program Eval Implantable in Prsn Multi Ld Pacer|PROFESSIONAL COMPONENT.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “In-office reprogramming of a multi-lead pacemaker (CPT 93281) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-93281-in-office-reprogramming-of-a-multi-lead-pacemaker