Maryland · 33517

Coronary Artery Bypass Using Vein Or Artery Graft, 1 Graft in Maryland

Maryland Medicare Avg
$113.26
17% above national avg
National Medicare Avg
$96.75
All states combined
Billed Charge (MD)
$577.45
What providers submit
Est. Commercial (MD)
$283.24
National avg: $271.37
Est. Cash / Self-Pay (MD)
$265.01
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

238
Services in MD
48
Providers
N/A
Min Payment
N/A
Max Payment

Maryland Pricing in Context

In Maryland, CPT code 33517 (Coronary Artery Bypass Using Vein Or Artery Graft, 1 Graft) carries an average Medicare payment of $113.26 — 17% above the national benchmark of $96.75. 48 providers across the state submitted claims for this procedure in 2023, performing 238 total services. Individual payments in MD ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Maryland is $577.45, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Maryland sits above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Cardiovascular Surgery procedures, the estimated commercial insurance price in Maryland lands near $283.24, with self-pay cash prices typically around $265.01. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Coronary Artery Bypass Using Vein Or Artery Graft, 1 Graft cost in Maryland?

The average Medicare payment for Coronary Artery Bypass Using Vein Or Artery Graft, 1 Graft in Maryland is $113.26, which is 17% above the national average of $96.75. Providers in MD typically bill $577.45 for this procedure.

What does Coronary Artery Bypass Using Vein Or Artery Graft, 1 Graft cost with insurance in Maryland?

With commercial insurance in Maryland, Coronary Artery Bypass Using Vein Or Artery Graft, 1 Graft costs an estimated $283.24. Without insurance, the estimated cash price is $265.01. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Coronary Artery Bypass Using Vein Or Artery Graft, 1 Graft in Maryland?

48 providers in Maryland billed Medicare for Coronary Artery Bypass Using Vein Or Artery Graft, 1 Graft in 2023, performing 238 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Coronary Artery Bypass Using Vein Or Artery Graft, 1 Graft cheaper in Maryland than the national average?

No — Coronary Artery Bypass Using Vein Or Artery Graft, 1 Graft costs 17% above the national average in Maryland. The state average Medicare payment is $113.26 compared to $96.75 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial