How much does Medicare pay for CPT 33286?

Medicare allowed an average of $112.40 per service and paid $87.29 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $797.22, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 33286?

Removal of heart rhythm monitor from under the skin. It was billed 9,213 times to 9,180 Medicare beneficiaries by 434 providers in 2024.

Does 33286 pay differently in an office than a hospital?

Yes. The allowed amount averaged $94.68 in an office setting and $117.27 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 33286 most?

Clinical Cardiac Electrophysiology, with 5,074 services from 240 clinicians. Next are Cardiology, Ambulatory Surgical Center, Interventional Cardiology.

CPT 33286

Removal of heart rhythm monitor from under the skin

$112.40Medicare-allowed amount per service, averaged across 9,213 services

Providers submitted

$797.22

Asking price, not received

Medicare allowed

$112.40

The fee schedule figure

Medicare paid

$87.29

Balance is patient coinsurance

Providers submitted an average of $797.22 for this code and Medicare allowed $112.40 — 7.1× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $87.29 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $94.68
Hospital / facility: $117.27

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 1,989 services were billed in an office setting and 7,224 in a facility.

Services: 9,213
Beneficiaries: 9,180
Providers billing it: 434
Total allowed: $1,035,541

What Medicare pays for CPT 33286

Across 9,213 services billed by 434 providers to 9,180 beneficiaries, Medicare allowed an average of $112.40 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 33286

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Cardiac Electrophysiology	5,074	5,054	$66.02	240
Cardiology	2,128	2,120	$73.28	108
Ambulatory Surgical Center	1,423	1,419	$352.99	50
Interventional Cardiology	262	262	$79.60	16
Internal Medicine	107	107	$63.04	7
Nurse Practitioner	90	90	$64.43	5
Physician Assistant	69	69	$59.55	5
Hospitalist	43	42	$90.48	2
Undefined Physician type	17	17	$49.82	1

33286 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	1,763	$115.53	$90.01	75
New York	1,337	$81.42	$50.15	48
California	889	$134.75	$94.94	38
New Jersey	769	$88.64	$63.60	31
Arizona	740	$190.67	$156.36	30
Pennsylvania	561	$129.16	$99.00	23
Texas	358	$153.52	$122.19	23
Kansas	258	$105.95	$90.37	14
South Carolina	220	$54.72	$44.44	13
Maryland	184	$96.53	$71.96	12
Massachusetts	167	$69.33	$47.94	10
Illinois	162	$142.32	$107.85	8
Mississippi	158	$187.18	$167.65	6
North Carolina	152	$51.56	$41.22	11
Michigan	149	$66.43	$50.89	9
Oklahoma	141	$135.12	$112.18	8
Virginia	94	$124.10	$98.50	5
Ohio	91	$49.21	$39.74	6
Arkansas	88	$57.74	$48.27	4
West Virginia	87	$58.51	$45.70	6
Missouri	85	$153.39	$117.45	5
Tennessee	56	$70.50	$56.32	4
Idaho	54	$43.27	$38.19	3
Delaware	51	$73.50	$49.48	3
Nebraska	51	$110.63	$93.65	4
Colorado	49	$68.92	$56.27	4
New Hampshire	47	$63.48	$47.84	3
Connecticut	46	$63.65	$42.61	3
Alaska	40	$208.08	$143.09	3
District of Columbia	37	$76.76	$57.15	1
South Dakota	36	$47.21	$39.30	1
Georgia	35	$50.47	$41.46	3
Kentucky	34	$57.98	$47.33	2
Indiana	31	$49.15	$35.76	2
Wisconsin	27	$77.66	$56.14	1
Alabama	26	$56.24	$49.12	2
Oregon	22	$386.86	$286.11	1
Minnesota	21	$370.77	$283.66	1
Iowa	15	$59.55	$51.10	1
North Dakota	14	$41.20	$35.12	1
Washington	12	$64.42	$46.53	1
Maine	12	$67.06	$57.50	1
Louisiana	11	$83.04	$73.45	1
New Mexico	11	$68.95	$53.46	1
Vermont	11	$63.96	$49.49	1
Nevada	11	$58.77	$47.83	1

Related codes

33208Insertion of pacemaker and upper and lower heart chamber electrode$734.65
33285Insertion of heart rhythm monitor under skin$1927.21
33228Removal and replacement of dual lead permanent pacemaker$1057.50
33249Insertion of implantable defibrillator system$1981.50
33225Insertion of left lower heart electrode for pacemaker or defibrillator$440.17
33268Exclusion of appendage of left upper chamber of heart performed during$92.67
33274Insertion of permanent leadless pacemaker$421.36
33264Removal and replacement of multiple lead defibrillator$4811.78
33207Insertion of pacemaker and lower heart chamber electrode$592.59

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.