CPT 93288 Cardiovascular

How Much Does Pacemaker Check (Interrogation and Programming) Cost?

Also known as: Interrog evl pm/ldls pm ip (CPT 93288)

A routine check of your pacemaker or defibrillator to ensure it is working properly.

Pacemaker Check (Interrogation and Programming) (CPT 93288) costs $55 at Medicare rates. Hospital outpatient rate: $38.

Cost Comparison by Payer

How much Interrog evl pm/ldls pm ip costs across different settings and payers

Medicare
Facility rate
$55
Hospital Outpatient
OPPS rate
$38
Medicare (Facility)
$55
CMS PFS 2026 national rate
Hospital Outpatient
$38
OPPS rate

Patient Guide: Pacemaker Check (Interrogation and Programming)

What you need to know before your appointment

What to Expect

A technician places a wand over your device. A computer reads information stored in your pacemaker, checks battery life, and may adjust settings. It is painless.

How Long Does It Take?

15-30 minutes

Common Reasons Doctors Order This

Routine pacemaker follow-up, device monitoring, battery check, symptom evaluation

How to Prepare

Bring your device identification card. Know the brand and model of your device. Continue all medications.

Procedures Commonly Done Together

These procedures are frequently performed alongside Interrog evl pm/ldls pm ip

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How to Reduce Your Cost for Interrog evl pm/ldls pm ip

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

0.42
Work RVU
1.22
Practice Expense RVU
0.02
Malpractice RVU
1.66
Total RVU

Payment = Total RVU (1.66) x CF ($33.40) = $55

Frequently Asked Questions

How much does Interrog evl pm/ldls pm ip cost?

The Medicare facility rate for Interrog evl pm/ldls pm ip is $55. In a hospital outpatient setting, the rate is $38. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Interrog evl pm/ldls pm ip cost without insurance?

Without insurance, the cost of Interrog evl pm/ldls pm ip can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Interrog evl pm/ldls pm ip?

Most commercial health insurance plans and Medicare cover Interrog evl pm/ldls pm ip when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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