CPT 33285 Surgery - Cardiovascular

How Much Does Insertion of Subcutaneous Car Rhythm Mntr Cost?

Also known as: Insj subq car rhythm mntr (CPT 33285)

Implantable loop recorder insertion (cardiac event monitor placed under the skin).

The total estimated cost of Insertion of Subcutaneous Car Rhythm Mntr (CPT 33285) is $255 to $477, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $76.

Total Estimated Cost of Care

$255 — $477

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$76
Hospital Facility Fee
$227
Anesthesia (est.)
$15
Important: The physician fee of $76 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$76
Physician component only — CMS PFS 2026
Medicare Physician Fee (Office/Clinic)
$4,012
Non-facility setting

Patient Guide: Insertion of Subcutaneous Car Rhythm Mntr

What you need to know before your appointment

What to Expect

Under local anesthesia, a small device (about the size of a USB drive) is inserted under the skin of the chest through a tiny incision. It continuously monitors your heart rhythm.

How Long Does It Take?

10-15 minutes

Common Reasons Doctors Order This

Unexplained fainting, infrequent palpitations, cryptogenic stroke (stroke of unknown cause), atrial fibrillation monitoring

How to Prepare

No special preparation. The wound heals in a few days. The device can stay for up to 3 years. Carry your device ID card.

Procedures Commonly Done Together

These procedures are frequently performed alongside Insj subq car rhythm mntr

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How to Reduce Your Cost for Insj subq car rhythm mntr

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

    For this procedure, the office rate ($4,012) differs from the facility rate ($76). Ask if it can be done in an office setting.

  • 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.

1.49
Work RVU
0.42
Practice Expense RVU
0.36
Malpractice RVU
120.12
Total RVU

Payment = Total RVU (120.12) x CF ($33.40) = $4,012

Frequently Asked Questions

How much does Insj subq car rhythm mntr cost?

The Medicare facility rate for Insj subq car rhythm mntr is $76. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Insj subq car rhythm mntr cost without insurance?

Without insurance, the cost of Insj subq car rhythm mntr 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 Insj subq car rhythm mntr?

Most commercial health insurance plans and Medicare cover Insj subq car rhythm mntr 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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