{"procedure":{"code_type":"CPT","code":"33227","lay_name":"Pacemaker battery replacement, single-wire system","blurb":"Removal of an existing pacemaker pulse generator and placement of a new one connected to a single existing pacing wire; the wires already in the heart are left in place.","slug":"cpt-33227-pacemaker-battery-replacement-single-wire-system","description":"Remvl Perm Pm Plse Gen W/Repl Plse Gen Sngl Lead","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"48","label":"Insertion, revision, replacement, removal of cardiac pacemaker or cardioverter/defibrillator","surgery_flag":"narrow"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2024-02-19","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.006185Z","checked_through":"2026-09-25T01:13:19.715392Z","n_priced_setters":3956,"n_filed":1928,"n_usable":1742,"n_not_usable":1,"n_labelled":119,"n_no_cash":63,"n_estimated":3,"n_states":50,"cash_p10":2532.75,"cash_p20":4986.66,"cash_p25":5785.0,"cash_p50":10427.04,"cash_p75":17102.25,"cash_p80":19021.5,"cash_p90":27010.5,"cash_mean_trimmed":10852.09,"gross_p50":18920.0,"cash_to_gross_p50":0.6,"medicare_rate":8454.63,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":1.2333,"by_state":[{"state":"AK","n":4,"p20":null,"p50":null,"p80":null},{"state":"AL","n":20,"p20":7419.31,"p50":9171.57,"p80":16318.0},{"state":"AR","n":18,"p20":3998.54,"p50":5473.0,"p80":10598.0},{"state":"AZ","n":33,"p20":5630.67,"p50":9594.32,"p80":25482.0},{"state":"CA","n":138,"p20":8991.94,"p50":16712.0,"p80":25746.0},{"state":"CO","n":36,"p20":4995.3,"p50":6632.36,"p80":14826.72},{"state":"CT","n":13,"p20":3668.36,"p50":10570.0,"p80":13208.03},{"state":"DE","n":6,"p20":null,"p50":null,"p80":null},{"state":"FL","n":86,"p20":11106.55,"p50":15711.85,"p80":20526.17},{"state":"GA","n":65,"p20":3799.62,"p50":5539.17,"p80":14186.5},{"state":"HI","n":8,"p20":null,"p50":null,"p80":null},{"state":"IA","n":22,"p20":4986.66,"p50":12244.13,"p80":18258.89},{"state":"ID","n":12,"p20":7568.0,"p50":7568.0,"p80":18000.0},{"state":"IL","n":75,"p20":3250.0,"p50":10837.2,"p80":23144.8},{"state":"IN","n":44,"p20":3242.7,"p50":5738.72,"p80":13783.2},{"state":"KS","n":21,"p20":5592.16,"p50":7988.8,"p80":33426.45},{"state":"KY","n":25,"p20":5342.08,"p50":16578.0,"p80":58601.42},{"state":"LA","n":35,"p20":4298.14,"p50":9475.18,"p80":18063.0},{"state":"MA","n":30,"p20":9016.0,"p50":18540.0,"p80":33282.9},{"state":"MD","n":3,"p20":null,"p50":null,"p80":null},{"state":"ME","n":7,"p20":null,"p50":null,"p80":null},{"state":"MI","n":66,"p20":666.0,"p50":9997.65,"p80":14140.0},{"state":"MN","n":43,"p20":8172.19,"p50":10485.6,"p80":13502.72},{"state":"MO","n":44,"p20":5632.8,"p50":8162.05,"p80":11471.85},{"state":"MS","n":24,"p20":5317.6,"p50":6579.43,"p80":10232.7},{"state":"MT","n":5,"p20":null,"p50":null,"p80":null},{"state":"NC","n":47,"p20":4920.0,"p50":6519.53,"p80":12525.6},{"state":"ND","n":5,"p20":null,"p50":null,"p80":null},{"state":"NE","n":18,"p20":1269.9,"p50":4986.66,"p80":8715.6},{"state":"NH","n":10,"p20":1227.3,"p50":5241.17,"p80":13699.14},{"state":"NJ","n":51,"p20":5110.0,"p50":9584.0,"p80":11298.28},{"state":"NM","n":7,"p20":null,"p50":null,"p80":null},{"state":"NV","n":9,"p20":null,"p50":null,"p80":null},{"state":"NY","n":55,"p20":3520.91,"p50":9793.46,"p80":17904.0},{"state":"OH","n":88,"p20":8148.8,"p50":12298.0,"p80":14528.8},{"state":"OK","n":32,"p20":1944.4,"p50":5944.2,"p80":9778.8},{"state":"OR","n":34,"p20":920.0,"p50":10368.0,"p80":21624.75},{"state":"PA","n":82,"p20":6138.6,"p50":9777.07,"p80":25665.0},{"state":"RI","n":6,"p20":null,"p50":null,"p80":null},{"state":"SC","n":34,"p20":9912.31,"p50":12182.3,"p80":18643.3},{"state":"SD","n":10,"p20":9627.95,"p50":17387.0,"p80":20472.0},{"state":"TN","n":38,"p20":2924.13,"p50":4751.7,"p80":10331.6},{"state":"TX","n":158,"p20":6720.0,"p50":15676.55,"p80":30071.0},{"state":"UT","n":17,"p20":13604.98,"p50":21265.04,"p80":21265.04},{"state":"VA","n":42,"p20":7080.0,"p50":10264.8,"p80":13823.5},{"state":"VT","n":5,"p20":null,"p50":null,"p80":null},{"state":"WA","n":42,"p20":6329.99,"p50":7842.4,"p80":14463.18},{"state":"WI","n":51,"p20":2110.55,"p50":5071.0,"p80":12861.9},{"state":"WV","n":12,"p20":955.0,"p50":2880.5,"p80":3440.5},{"state":"WY","n":6,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1571,"p20":5290.08,"p50":10488.0,"p80":19326.0},{"key":"childrens","n":34,"p20":8505.0,"p50":13034.13,"p80":22931.0},{"key":"critical_access","n":129,"p20":1234.0,"p50":6579.43,"p80":14999.1}],"ownership":[{"key":"for_profit","n":213,"p20":6632.36,"p50":15676.55,"p80":31608.39},{"key":"government","n":212,"p20":3625.2,"p50":8676.0,"p80":15207.12},{"key":"nonprofit","n":1309,"p20":4986.66,"p50":10459.6,"p80":18111.2}],"affiliation":[{"key":"affiliated","n":1496,"p20":5071.0,"p50":10474.38,"p80":18788.0},{"key":"independent","n":246,"p20":2590.0,"p50":9596.0,"p80":19649.0}]},"histogram":[{"lo":925.0,"hi":1327.7,"n":28},{"lo":1327.7,"hi":1905.73,"n":13},{"lo":1905.73,"hi":2735.4,"n":57},{"lo":2735.4,"hi":3926.27,"n":87},{"lo":3926.27,"hi":5635.59,"n":149},{"lo":5635.59,"hi":8089.08,"n":227},{"lo":8089.08,"hi":11610.7,"n":340},{"lo":11610.7,"hi":16665.49,"n":294},{"lo":16665.49,"hi":23920.9,"n":213},{"lo":23920.9,"hi":34335.0,"n":161}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2024-02-19","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:13:19.715392Z","n_priced_setters":3956,"n_filed":1432,"n_usable":1293,"n_not_usable":1,"n_labelled":82,"n_no_cash":56,"n_estimated":0,"n_states":50,"cash_p10":3227.22,"cash_p20":5289.22,"cash_p25":6157.0,"cash_p50":10765.5,"cash_p75":17102.25,"cash_p80":18302.2,"cash_p90":25485.6,"cash_mean_trimmed":11112.45,"gross_p50":18937.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":11,"p20":8857.0,"p50":13506.0,"p80":16318.0},{"state":"AR","n":5,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":26,"p20":5630.67,"p50":7960.6,"p80":25482.0},{"state":"CA","n":121,"p20":9174.76,"p50":17466.15,"p80":25746.0},{"state":"CO","n":32,"p20":5189.1,"p50":6632.36,"p80":14826.72},{"state":"CT","n":7,"p20":null,"p50":null,"p80":null},{"state":"DE","n":5,"p20":null,"p50":null,"p80":null},{"state":"FL","n":61,"p20":11106.55,"p50":16497.0,"p80":24164.4},{"state":"GA","n":52,"p20":3799.62,"p50":5539.17,"p80":11083.5},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":19,"p20":5048.7,"p50":12814.2,"p80":18302.2},{"state":"ID","n":10,"p20":4941.3,"p50":7568.0,"p80":8739.06},{"state":"IL","n":64,"p20":3388.2,"p50":11200.0,"p80":23144.8},{"state":"IN","n":39,"p20":3556.26,"p50":6406.66,"p80":13783.2},{"state":"KS","n":8,"p20":null,"p50":null,"p80":null},{"state":"KY","n":15,"p20":3227.22,"p50":9333.3,"p80":33231.39},{"state":"LA","n":20,"p20":4086.09,"p50":7884.45,"p80":13931.52},{"state":"MA","n":27,"p20":9016.0,"p50":19589.25,"p80":36517.0},{"state":"MD","n":3,"p20":null,"p50":null,"p80":null},{"state":"ME","n":7,"p20":null,"p50":null,"p80":null},{"state":"MI","n":54,"p20":7000.6,"p50":10637.25,"p80":21212.75},{"state":"MN","n":39,"p20":7500.0,"p50":10485.6,"p80":13502.72},{"state":"MO","n":25,"p20":6636.6,"p50":8624.5,"p80":9118.45},{"state":"MS","n":14,"p20":3601.62,"p50":8095.48,"p80":11122.5},{"state":"MT","n":4,"p20":null,"p50":null,"p80":null},{"state":"NC","n":28,"p20":5937.0,"p50":6519.53,"p80":12566.98},{"state":"ND","n":5,"p20":null,"p50":null,"p80":null},{"state":"NE","n":10,"p20":4986.66,"p50":6240.24,"p80":7598.16},{"state":"NH","n":10,"p20":1227.3,"p50":5241.17,"p80":13699.14},{"state":"NJ","n":18,"p20":9160.35,"p50":11336.82,"p80":47250.82},{"state":"NM","n":4,"p20":null,"p50":null,"p80":null},{"state":"NV","n":5,"p20":null,"p50":null,"p80":null},{"state":"NY","n":32,"p20":3520.91,"p50":7585.0,"p80":18000.0},{"state":"OH","n":81,"p20":8148.8,"p50":12375.0,"p80":14528.8},{"state":"OK","n":27,"p20":1944.4,"p50":5944.2,"p80":8107.0},{"state":"OR","n":21,"p20":611.0,"p50":20836.9,"p80":23091.38},{"state":"PA","n":67,"p20":6511.0,"p50":10643.04,"p80":26215.2},{"state":"RI","n":2,"p20":null,"p50":null,"p80":null},{"state":"SC","n":29,"p20":9912.31,"p50":12182.3,"p80":17061.0},{"state":"SD","n":4,"p20":null,"p50":null,"p80":null},{"state":"TN","n":31,"p20":2924.13,"p50":3737.25,"p80":5810.02},{"state":"TX","n":108,"p20":6574.75,"p50":12561.0,"p80":18220.94},{"state":"UT","n":16,"p20":16307.18,"p50":21265.04,"p80":21265.04},{"state":"VA","n":38,"p20":7080.0,"p50":10765.5,"p80":13823.5},{"state":"VT","n":4,"p20":null,"p50":null,"p80":null},{"state":"WA","n":34,"p20":7219.0,"p50":9428.64,"p80":14508.8},{"state":"WI","n":39,"p20":2110.55,"p50":5071.0,"p80":12861.9},{"state":"WV","n":4,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1168,"p20":5539.17,"p50":10765.5,"p80":18540.0},{"key":"childrens","n":27,"p20":8505.0,"p50":13269.9,"p80":24877.0},{"key":"critical_access","n":90,"p20":2110.55,"p50":7879.41,"p80":15207.12}],"ownership":[{"key":"for_profit","n":114,"p20":5185.42,"p50":10721.5,"p80":19021.5},{"key":"government","n":139,"p20":4751.7,"p50":8857.0,"p80":17008.47},{"key":"nonprofit","n":1032,"p20":5539.17,"p50":11083.5,"p80":18504.8}],"affiliation":[{"key":"affiliated","n":1142,"p20":5539.17,"p50":10765.5,"p80":18220.94},{"key":"independent","n":151,"p20":3366.8,"p50":9786.0,"p80":19861.05}]},"histogram":[{"lo":1324.16,"hi":1825.06,"n":8},{"lo":1825.06,"hi":2515.43,"n":29},{"lo":2515.43,"hi":3466.95,"n":43},{"lo":3466.95,"hi":4778.4,"n":75},{"lo":4778.4,"hi":6585.95,"n":145},{"lo":6585.95,"hi":9077.24,"n":169},{"lo":9077.24,"hi":12510.93,"n":210},{"lo":12510.93,"hi":17243.48,"n":235},{"lo":17243.48,"hi":23766.25,"n":141},{"lo":23766.25,"hi":32756.4,"n":110}],"previous":null}},"related":[{"code_type":"CPT","code":"33210","lay_name":"Temporary pacing wire placed through a vein, one chamber","slug":"cpt-33210-temporary-pacing-wire-placed-through-a-vein-one-chamber"},{"code_type":"CPT","code":"33208","lay_name":"Permanent pacemaker implant with two heart wires","slug":"cpt-33208-permanent-pacemaker-implant-with-two-heart-wires"},{"code_type":"CPT","code":"33228","lay_name":"Pacemaker battery replacement, two-wire system","slug":"cpt-33228-pacemaker-battery-replacement-two-wire-system"},{"code_type":"CPT","code":"33215","lay_name":"Repositioning of a pacemaker or defibrillator wire","slug":"cpt-33215-repositioning-of-a-pacemaker-or-defibrillator-wire"},{"code_type":"CPT","code":"33207","lay_name":"Permanent pacemaker implant with lower chamber wire","slug":"cpt-33207-permanent-pacemaker-implant-with-lower-chamber-wire"},{"code_type":"CPT","code":"33249","lay_name":"Implanted defibrillator with placement of new wires","slug":"cpt-33249-implanted-defibrillator-with-placement-of-new-wires"},{"code_type":"CPT","code":"33216","lay_name":"Placement of one heart wire through a vein","slug":"cpt-33216-placement-of-one-heart-wire-through-a-vein"},{"code_type":"CPT","code":"33233","lay_name":"Removal of a pacemaker generator only","slug":"cpt-33233-removal-of-a-pacemaker-generator-only"},{"code_type":"CPT","code":"33241","lay_name":"Removal of an implanted defibrillator generator","slug":"cpt-33241-removal-of-an-implanted-defibrillator-generator"},{"code_type":"CPT","code":"33222","lay_name":"Moving or revising the pacemaker pocket under the skin","slug":"cpt-33222-moving-or-revising-the-pacemaker-pocket-under-the-skin"},{"code_type":"CPT","code":"33235","lay_name":"Removal of pacemaker wires through a vein, two-wire system","slug":"cpt-33235-removal-of-pacemaker-wires-through-a-vein-two-wire-system"},{"code_type":"CPT","code":"33225","lay_name":"Left-side pacing wire added during device implant","slug":"cpt-33225-left-side-pacing-wire-added-during-device-implant"}]}