{"procedure":{"code_type":"CPT","code":"33270","lay_name":"Under-skin defibrillator implant or replacement","blurb":"Placement or replacement of a permanent defibrillator whose generator and electrode sit under the skin outside the chest, with no wire inside the heart, including testing of the system.","slug":"cpt-33270-under-skin-defibrillator-implant-or-replacement","description":"Hp 33270 Ins/Rplcmnt Perm Subq Impltbl Dfb W/Subq Eltrd","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":"2026-09-25T01:05:50.973703Z","filing_date_min":"2024-06-18","filing_date_max":"2026-09-21","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:14:07.150894Z","n_priced_setters":3956,"n_filed":1614,"n_usable":1423,"n_not_usable":1,"n_labelled":143,"n_no_cash":45,"n_estimated":2,"n_states":50,"cash_p10":9144.32,"cash_p20":15726.1,"cash_p25":20717.98,"cash_p50":35008.8,"cash_p75":57112.3,"cash_p80":65328.0,"cash_p90":89252.0,"cash_mean_trimmed":36584.91,"gross_p50":58268.0,"cash_to_gross_p50":0.6,"medicare_rate":32068.73,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":1.0917,"by_state":[{"state":"AK","n":3,"p20":null,"p50":null,"p80":null},{"state":"AL","n":22,"p20":29618.88,"p50":42228.0,"p80":109736.0},{"state":"AR","n":10,"p20":10457.2,"p50":28462.4,"p80":35677.0},{"state":"AZ","n":27,"p20":5276.92,"p50":33137.3,"p80":40715.0},{"state":"CA","n":113,"p20":34579.0,"p50":44302.83,"p80":80231.2},{"state":"CO","n":28,"p20":26335.4,"p50":48821.39,"p80":75126.4},{"state":"CT","n":14,"p20":11864.6,"p50":36911.0,"p80":59087.48},{"state":"DE","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":78,"p20":29779.75,"p50":49478.0,"p80":82456.8},{"state":"GA","n":59,"p20":16587.12,"p50":28895.49,"p80":59194.18},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":15,"p20":16100.0,"p50":34303.17,"p80":46329.42},{"state":"ID","n":11,"p20":26474.0,"p50":26474.0,"p80":48000.0},{"state":"IL","n":59,"p20":20497.4,"p50":39785.0,"p80":74400.2},{"state":"IN","n":34,"p20":3597.87,"p50":26194.8,"p80":33775.2},{"state":"KS","n":13,"p20":21957.0,"p50":51049.18,"p80":72927.4},{"state":"KY","n":21,"p20":26038.28,"p50":89252.0,"p80":89252.0},{"state":"LA","n":31,"p20":16508.64,"p50":36072.75,"p80":61981.44},{"state":"MA","n":26,"p20":14475.0,"p50":45337.9,"p80":94128.0},{"state":"MD","n":3,"p20":null,"p50":null,"p80":null},{"state":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":50,"p20":29387.0,"p50":51009.57,"p80":84790.72},{"state":"MN","n":32,"p20":22582.88,"p50":34160.14,"p80":36609.76},{"state":"MO","n":29,"p20":21957.0,"p50":28015.8,"p80":38098.18},{"state":"MS","n":15,"p20":11331.4,"p50":25980.17,"p80":25980.17},{"state":"MT","n":3,"p20":null,"p50":null,"p80":null},{"state":"NC","n":33,"p20":17855.15,"p50":18561.48,"p80":44566.0},{"state":"ND","n":4,"p20":null,"p50":null,"p80":null},{"state":"NE","n":10,"p20":6564.93,"p50":10583.58,"p80":24298.2},{"state":"NH","n":5,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":42,"p20":5623.2,"p50":35487.68,"p80":42781.95},{"state":"NM","n":5,"p20":null,"p50":null,"p80":null},{"state":"NV","n":9,"p20":null,"p50":null,"p80":null},{"state":"NY","n":47,"p20":20803.0,"p50":37940.39,"p80":67325.0},{"state":"OH","n":75,"p20":15726.1,"p50":33920.4,"p80":42768.45},{"state":"OK","n":24,"p20":7428.4,"p50":9144.32,"p80":34580.1},{"state":"OR","n":21,"p20":31853.9,"p50":43080.0,"p80":90739.42},{"state":"PA","n":76,"p20":18844.25,"p50":37084.82,"p80":59696.0},{"state":"RI","n":4,"p20":null,"p50":null,"p80":null},{"state":"SC","n":30,"p20":33032.35,"p50":34852.69,"p80":60248.4},{"state":"SD","n":2,"p20":null,"p50":null,"p80":null},{"state":"TN","n":30,"p20":11340.0,"p50":14695.35,"p80":18160.34},{"state":"TX","n":144,"p20":22983.0,"p50":43759.87,"p80":114329.67},{"state":"UT","n":15,"p20":21118.77,"p50":73509.65,"p80":73509.65},{"state":"VA","n":37,"p20":35655.0,"p50":55228.0,"p80":65328.0},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":34,"p20":7787.2,"p50":22530.8,"p80":41301.9},{"state":"WI","n":47,"p20":3712.8,"p50":20743.8,"p80":38536.2},{"state":"WV","n":19,"p20":9019.5,"p50":10482.0,"p80":11646.5},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1294,"p20":16587.12,"p50":35446.52,"p80":65810.75},{"key":"childrens","n":28,"p20":25770.0,"p50":48031.31,"p80":72993.5},{"key":"critical_access","n":96,"p20":4745.91,"p50":27079.45,"p80":43759.87}],"ownership":[{"key":"for_profit","n":161,"p20":26474.0,"p50":47746.63,"p80":116979.54},{"key":"government","n":158,"p20":14629.75,"p50":34496.0,"p80":67011.5},{"key":"nonprofit","n":1099,"p20":15128.6,"p50":34519.1,"p80":60415.16}],"affiliation":[{"key":"affiliated","n":1270,"p20":15613.0,"p50":34929.0,"p80":64739.0},{"key":"independent","n":153,"p20":19705.38,"p50":38408.4,"p80":74365.8}]},"histogram":[{"lo":5276.92,"hi":7176.18,"n":34},{"lo":7176.18,"hi":9759.01,"n":47},{"lo":9759.01,"hi":13271.45,"n":77},{"lo":13271.45,"hi":18048.07,"n":93},{"lo":18048.07,"hi":24543.89,"n":107},{"lo":24543.89,"hi":33377.67,"n":221},{"lo":33377.67,"hi":45390.88,"n":295},{"lo":45390.88,"hi":61727.85,"n":172},{"lo":61727.85,"hi":83944.79,"n":141},{"lo":83944.79,"hi":114158.0,"n":94}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:05:50.973703Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-21","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:13:19.715392Z","n_priced_setters":3956,"n_filed":1213,"n_usable":1074,"n_not_usable":1,"n_labelled":92,"n_no_cash":46,"n_estimated":0,"n_states":50,"cash_p10":9992.45,"cash_p20":16587.12,"cash_p25":20743.8,"cash_p50":34579.0,"cash_p75":56074.5,"cash_p80":61891.0,"cash_p90":83825.9,"cash_mean_trimmed":36487.23,"gross_p50":56327.0,"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":14,"p20":34988.98,"p50":48385.0,"p80":109736.0},{"state":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":23,"p20":5217.96,"p50":23462.06,"p80":40715.0},{"state":"CA","n":104,"p20":34579.0,"p50":44505.2,"p80":80231.2},{"state":"CO","n":26,"p20":26335.4,"p50":48821.39,"p80":57112.3},{"state":"CT","n":7,"p20":null,"p50":null,"p80":null},{"state":"DE","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":57,"p20":29779.75,"p50":60212.4,"p80":82456.8},{"state":"GA","n":49,"p20":16587.12,"p50":27757.0,"p80":56074.5},{"state":"HI","n":3,"p20":null,"p50":null,"p80":null},{"state":"IA","n":14,"p20":16100.0,"p50":34258.4,"p80":57932.07},{"state":"ID","n":9,"p20":null,"p50":null,"p80":null},{"state":"IL","n":45,"p20":26265.0,"p50":38393.4,"p80":60155.0},{"state":"IN","n":33,"p20":12922.02,"p50":26194.8,"p80":33775.2},{"state":"KS","n":5,"p20":null,"p50":null,"p80":null},{"state":"KY","n":13,"p20":15567.38,"p50":29499.0,"p80":128740.07},{"state":"LA","n":16,"p20":19145.32,"p50":29999.99,"p80":61238.06},{"state":"MA","n":22,"p20":14475.0,"p50":33282.9,"p80":97329.0},{"state":"MD","n":3,"p20":null,"p50":null,"p80":null},{"state":"ME","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":46,"p20":29387.0,"p50":61963.55,"p80":84790.72},{"state":"MN","n":30,"p20":12836.2,"p50":36025.84,"p80":36609.76},{"state":"MO","n":19,"p20":25500.0,"p50":28015.8,"p80":34519.1},{"state":"MS","n":7,"p20":null,"p50":null,"p80":null},{"state":"MT","n":3,"p20":null,"p50":null,"p80":null},{"state":"NC","n":26,"p20":17855.15,"p50":17855.15,"p80":20717.98},{"state":"ND","n":4,"p20":null,"p50":null,"p80":null},{"state":"NE","n":8,"p20":null,"p50":null,"p80":null},{"state":"NH","n":5,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":6,"p20":null,"p50":null,"p80":null},{"state":"NM","n":3,"p20":null,"p50":null,"p80":null},{"state":"NV","n":5,"p20":null,"p50":null,"p80":null},{"state":"NY","n":23,"p20":8217.3,"p50":43200.0,"p80":69360.0},{"state":"OH","n":72,"p20":15726.1,"p50":31495.05,"p80":42768.45},{"state":"OK","n":21,"p20":7428.4,"p50":9144.32,"p80":23773.73},{"state":"OR","n":13,"p20":28937.47,"p50":80687.95,"p80":97512.0},{"state":"PA","n":63,"p20":17925.66,"p50":37084.82,"p80":59956.2},{"state":"RI","n":2,"p20":null,"p50":null,"p80":null},{"state":"SC","n":24,"p20":33032.35,"p50":33032.35,"p80":52089.5},{"state":"SD","n":2,"p20":null,"p50":null,"p80":null},{"state":"TN","n":25,"p20":9930.61,"p50":14695.35,"p80":15753.89},{"state":"TX","n":95,"p20":14357.8,"p50":32052.6,"p80":55859.92},{"state":"UT","n":14,"p20":21118.77,"p50":73509.65,"p80":73509.65},{"state":"VA","n":35,"p20":35655.0,"p50":55228.0,"p80":65328.0},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":32,"p20":7787.2,"p50":25167.84,"p80":41301.9},{"state":"WI","n":36,"p20":3712.8,"p50":20867.0,"p80":38536.2},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":978,"p20":16587.12,"p50":34580.1,"p80":61963.55},{"key":"childrens","n":22,"p20":25770.0,"p50":42228.0,"p80":79290.0},{"key":"critical_access","n":69,"p20":6234.8,"p50":28895.49,"p80":45841.9}],"ownership":[{"key":"for_profit","n":88,"p20":20995.37,"p50":36427.5,"p80":59999.99},{"key":"government","n":113,"p20":15753.89,"p50":34689.05,"p80":69277.21},{"key":"nonprofit","n":868,"p20":16587.12,"p50":34519.1,"p80":61891.0}],"affiliation":[{"key":"affiliated","n":978,"p20":16587.12,"p50":34498.2,"p80":61891.0},{"key":"independent","n":96,"p20":20248.5,"p50":38035.0,"p80":74365.8}]},"histogram":[{"lo":5514.8,"hi":7433.2,"n":24},{"lo":7433.2,"hi":10018.93,"n":34},{"lo":10018.93,"hi":13504.14,"n":49},{"lo":13504.14,"hi":18201.74,"n":82},{"lo":18201.74,"hi":24533.45,"n":88},{"lo":24533.45,"hi":33067.73,"n":170},{"lo":33067.73,"hi":44570.77,"n":199},{"lo":44570.77,"hi":60075.29,"n":146},{"lo":60075.29,"hi":80973.26,"n":115},{"lo":80973.26,"hi":109140.87,"n":68}],"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":"33227","lay_name":"Pacemaker battery replacement, single-wire system","slug":"cpt-33227-pacemaker-battery-replacement-single-wire-system"},{"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"}]}