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Procedure price report · Insertion, revision, replacement, removal of cardiac pacemaker or cardioverter/defibrillator

Permanent pacemaker implant with upper chamber wire

CPT 33206the billing code this page is about

Implantation of a permanent pacemaker generator together with a lead threaded through a vein into the right upper chamber of the heart.

Hospitals typically charge $11,693 cash for this outpatient procedure — the median across 1,652 hospitals that filed a usable cash price; the average of the middle 60% is $11,982. Most fall between $4,897 and $20,861 (20th–80th percentile).

Hospitals
1,652
States
50
Filings dated
Feb 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,652 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$2,810$5,845$11,693$18,367$29,732

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($2,810 vs $29,732).

How the prices are spread

$1,325 – $1,856: 16 hospitals$1,325$1,856 – $2,600: 54 hospitals$2,600 – $3,643: 74 hospitals$2,600$3,643 – $5,103: 121 hospitals$5,103 – $7,149: 135 hospitals$5,103$7,149 – $10,015: 235 hospitals$10,015 – $14,030: 268 hospitals$10,015$14,030 – $19,654: 293 hospitals$19,654 – $27,533: 185 hospitals$19,654$27,533 – $38,571: 107 hospitals$27,533median $11,693price bands are equal on a log scale
Hospitals per price band (1,488 of 1,652 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,325$1,85616
$1,856$2,60054
$2,600$3,64374
$3,643$5,103121
$5,103$7,149135
$7,149$10,015235
$10,015$14,030268
$14,030$19,654293
$19,654$27,533185
$27,533$38,571107

Against Medicare

Medicare pays (OPPS 2026, national rate)$10,678
Median cash price$11,693
Cash as a multiple of Medicare1.09×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $11,693.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $8,301 across 38 hospitalsWA$8,301Idaho: median $12,726 across 13 hospitalsID$12,726Montana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $11,520 across 43 hospitalsMN$11,520Illinois: median $13,181 across 67 hospitalsIL$13,181Wisconsin: median $5,539 across 46 hospitalsWI$5,539Michigan: median $11,968 across 63 hospitalsMI$11,968New York: median $12,384 across 51 hospitalsNY$12,384Massachusetts: median $15,152 across 25 hospitalsMA$15,152Oregon: median $13,912 across 28 hospitalsOR$13,912Nevada: median $11,368 across 10 hospitalsNV$11,368Wyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $12,443 across 21 hospitalsIA$12,443Indiana: median $6,026 across 46 hospitalsIN$6,026Ohio: median $11,841 across 96 hospitalsOH$11,841Pennsylvania: median $11,883 across 74 hospitalsPA$11,883New Jersey: median $11,594 across 50 hospitalsNJ$11,594Connecticut: median $7,401 across 10 hospitalsCT$7,401Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $20,701 across 137 hospitalsCA$20,701Utah: median $18,358 across 26 hospitalsUT$18,358Colorado: median $7,955 across 32 hospitalsCO$7,955Nebraska: median $7,867 across 14 hospitalsNE$7,867Missouri: median $10,356 across 44 hospitalsMO$10,356Kentucky: median $19,273 across 24 hospitalsKY$19,273West Virginia: median $5,236 across 13 hospitalsWV$5,236Virginia: median $12,219 across 38 hospitalsVA$12,219Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $7,870 across 28 hospitalsAZ$7,870New Mexico: 6 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $9,846 across 20 hospitalsKS$9,846Arkansas: median $8,456 across 15 hospitalsAR$8,456Tennessee: median $3,981 across 35 hospitalsTN$3,981North Carolina: median $7,003 across 42 hospitalsNC$7,003South Carolina: median $21,743 across 35 hospitalsSC$21,743Oklahoma: median $4,894 across 33 hospitalsOK$4,894Louisiana: median $9,100 across 37 hospitalsLA$9,100Mississippi: median $8,011 across 16 hospitalsMS$8,011Alabama: median $13,997 across 17 hospitalsAL$13,997Georgia: median $5,706 across 61 hospitalsGA$5,706Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $15,654 across 145 hospitalsTX$15,654Florida: median $14,994 across 83 hospitalsFL$14,994
Cash price by state, most expensive first. National median $11,693. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC35$21,743+86%$7,530 – $29,732
California CA137$20,701+77%$9,920 – $30,934
Kentucky KY24$19,273+65%$5,088 – $58,347
Utah UT26$18,358+57%$18,358 – $18,358
Texas TX145$15,654+34%$9,800 – $21,485
Massachusetts MA25$15,152+30%$5,543 – $25,448
Florida FL83$14,994+28%$9,931 – $25,096
Alabama AL17$13,997+20%$6,770 – $18,024
Oregon OR28$13,912+19%$818 – $29,219
Illinois IL67$13,181+13%$5,252 – $27,321
Idaho ID13$12,726+9%$12,726 – $18,838
Iowa IA21$12,443+6%$1,114 – $19,089
New York NY51$12,384+6%$5,255 – $22,640
Virginia VA38$12,219+4%$8,925 – $13,200
Michigan MI63$11,968+2%$1,867 – $16,261
Pennsylvania PA74$11,883+2%$5,920 – $25,170
Ohio OH96$11,841+1%$7,720 – $17,480
New Jersey NJ50$11,594−1%$4,627 – $14,249
Minnesota MN43$11,520−1%$7,607 – $20,162
Nevada NV10$11,368−3%$2,021 – $27,523
Missouri MO44$10,356−11%$4,033 – $17,502
Kansas KS20$9,846−16%$4,796 – $22,411
Louisiana LA37$9,100−22%$4,234 – $15,673
Arkansas AR15$8,456−28%$4,697 – $10,852
Washington WA38$8,301−29%$6,593 – $17,606
Mississippi MS16$8,011−31%$8,011 – $11,284
Colorado CO32$7,955−32%$7,012 – $17,484
Arizona AZ28$7,870−33%$4,372 – $20,841
Nebraska NE14$7,867−33%$1,280 – $12,684
Connecticut CT10$7,401−37%$4,516 – $28,811
North Carolina NC42$7,003−40%$4,421 – $13,352
Indiana IN46$6,026−48%$3,355 – $12,581
Georgia GA61$5,706−51%$2,810 – $21,375
Wisconsin WI46$5,539−53%$3,505 – $17,389
West Virginia WV13$5,236−55%$1,284 – $27,178
Oklahoma OK33$4,894−58%$1,856 – $11,207
Tennessee TN35$3,981−66%$3,416 – $5,114
New Hampshire NH9not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
New Mexico NM6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $11,693.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,472$11,747$5,189 – $21,139
Children’s40$15,444$5,388 – $25,079
Critical access134$8,396$2,021 – $18,358
Ownership
For-profit194$15,799$6,102 – $31,184
Government202$9,931$3,981 – $18,695
Non-profit1,250$11,626$4,973 – $20,162
System affiliation
Part of a system1,429$11,747$5,005 – $20,841
Independent223$11,553$3,729 – $22,818

Cash price vs list price

Median list price (chargemaster)$20,000
Median cash price$11,693
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,233 hospitals filed a usable inpatient cash price for this code. The median is $12,255 and the average of the middle 60% is $12,332; most fall between $5,118 and $20,841.

Cash price percentiles, inpatient, across 1,233 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$2,820$6,151$12,255$18,367$27,856

The most expensive tenth of hospitals charges at least 9.9× what the cheapest tenth charges ($2,820 vs $27,856).

Of the 1,352 hospitals that filed this code inpatient, 1,233 gave a usable cash price; 65 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 53 a list price only.

How complete is this

1,652 of the 3,956 hospitals with a price file in our corpus (42%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,821 hospitals that filed this code at all gave us
Usable cash price — counted1,652
Cash price carrying a plausibility flag — shown on the compare tool, excluded here108
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded59
Hospitals that filed this code1,821

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Insertion, revision, replacement, removal of cardiac pacemaker or cardioverter/defibrillator family.

Hospitals file this code under descriptions such as Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Permanent pacemaker implant with upper chamber wire (CPT 33206) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33206-permanent-pacemaker-implant-with-upper-chamber-wire