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

Permanent pacemaker implant with lower chamber wire

CPT 33207the billing code this page is about

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

Hospitals typically charge $12,087 cash for this outpatient procedure — the median across 1,806 hospitals that filed a usable cash price; the average of the middle 60% is $12,271. Most fall between $5,162 and $21,621 (20th–80th percentile).

Hospitals
1,806
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 1,806 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
$2,835$6,173$12,087$18,919$29,732

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($2,835 vs $29,732).

How the prices are spread

$1,274 – $1,807: 25 hospitals$1,274$1,807 – $2,563: 38 hospitals$2,563 – $3,635: 83 hospitals$2,563$3,635 – $5,157: 125 hospitals$5,157 – $7,315: 154 hospitals$5,157$7,315 – $10,377: 259 hospitals$10,377 – $14,721: 356 hospitals$10,377$14,721 – $20,883: 300 hospitals$20,883 – $29,623: 184 hospitals$20,883$29,623 – $42,022: 106 hospitals$29,623median $12,087price bands are equal on a log scale
Hospitals per price band (1,630 of 1,806 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,274$1,80725
$1,807$2,56338
$2,563$3,63583
$3,635$5,157125
$5,157$7,315154
$7,315$10,377259
$10,377$14,721356
$14,721$20,883300
$20,883$29,623184
$29,623$42,022106

Against Medicare

Medicare pays (OPPS 2026, national rate)$10,678
Median cash price$12,087
Cash as a multiple of Medicare1.13×

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 $12,087.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $3,791 across 10 hospitalsNH$3,791Washington: median $8,716 across 43 hospitalsWA$8,716Idaho: median $12,726 across 13 hospitalsID$12,726Montana: 8 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 $12,310 across 39 hospitalsMN$12,310Illinois: median $9,899 across 77 hospitalsIL$9,899Wisconsin: median $6,798 across 50 hospitalsWI$6,798Michigan: median $10,971 across 68 hospitalsMI$10,971New York: median $12,384 across 55 hospitalsNY$12,384Massachusetts: median $14,619 across 28 hospitalsMA$14,619Oregon: median $12,920 across 34 hospitalsOR$12,920Nevada: median $10,530 across 10 hospitalsNV$10,530Wyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $18,748 across 12 hospitalsSD$18,748Iowa: median $14,482 across 25 hospitalsIA$14,482Indiana: median $4,995 across 50 hospitalsIN$4,995Ohio: median $12,600 across 91 hospitalsOH$12,600Pennsylvania: median $12,349 across 87 hospitalsPA$12,349New Jersey: median $12,121 across 53 hospitalsNJ$12,121Connecticut: median $8,689 across 13 hospitalsCT$8,689Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $19,568 across 145 hospitalsCA$19,568Utah: median $20,124 across 26 hospitalsUT$20,124Colorado: median $8,779 across 36 hospitalsCO$8,779Nebraska: median $6,662 across 20 hospitalsNE$6,662Missouri: median $8,662 across 51 hospitalsMO$8,662Kentucky: median $19,831 across 25 hospitalsKY$19,831West Virginia: median $4,989 across 13 hospitalsWV$4,989Virginia: median $9,578 across 42 hospitalsVA$9,578Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $12,826 across 29 hospitalsAZ$12,826New Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $9,846 across 25 hospitalsKS$9,846Arkansas: median $8,456 across 15 hospitalsAR$8,456Tennessee: median $3,981 across 41 hospitalsTN$3,981North Carolina: median $7,621 across 47 hospitalsNC$7,621South Carolina: median $18,923 across 34 hospitalsSC$18,923Oklahoma: median $7,271 across 36 hospitalsOK$7,271Louisiana: median $8,990 across 39 hospitalsLA$8,990Mississippi: median $8,011 across 19 hospitalsMS$8,011Alabama: median $14,403 across 29 hospitalsAL$14,403Georgia: median $5,706 across 66 hospitalsGA$5,706Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $15,988 across 154 hospitalsTX$15,988Florida: median $18,512 across 91 hospitalsFL$18,512
Cash price by state, most expensive first. National median $12,087. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT26$20,124+66%$20,124 – $20,124
Kentucky KY25$19,831+64%$4,933 – $58,347
California CA145$19,568+62%$9,931 – $30,503
South Carolina SC34$18,923+57%$12,875 – $29,732
South Dakota SD12$18,748+55%$9,419 – $27,073
Florida FL91$18,512+53%$10,502 – $26,326
Texas TX154$15,988+32%$10,448 – $25,746
Massachusetts MA28$14,619+21%$8,014 – $20,075
Iowa IA25$14,482+20%$1,940 – $17,827
Alabama AL29$14,403+19%$6,123 – $36,817
Oregon OR34$12,920+7%$1,101 – $25,928
Arizona AZ29$12,826+6%$4,624 – $20,841
Idaho ID13$12,726+5%$12,726 – $19,000
Ohio OH91$12,600+4%$7,381 – $18,043
New York NY55$12,384+2%$5,255 – $22,640
Pennsylvania PA87$12,349+2%$6,192 – $24,630
Minnesota MN39$12,310+2%$4,764 – $17,053
New Jersey NJ53$12,1210%$4,881 – $14,347
Michigan MI68$10,971−9%$2,184 – $19,967
Nevada NV10$10,530−13%$2,009 – $15,680
Illinois IL77$9,899−18%$4,996 – $22,426
Kansas KS25$9,846−19%$4,768 – $22,411
Virginia VA42$9,578−21%$8,077 – $18,099
Louisiana LA39$8,990−26%$3,691 – $14,674
Colorado CO36$8,779−27%$7,376 – $17,484
Washington WA43$8,716−28%$7,127 – $15,173
Connecticut CT13$8,689−28%$4,516 – $17,292
Missouri MO51$8,662−28%$5,913 – $14,119
Arkansas AR15$8,456−30%$4,219 – $11,345
Mississippi MS19$8,011−34%$5,824 – $11,792
North Carolina NC47$7,621−37%$5,267 – $13,087
Oklahoma OK36$7,271−40%$2,835 – $12,932
Wisconsin WI50$6,798−44%$3,951 – $15,544
Nebraska NE20$6,662−45%$1,502 – $13,168
Georgia GA66$5,706−53%$3,330 – $21,621
Indiana IN50$4,995−59%$2,511 – $14,478
West Virginia WV13$4,989−59%$1,393 – $13,922
Tennessee TN41$3,981−67%$3,252 – $14,180
New Hampshire NH10$3,791−69%$818 – $8,730
Hawaii HI8not enough hospitals filed a usable price
Montana MT8not enough hospitals filed a usable price
Delaware DE7not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Vermont VT4not 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 $12,087.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,610$12,121$5,613 – $21,904
Children’s43$15,551$6,626 – $26,587
Critical access144$7,837$2,009 – $17,053
Ownership
For-profit228$15,988$7,821 – $37,485
Government217$10,191$3,256 – $17,572
Non-profit1,352$11,825$5,189 – $20,758
System affiliation
Part of a system1,546$12,090$5,267 – $21,549
Independent260$11,553$2,406 – $22,694

Cash price vs list price

Median list price (chargemaster)$21,294
Median cash price$12,087
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

1,352 hospitals filed a usable inpatient cash price for this code. The median is $12,337 and the average of the middle 60% is $12,499; most fall between $5,646 and $20,861.

Cash price percentiles, inpatient, across 1,352 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
$3,330$6,537$12,337$18,892$29,590

The most expensive tenth of hospitals charges at least 8.9× what the cheapest tenth charges ($3,330 vs $29,590).

Of the 1,472 hospitals that filed this code inpatient, 1,352 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 54 a list price only.

How complete is this

1,806 of the 3,956 hospitals with a price file in our corpus (46%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,989 hospitals that filed this code at all gave us
Usable cash price — counted1,806
Cash price carrying a plausibility flag — shown on the compare tool, excluded here109
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded6
A list price only, no cash figure — excluded67
Hospitals that filed this code1,989

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/Rplc Prm Pacemaker W/Transv Eltrd Ventr.

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 lower chamber wire (CPT 33207) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33207-permanent-pacemaker-implant-with-lower-chamber-wire