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

Permanent pacemaker implant with two heart wires

CPT 33208the billing code this page is about

Implantation of a permanent pacemaker generator together with leads threaded through a vein into both the right upper and right lower chambers of the heart.

Hospitals typically charge $12,824 cash for this outpatient procedure — the median across 1,911 hospitals that filed a usable cash price; the average of the middle 60% is $13,673. Most fall between $5,930 and $22,818 (20th–80th percentile).

Hospitals
1,911
States
50
Filings dated
Dec 2023 – 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 1,911 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
$3,555$7,436$12,824$21,444$33,950

The most expensive tenth of hospitals charges at least 9.6× what the cheapest tenth charges ($3,555 vs $33,950).

How the prices are spread

$1,424 – $2,015: 28 hospitals$1,424$2,015 – $2,851: 40 hospitals$2,851 – $4,034: 50 hospitals$2,851$4,034 – $5,707: 149 hospitals$5,707 – $8,074: 149 hospitals$5,707$8,074 – $11,424: 322 hospitals$11,424 – $16,164: 344 hospitals$11,424$16,164 – $22,870: 354 hospitals$22,870 – $32,357: 171 hospitals$22,870$32,357 – $45,781: 114 hospitals$32,357median $12,824price bands are equal on a log scale
Hospitals per price band (1,721 of 1,911 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,424$2,01528
$2,015$2,85140
$2,851$4,03450
$4,034$5,707149
$5,707$8,074149
$8,074$11,424322
$11,424$16,164344
$16,164$22,870354
$22,870$32,357171
$32,357$45,781114

Against Medicare

Medicare pays (OPPS 2026, national rate)$10,678
Median cash price$12,824
Cash as a multiple of Medicare1.20×

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 $12,824.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $5,596 across 11 hospitalsNH$5,596Washington: median $10,759 across 43 hospitalsWA$10,759Idaho: median $12,726 across 13 hospitalsID$12,726Montana: 8 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $13,145 across 45 hospitalsMN$13,145Illinois: median $11,339 across 78 hospitalsIL$11,339Wisconsin: median $7,331 across 51 hospitalsWI$7,331Michigan: median $14,372 across 68 hospitalsMI$14,372New York: median $12,406 across 72 hospitalsNY$12,406Massachusetts: median $15,159 across 34 hospitalsMA$15,159Oregon: median $15,718 across 35 hospitalsOR$15,718Nevada: median $11,368 across 11 hospitalsNV$11,368Wyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $20,250 across 12 hospitalsSD$20,250Iowa: median $14,562 across 27 hospitalsIA$14,562Indiana: median $6,827 across 51 hospitalsIN$6,827Ohio: median $13,049 across 103 hospitalsOH$13,049Pennsylvania: median $12,349 across 87 hospitalsPA$12,349New Jersey: median $11,953 across 51 hospitalsNJ$11,953Connecticut: median $14,428 across 15 hospitalsCT$14,428Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $20,190 across 144 hospitalsCA$20,190Utah: median $21,951 across 26 hospitalsUT$21,951Colorado: median $10,851 across 36 hospitalsCO$10,851Nebraska: median $11,135 across 21 hospitalsNE$11,135Missouri: median $9,526 across 53 hospitalsMO$9,526Kentucky: median $18,337 across 28 hospitalsKY$18,337West Virginia: median $4,944 across 16 hospitalsWV$4,944Virginia: median $11,685 across 43 hospitalsVA$11,685Maryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $13,614 across 32 hospitalsAZ$13,614New Mexico: median $13,400 across 11 hospitalsNM$13,400Kansas: median $10,007 across 26 hospitalsKS$10,007Arkansas: median $6,372 across 19 hospitalsAR$6,372Tennessee: median $4,834 across 43 hospitalsTN$4,834North Carolina: median $8,050 across 49 hospitalsNC$8,050South Carolina: median $21,830 across 34 hospitalsSC$21,830Oklahoma: median $9,123 across 38 hospitalsOK$9,123Louisiana: median $10,306 across 43 hospitalsLA$10,306Mississippi: median $8,836 across 26 hospitalsMS$8,836Alabama: median $15,551 across 28 hospitalsAL$15,551Georgia: median $10,432 across 69 hospitalsGA$10,432Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $18,986 across 160 hospitalsTX$18,986Florida: median $19,802 across 95 hospitalsFL$19,802
Cash price by state, most expensive first. National median $12,824. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT26$21,951+71%$21,951 – $21,951
South Carolina SC34$21,830+70%$14,069 – $38,031
South Dakota SD12$20,250+58%$9,611 – $28,426
California CA144$20,190+57%$9,931 – $31,818
Florida FL95$19,802+54%$11,415 – $39,104
Texas TX160$18,986+48%$10,759 – $29,012
Kentucky KY28$18,337+43%$5,655 – $72,204
Oregon OR35$15,718+23%$1,338 – $25,928
Alabama AL28$15,551+21%$8,042 – $36,259
Massachusetts MA34$15,159+18%$9,680 – $25,959
Iowa IA27$14,562+14%$1,476 – $22,459
Connecticut CT15$14,428+13%$4,516 – $20,477
Michigan MI68$14,372+12%$2,661 – $22,260
Arizona AZ32$13,614+6%$7,184 – $29,304
New Mexico NM11$13,400+4%$11,469 – $19,871
Minnesota MN45$13,145+2%$6,981 – $17,874
Ohio OH103$13,049+2%$9,278 – $17,332
Idaho ID13$12,726−1%$12,726 – $19,000
New York NY72$12,406−3%$7,727 – $45,781
Pennsylvania PA87$12,349−4%$7,233 – $25,402
New Jersey NJ51$11,953−7%$5,110 – $14,512
Virginia VA43$11,685−9%$10,748 – $20,641
Nevada NV11$11,368−11%$2,475 – $27,071
Illinois IL78$11,339−12%$5,254 – $23,539
Nebraska NE21$11,135−13%$1,519 – $14,276
Colorado CO36$10,851−15%$9,345 – $20,980
Washington WA43$10,759−16%$7,853 – $17,582
Georgia GA69$10,432−19%$4,756 – $24,332
Louisiana LA43$10,306−20%$5,422 – $18,408
Kansas KS26$10,007−22%$4,268 – $21,656
Missouri MO53$9,526−26%$6,423 – $16,583
Oklahoma OK38$9,123−29%$5,469 – $17,660
Mississippi MS26$8,836−31%$8,011 – $16,912
North Carolina NC49$8,050−37%$7,244 – $13,530
Wisconsin WI51$7,331−43%$4,169 – $16,262
Indiana IN51$6,827−47%$2,765 – $15,088
Arkansas AR19$6,372−50%$4,855 – $12,331
New Hampshire NH11$5,596−56%$972 – $14,354
West Virginia WV16$4,944−61%$4,558 – $5,236
Tennessee TN43$4,834−62%$3,887 – $15,493
Hawaii HI8not enough hospitals filed a usable price
Montana MT8not enough hospitals filed a usable price
Delaware DE7not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Maryland MD5not enough hospitals filed a usable price
Vermont VT5not 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 $12,824.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,698$13,047$6,754 – $23,609
Children’s42$15,454$9,049 – $31,704
Critical access163$7,366$1,530 – $18,695
Ownership
For-profit250$18,642$8,836 – $33,392
Government237$11,057$4,435 – $18,830
Non-profit1,416$12,619$6,111 – $22,529
System affiliation
Part of a system1,634$12,901$6,307 – $22,840
Independent277$12,460$2,963 – $22,739

Cash price vs list price

Median list price (chargemaster)$24,282
Median cash price$12,824
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

1,402 hospitals filed a usable inpatient cash price for this code. The median is $13,075 and the average of the middle 60% is $13,838; most fall between $6,754 and $22,640.

Cash price percentiles, inpatient, across 1,402 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
$4,169$7,965$13,075$21,407$31,709

The most expensive tenth of hospitals charges at least 7.6× what the cheapest tenth charges ($4,169 vs $31,709).

Of the 1,527 hospitals that filed this code inpatient, 1,402 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 59 a list price only.

How complete is this

1,911 of the 3,956 hospitals with a price file in our corpus (48%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,100 hospitals that filed this code at all gave us
Usable cash price — counted1,911
Cash price carrying a plausibility flag — shown on the compare tool, excluded here110
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 — excluded72
Hospitals that filed this code2,100

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 Pm W/Transv Eltrd Atrial&Vent.

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 two heart wires (CPT 33208) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33208-permanent-pacemaker-implant-with-two-heart-wires