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

Pacemaker battery unit replacement with two existing wires

CPT 33213the billing code this page is about

Placement of the pacemaker pulse generator alone, connected to two leads already in place; the heart wires are not newly inserted.

Hospitals typically charge $10,363 cash for this outpatient procedure — the median across 1,494 hospitals that filed a usable cash price; the average of the middle 60% is $10,532. Most fall between $4,241 and $18,843 (20th–80th percentile).

Hospitals
1,494
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 1,494 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
$2,376$5,401$10,363$16,213$26,107

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($2,376 vs $26,107).

How the prices are spread

$967 – $1,390: 37 hospitals$967$1,390 – $1,998: 26 hospitals$1,998 – $2,873: 37 hospitals$1,998$2,873 – $4,129: 95 hospitals$4,129 – $5,936: 142 hospitals$4,129$5,936 – $8,532: 178 hospitals$8,532 – $12,265: 308 hospitals$8,532$12,265 – $17,630: 272 hospitals$17,630 – $25,342: 162 hospitals$17,630$25,342 – $36,428: 89 hospitals$25,342median $10,363price bands are equal on a log scale
Hospitals per price band (1,346 of 1,494 — the bands cover the 5th to 95th percentile)
FromToHospitals
$967$1,39037
$1,390$1,99826
$1,998$2,87337
$2,873$4,12995
$4,129$5,936142
$5,936$8,532178
$8,532$12,265308
$12,265$17,630272
$17,630$25,342162
$25,342$36,42889

Against Medicare

Medicare pays (OPPS 2026, national rate)$10,678
Median cash price$10,363
Cash as a multiple of Medicare0.97×

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 $10,363.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 2 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $9,031 across 34 hospitalsWA$9,031Idaho: median $12,726 across 11 hospitalsID$12,726Montana: 6 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 $12,231 across 26 hospitalsMN$12,231Illinois: median $11,199 across 66 hospitalsIL$11,199Wisconsin: median $9,206 across 43 hospitalsWI$9,206Michigan: median $8,202 across 47 hospitalsMI$8,202New York: median $12,384 across 52 hospitalsNY$12,384Massachusetts: median $14,491 across 25 hospitalsMA$14,491Oregon: median $12,920 across 28 hospitalsOR$12,920Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 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 $9,744 across 22 hospitalsIA$9,744Indiana: median $5,673 across 42 hospitalsIN$5,673Ohio: median $12,077 across 87 hospitalsOH$12,077Pennsylvania: median $10,852 across 69 hospitalsPA$10,852New Jersey: median $11,584 across 50 hospitalsNJ$11,584Connecticut: median $7,401 across 11 hospitalsCT$7,401Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $17,016 across 116 hospitalsCA$17,016Utah: median $22,690 across 11 hospitalsUT$22,690Colorado: median $10,330 across 32 hospitalsCO$10,330Nebraska: median $8,104 across 16 hospitalsNE$8,104Missouri: median $9,289 across 43 hospitalsMO$9,289Kentucky: median $9,602 across 24 hospitalsKY$9,602West Virginia: median $4,989 across 21 hospitalsWV$4,989Virginia: median $9,292 across 35 hospitalsVA$9,292Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $4,363 across 19 hospitalsAZ$4,363New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $7,574 across 17 hospitalsKS$7,574Arkansas: median $8,560 across 13 hospitalsAR$8,560Tennessee: median $4,157 across 37 hospitalsTN$4,157North Carolina: median $7,082 across 32 hospitalsNC$7,082South Carolina: median $10,143 across 32 hospitalsSC$10,143Oklahoma: median $8,407 across 32 hospitalsOK$8,407Louisiana: median $8,534 across 32 hospitalsLA$8,534Mississippi: median $8,012 across 16 hospitalsMS$8,012Alabama: median $9,328 across 14 hospitalsAL$9,328Georgia: median $5,401 across 58 hospitalsGA$5,401Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $11,937 across 133 hospitalsTX$11,937Florida: median $13,256 across 74 hospitalsFL$13,256
Cash price by state, most expensive first. National median $10,363. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT11$22,690+119%$16,756 – $25,997
California CA116$17,016+64%$11,302 – $27,267
Massachusetts MA25$14,491+40%$7,632 – $25,781
Florida FL74$13,256+28%$6,434 – $25,079
Oregon OR28$12,920+25%$608 – $24,666
Idaho ID11$12,726+23%$6,480 – $12,726
New York NY52$12,384+20%$4,731 – $22,640
Minnesota MN26$12,231+18%$10,822 – $16,746
Ohio OH87$12,077+17%$7,051 – $16,999
Texas TX133$11,937+15%$9,090 – $19,914
New Jersey NJ50$11,584+12%$4,881 – $14,249
Illinois IL66$11,199+8%$4,545 – $23,973
Pennsylvania PA69$10,852+5%$5,999 – $21,407
Colorado CO32$10,3300%$7,609 – $21,044
South Carolina SC32$10,143−2%$8,132 – $21,206
Iowa IA22$9,744−6%$823 – $17,324
Kentucky KY24$9,602−7%$5,618 – $55,152
Alabama AL14$9,328−10%$5,918 – $15,551
Virginia VA35$9,292−10%$5,524 – $13,465
Missouri MO43$9,289−10%$3,296 – $12,427
Wisconsin WI43$9,206−11%$2,893 – $17,014
Washington WA34$9,031−13%$4,035 – $14,223
Arkansas AR13$8,560−17%$4,919 – $14,872
Louisiana LA32$8,534−18%$2,776 – $12,048
Oklahoma OK32$8,407−19%$3,712 – $12,278
Michigan MI47$8,202−21%$1,115 – $14,372
Nebraska NE16$8,104−22%$5,835 – $10,207
Mississippi MS16$8,012−23%$6,761 – $8,449
Kansas KS17$7,574−27%$971 – $10,718
Connecticut CT11$7,401−29%$4,516 – $20,445
North Carolina NC32$7,082−32%$5,852 – $14,709
Indiana IN42$5,673−45%$3,588 – $11,004
Georgia GA58$5,401−48%$2,909 – $12,905
West Virginia WV21$4,989−52%$4,363 – $5,363
Arizona AZ19$4,363−58%$3,258 – $12,826
Tennessee TN37$4,157−60%$3,534 – $8,099
Nevada NV9not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
New Hampshire NH2not 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 $10,363.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,340$10,718$4,922 – $19,510
Children’s33$11,494$4,263 – $18,496
Critical access113$5,094$1,158 – $14,140
Ownership
For-profit175$11,937$5,401 – $25,652
Government181$8,962$3,463 – $15,760
Non-profit1,130$10,143$4,363 – $17,694
System affiliation
Part of a system1,292$10,282$4,627 – $18,531
Independent202$10,770$1,798 – $21,172

Cash price vs list price

Median list price (chargemaster)$18,533
Median cash price$10,363
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

1,103 hospitals filed a usable inpatient cash price for this code. The median is $10,911 and the average of the middle 60% is $10,864; most fall between $4,412 and $20,070.

Cash price percentiles, inpatient, across 1,103 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
$2,540$5,675$10,911$16,756$25,781

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($2,540 vs $25,781).

Of the 1,224 hospitals that filed this code inpatient, 1,103 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 55 a list price only.

How complete is this

1,494 of the 3,956 hospitals with a price file in our corpus (38%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,646 hospitals that filed this code at all gave us
Usable cash price — counted1,494
Cash price carrying a plausibility flag — shown on the compare tool, excluded here99
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded49
Hospitals that filed this code1,646

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 Pacemaker Pulse Gen Only W/Exist Dual Leads.

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, “Pacemaker battery unit replacement with two existing wires (CPT 33213) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33213-pacemaker-battery-unit-replacement-with-two-existing-wires