HRHospitalRates.comCompare prices

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

Upgrade of pacemaker from one chamber to two chambers

CPT 33214the billing code this page is about

Conversion of a single-chamber pacemaker system to a dual-chamber system, including removing the old generator, adding a new lead, and placing a new generator.

Hospitals typically charge $12,077 cash for this outpatient procedure — the median across 1,502 hospitals that filed a usable cash price; the average of the middle 60% is $12,109. Most fall between $4,822 and $20,794 (20th–80th percentile).

Hospitals
1,502
States
50
Filings dated
Jun 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 1,502 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
$2,737$6,082$12,077$18,019$30,650

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($2,737 vs $30,650).

How the prices are spread

$1,167 – $1,699: 25 hospitals$1,167$1,699 – $2,475: 34 hospitals$2,475 – $3,603: 70 hospitals$2,475$3,603 – $5,247: 128 hospitals$5,247 – $7,641: 112 hospitals$5,247$7,641 – $11,127: 243 hospitals$11,127 – $16,204: 345 hospitals$11,127$16,204 – $23,596: 228 hospitals$23,596 – $34,361: 115 hospitals$23,596$34,361 – $50,036: 52 hospitals$34,361median $12,077price bands are equal on a log scale
Hospitals per price band (1,352 of 1,502 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,167$1,69925
$1,699$2,47534
$2,475$3,60370
$3,603$5,247128
$5,247$7,641112
$7,641$11,127243
$11,127$16,204345
$16,204$23,596228
$23,596$34,361115
$34,361$50,03652

Against Medicare

Medicare pays (OPPS 2026, national rate)$10,678
Median cash price$12,077
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 $12,077.

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: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $11,642 across 38 hospitalsWA$11,642Idaho: median $12,726 across 12 hospitalsID$12,726Montana: 4 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 $10,029 across 21 hospitalsMN$10,029Illinois: median $12,270 across 63 hospitalsIL$12,270Wisconsin: median $3,136 across 48 hospitalsWI$3,136Michigan: median $8,902 across 43 hospitalsMI$8,902New York: median $12,384 across 46 hospitalsNY$12,384Massachusetts: median $14,930 across 26 hospitalsMA$14,930Oregon: median $15,624 across 29 hospitalsOR$15,624Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $15,469 across 20 hospitalsIA$15,469Indiana: median $7,017 across 44 hospitalsIN$7,017Ohio: median $13,141 across 76 hospitalsOH$13,141Pennsylvania: median $12,349 across 65 hospitalsPA$12,349New Jersey: median $11,584 across 48 hospitalsNJ$11,584Connecticut: median $8,035 across 12 hospitalsCT$8,035Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $15,457 across 130 hospitalsCA$15,457Utah: median $21,566 across 10 hospitalsUT$21,566Colorado: median $10,470 across 33 hospitalsCO$10,470Nebraska: median $7,709 across 16 hospitalsNE$7,709Missouri: median $13,171 across 39 hospitalsMO$13,171Kentucky: median $14,902 across 19 hospitalsKY$14,902West Virginia: median $4,989 across 20 hospitalsWV$4,989Virginia: median $12,980 across 33 hospitalsVA$12,980Maryland: 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 $10,688 across 27 hospitalsAZ$10,688New Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $9,846 across 17 hospitalsKS$9,846Arkansas: median $8,063 across 13 hospitalsAR$8,063Tennessee: median $3,887 across 34 hospitalsTN$3,887North Carolina: median $8,638 across 39 hospitalsNC$8,638South Carolina: median $15,093 across 32 hospitalsSC$15,093Oklahoma: median $4,096 across 32 hospitalsOK$4,096Louisiana: median $9,890 across 32 hospitalsLA$9,890Mississippi: median $8,012 across 15 hospitalsMS$8,012Alabama: median $10,970 across 18 hospitalsAL$10,970Georgia: median $5,841 across 62 hospitalsGA$5,841Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $14,384 across 147 hospitalsTX$14,384Florida: median $13,144 across 75 hospitalsFL$13,144
Cash price by state, most expensive first. National median $12,077. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT10$21,566+79%$8,864 – $27,556
Oregon OR29$15,624+29%$863 – $26,189
Iowa IA20$15,469+28%$1,174 – $23,505
California CA130$15,457+28%$11,885 – $30,465
South Carolina SC32$15,093+25%$14,636 – $42,654
Massachusetts MA26$14,930+24%$7,131 – $31,396
Kentucky KY19$14,902+23%$5,162 – $72,805
Texas TX147$14,384+19%$4,729 – $28,760
Missouri MO39$13,171+9%$6,728 – $16,727
Florida FL75$13,144+9%$9,364 – $25,079
Ohio OH76$13,141+9%$9,982 – $18,305
Virginia VA33$12,980+7%$6,826 – $15,154
Idaho ID12$12,726+5%$12,726 – $18,757
New York NY46$12,384+3%$9,748 – $22,640
Pennsylvania PA65$12,349+2%$8,409 – $22,537
Illinois IL63$12,270+2%$5,750 – $24,182
Washington WA38$11,642−4%$5,562 – $18,208
New Jersey NJ48$11,584−4%$4,500 – $13,965
Alabama AL18$10,970−9%$2,696 – $18,010
Arizona AZ27$10,688−12%$4,077 – $27,163
Colorado CO33$10,470−13%$9,939 – $23,406
Minnesota MN21$10,029−17%$5,635 – $11,947
Louisiana LA32$9,890−18%$3,611 – $18,408
Kansas KS17$9,846−18%$4,958 – $17,018
Michigan MI43$8,902−26%$7,362 – $14,372
North Carolina NC39$8,638−28%$7,498 – $13,648
Arkansas AR13$8,063−33%$4,442 – $10,573
Connecticut CT12$8,035−33%$6,258 – $14,810
Mississippi MS15$8,012−34%$6,704 – $11,060
Nebraska NE16$7,709−36%$2,089 – $12,755
Indiana IN44$7,017−42%$4,113 – $15,305
Georgia GA62$5,841−52%$4,822 – $16,551
West Virginia WV20$4,989−59%$4,157 – $5,363
Oklahoma OK32$4,096−66%$2,230 – $14,178
Tennessee TN34$3,887−68%$3,500 – $5,813
Wisconsin WI48$3,136−74%$2,101 – $20,409
Hawaii HI8not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
South Dakota SD2not 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 $12,077.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,352$12,349$5,206 – $20,950
Children’s36$12,249$4,442 – $24,313
Critical access108$6,544$2,101 – $17,609
Ownership
For-profit179$13,941$7,498 – $34,360
Government187$9,939$3,887 – $18,710
Non-profit1,130$12,077$4,822 – $19,205
System affiliation
Part of a system1,299$11,967$4,933 – $20,544
Independent203$13,523$4,057 – $22,351

Cash price vs list price

Median list price (chargemaster)$22,640
Median cash price$12,077
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

1,122 hospitals filed a usable inpatient cash price for this code. The median is $12,249 and the average of the middle 60% is $12,151; most fall between $4,780 and $20,409.

Cash price percentiles, inpatient, across 1,122 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
$2,447$5,987$12,249$18,019$27,659

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($2,447 vs $27,659).

Of the 1,222 hospitals that filed this code inpatient, 1,122 gave a usable cash price; 49 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 50 a list price only.

How complete is this

1,502 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 1,637 hospitals that filed this code at all gave us
Usable cash price — counted1,502
Cash price carrying a plausibility flag — shown on the compare tool, excluded here81
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded53
Hospitals that filed this code1,637

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 Upg Pacemaker Sys Convert 1chmbr Sys 2chmbr Sys.

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, “Upgrade of pacemaker from one chamber to two chambers (CPT 33214) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33214-upgrade-of-pacemaker-from-one-chamber-to-two-chambers