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

Placement of one heart wire through a vein

CPT 33216the billing code this page is about

Insertion of a single permanent lead through a vein into the heart for a pacemaker or implanted defibrillator, without placing the generator.

Hospitals typically charge $7,543 cash for this outpatient procedure — the median across 1,763 hospitals that filed a usable cash price; the average of the middle 60% is $7,751. Most fall between $3,483 and $13,755 (20th–80th percentile).

Hospitals
1,763
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 1,763 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
$1,896$4,042$7,543$11,834$19,123

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($1,896 vs $19,123).

How the prices are spread

$810 – $1,146: 55 hospitals$810$1,146 – $1,622: 25 hospitals$1,622 – $2,295: 56 hospitals$1,622$2,295 – $3,247: 108 hospitals$3,247 – $4,594: 200 hospitals$3,247$4,594 – $6,500: 212 hospitals$6,500 – $9,197: 333 hospitals$6,500$9,197 – $13,013: 321 hospitals$13,013 – $18,412: 172 hospitals$13,013$18,412 – $26,051: 115 hospitals$18,412median $7,543price bands are equal on a log scale
Hospitals per price band (1,597 of 1,763 — the bands cover the 5th to 95th percentile)
FromToHospitals
$810$1,14655
$1,146$1,62225
$1,622$2,29556
$2,295$3,247108
$3,247$4,594200
$4,594$6,500212
$6,500$9,197333
$9,197$13,013321
$13,013$18,412172
$18,412$26,051115

Against Medicare

Medicare pays (OPPS 2026, national rate)$8,455
Median cash price$7,543
Cash as a multiple of Medicare0.89×

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 $7,543.

Alaska: 3 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: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $6,503 across 41 hospitalsWA$6,503Idaho: median $7,568 across 12 hospitalsID$7,568Montana: 6 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 $7,273 across 45 hospitalsMN$7,273Illinois: median $7,197 across 71 hospitalsIL$7,197Wisconsin: median $6,177 across 49 hospitalsWI$6,177Michigan: median $7,192 across 66 hospitalsMI$7,192New York: median $9,793 across 55 hospitalsNY$9,793Massachusetts: median $9,767 across 29 hospitalsMA$9,767Oregon: median $5,347 across 32 hospitalsOR$5,347Nevada: median $6,152 across 11 hospitalsNV$6,152Wyoming: 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 $5,925 across 24 hospitalsIA$5,925Indiana: median $4,868 across 48 hospitalsIN$4,868Ohio: median $8,955 across 97 hospitalsOH$8,955Pennsylvania: median $9,282 across 80 hospitalsPA$9,282New Jersey: median $9,168 across 51 hospitalsNJ$9,168Connecticut: median $8,192 across 15 hospitalsCT$8,192Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $10,934 across 136 hospitalsCA$10,934Utah: median $15,605 across 11 hospitalsUT$15,605Colorado: median $7,585 across 36 hospitalsCO$7,585Nebraska: median $4,330 across 17 hospitalsNE$4,330Missouri: median $6,421 across 49 hospitalsMO$6,421Kentucky: median $11,027 across 28 hospitalsKY$11,027West Virginia: median $3,003 across 25 hospitalsWV$3,003Virginia: median $7,318 across 41 hospitalsVA$7,318Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $5,449 across 31 hospitalsAZ$5,449New Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $7,190 across 23 hospitalsKS$7,190Arkansas: median $3,999 across 16 hospitalsAR$3,999Tennessee: median $1,899 across 39 hospitalsTN$1,899North Carolina: median $4,263 across 44 hospitalsNC$4,263South Carolina: median $12,239 across 35 hospitalsSC$12,239Oklahoma: median $4,547 across 35 hospitalsOK$4,547Louisiana: median $4,261 across 40 hospitalsLA$4,261Mississippi: median $5,937 across 22 hospitalsMS$5,937Alabama: median $7,385 across 26 hospitalsAL$7,385Georgia: median $3,489 across 63 hospitalsGA$3,489Hawaii: median $3,713 across 10 hospitalsHI$3,713Texas: median $9,843 across 151 hospitalsTX$9,843Florida: median $11,643 across 89 hospitalsFL$11,643
Cash price by state, most expensive first. National median $7,543. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT11$15,605+107%$11,519 – $16,197
South Carolina SC35$12,239+62%$7,981 – $15,457
Florida FL89$11,643+54%$5,748 – $19,118
Kentucky KY28$11,027+46%$3,334 – $23,874
California CA136$10,934+45%$5,906 – $17,649
Texas TX151$9,843+30%$6,767 – $17,755
New York NY55$9,793+30%$3,045 – $17,904
Massachusetts MA29$9,767+29%$7,447 – $25,005
Pennsylvania PA80$9,282+23%$6,565 – $14,897
New Jersey NJ51$9,168+22%$4,627 – $11,043
Ohio OH97$8,955+19%$5,452 – $15,838
Connecticut CT15$8,192+9%$3,668 – $10,435
Colorado CO36$7,585+1%$4,402 – $11,414
Idaho ID12$7,5680%$7,568 – $9,312
Alabama AL26$7,385−2%$3,774 – $18,410
Virginia VA41$7,318−3%$4,154 – $8,012
Minnesota MN45$7,273−4%$3,315 – $10,312
Illinois IL71$7,197−5%$3,612 – $14,842
Michigan MI66$7,192−5%$810 – $11,379
Kansas KS23$7,190−5%$2,944 – $12,806
Washington WA41$6,503−14%$2,709 – $9,495
Missouri MO49$6,421−15%$4,988 – $11,900
Wisconsin WI49$6,177−18%$2,711 – $12,767
Nevada NV11$6,152−18%$1,556 – $15,680
Mississippi MS22$5,937−21%$3,602 – $6,913
Iowa IA24$5,925−21%$913 – $8,460
Arizona AZ31$5,449−28%$2,545 – $11,247
Oregon OR32$5,347−29%$878 – $20,837
Indiana IN48$4,868−35%$3,013 – $8,017
Oklahoma OK35$4,547−40%$1,337 – $8,460
Nebraska NE17$4,330−43%$887 – $6,892
North Carolina NC44$4,263−43%$2,870 – $8,453
Louisiana LA40$4,261−44%$2,103 – $8,594
Arkansas AR16$3,999−47%$3,128 – $7,200
Hawaii HI10$3,713−51%$376 – $8,240
Georgia GA63$3,489−54%$3,172 – $13,806
West Virginia WV25$3,003−60%$1,046 – $3,337
Tennessee TN39$1,899−75%$1,875 – $4,070
South Dakota SD8not enough hospitals filed a usable price
Delaware DE7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
New Mexico NM7not 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
Vermont VT5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alaska AK3not 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 $7,543.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,576$7,663$3,630 – $13,806
Children’s38$8,500$3,576 – $17,687
Critical access141$4,261$964 – $11,781
Ownership
For-profit213$9,465$4,077 – $18,991
Government218$5,837$2,456 – $10,856
Non-profit1,324$7,342$3,489 – $12,851
System affiliation
Part of a system1,526$7,538$3,499 – $13,755
Independent237$7,634$2,025 – $13,707

Cash price vs list price

Median list price (chargemaster)$12,829
Median cash price$7,543
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

1,334 hospitals filed a usable inpatient cash price for this code. The median is $7,464 and the average of the middle 60% is $7,838; most fall between $3,490 and $13,806.

Cash price percentiles, inpatient, across 1,334 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
$1,899$4,157$7,464$12,076$18,665

The most expensive tenth of hospitals charges at least 9.8× what the cheapest tenth charges ($1,899 vs $18,665).

Of the 1,444 hospitals that filed this code inpatient, 1,334 gave a usable cash price; 57 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 52 a list price only.

How complete is this

1,763 of the 3,956 hospitals with a price file in our corpus (45%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,918 hospitals that filed this code at all gave us
Usable cash price — counted1,763
Cash price carrying a plausibility flag — shown on the compare tool, excluded here90
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded60
Hospitals that filed this code1,918

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 Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb.

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, “Placement of one heart wire through a vein (CPT 33216) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33216-placement-of-one-heart-wire-through-a-vein