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

Placement of two heart wires through a vein

CPT 33217the billing code this page is about

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

Hospitals typically charge $7,750 cash for this outpatient procedure — the median across 1,580 hospitals that filed a usable cash price; the average of the middle 60% is $7,975. Most fall between $3,250 and $15,848 (20th–80th percentile).

Hospitals
1,580
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 1,580 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$3,811$7,750$12,524$21,123

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($1,899 vs $21,123).

How the prices are spread

$866 – $1,224: 29 hospitals$866$1,224 – $1,732: 38 hospitals$1,732 – $2,449: 63 hospitals$1,732$2,449 – $3,464: 138 hospitals$3,464 – $4,900: 139 hospitals$3,464$4,900 – $6,930: 225 hospitals$6,930 – $9,802: 310 hospitals$6,930$9,802 – $13,864: 200 hospitals$13,864 – $19,610: 170 hospitals$13,864$19,610 – $27,737: 111 hospitals$19,610median $7,750price bands are equal on a log scale
Hospitals per price band (1,423 of 1,580 — the bands cover the 5th to 95th percentile)
FromToHospitals
$866$1,22429
$1,224$1,73238
$1,732$2,44963
$2,449$3,464138
$3,464$4,900139
$4,900$6,930225
$6,930$9,802310
$9,802$13,864200
$13,864$19,610170
$19,610$27,737111

Against Medicare

Medicare pays (OPPS 2026, national rate)$8,455
Median cash price$7,750
Cash as a multiple of Medicare0.92×

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 $7,750.

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: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $7,115 across 39 hospitalsWA$7,115Idaho: median $7,568 across 11 hospitalsID$7,568Montana: 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 $6,354 across 28 hospitalsMN$6,354Illinois: median $8,270 across 74 hospitalsIL$8,270Wisconsin: median $2,968 across 48 hospitalsWI$2,968Michigan: median $6,824 across 59 hospitalsMI$6,824New York: median $9,793 across 50 hospitalsNY$9,793Massachusetts: median $9,016 across 16 hospitalsMA$9,016Oregon: median $8,316 across 31 hospitalsOR$8,316Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $6,059 across 21 hospitalsIA$6,059Indiana: median $3,793 across 44 hospitalsIN$3,793Ohio: median $10,424 across 84 hospitalsOH$10,424Pennsylvania: median $9,289 across 67 hospitalsPA$9,289New Jersey: median $9,160 across 48 hospitalsNJ$9,160Connecticut: median $6,613 across 12 hospitalsCT$6,613Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $11,483 across 128 hospitalsCA$11,483Utah: median $18,436 across 26 hospitalsUT$18,436Colorado: median $8,628 across 34 hospitalsCO$8,628Nebraska: median $4,068 across 16 hospitalsNE$4,068Missouri: median $7,197 across 41 hospitalsMO$7,197Kentucky: median $11,027 across 26 hospitalsKY$11,027West Virginia: median $3,003 across 23 hospitalsWV$3,003Virginia: median $7,552 across 36 hospitalsVA$7,552Maryland: 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 $5,528 across 30 hospitalsAZ$5,528New Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $5,431 across 21 hospitalsKS$5,431Arkansas: median $5,225 across 11 hospitalsAR$5,225Tennessee: median $2,055 across 36 hospitalsTN$2,055North Carolina: median $5,467 across 37 hospitalsNC$5,467South Carolina: median $11,864 across 29 hospitalsSC$11,864Oklahoma: median $3,206 across 33 hospitalsOK$3,206Louisiana: median $4,261 across 29 hospitalsLA$4,261Mississippi: median $5,661 across 19 hospitalsMS$5,661Alabama: median $7,385 across 19 hospitalsAL$7,385Georgia: median $3,532 across 58 hospitalsGA$3,532Hawaii: median $5,309 across 10 hospitalsHI$5,309Texas: median $9,134 across 138 hospitalsTX$9,134Florida: median $9,201 across 78 hospitalsFL$9,201
Cash price by state, most expensive first. National median $7,750. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT26$18,436+138%$18,436 – $18,436
South Carolina SC29$11,864+53%$5,719 – $12,850
California CA128$11,483+48%$5,996 – $21,330
Kentucky KY26$11,027+42%$3,334 – $26,916
Ohio OH84$10,424+34%$5,604 – $16,630
New York NY50$9,793+26%$4,462 – $17,904
Pennsylvania PA67$9,289+20%$6,057 – $13,992
Florida FL78$9,201+19%$5,690 – $19,747
New Jersey NJ48$9,160+18%$3,986 – $11,337
Texas TX138$9,134+18%$7,005 – $16,616
Massachusetts MA16$9,016+16%$7,505 – $11,715
Colorado CO34$8,628+11%$4,793 – $24,138
Oregon OR31$8,316+7%$869 – $20,837
Illinois IL74$8,270+7%$2,402 – $16,692
Idaho ID11$7,568−2%$7,568 – $9,411
Virginia VA36$7,552−3%$4,154 – $8,670
Alabama AL19$7,385−5%$3,774 – $13,358
Missouri MO41$7,197−7%$4,816 – $8,815
Washington WA39$7,115−8%$2,763 – $9,795
Michigan MI59$6,824−12%$1,287 – $11,379
Connecticut CT12$6,613−15%$3,668 – $10,437
Minnesota MN28$6,354−18%$3,338 – $9,250
Iowa IA21$6,059−22%$3,039 – $8,698
Mississippi MS19$5,661−27%$3,219 – $6,400
Arizona AZ30$5,528−29%$2,833 – $18,725
North Carolina NC37$5,467−29%$4,222 – $10,717
Kansas KS21$5,431−30%$2,643 – $13,922
Hawaii HI10$5,309−31%$374 – $8,240
Arkansas AR11$5,225−33%$2,745 – $7,469
Louisiana LA29$4,261−45%$2,448 – $8,594
Nebraska NE16$4,068−48%$3,128 – $6,838
Indiana IN44$3,793−51%$1,914 – $8,057
Georgia GA58$3,532−54%$3,103 – $11,360
Oklahoma OK33$3,206−59%$813 – $8,757
West Virginia WV23$3,003−61%$1,053 – $3,144
Wisconsin WI48$2,968−62%$2,716 – $9,769
Tennessee TN36$2,055−73%$1,899 – $4,070
Nevada NV9not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Delaware DE7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Vermont VT3not 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 $7,750.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,420$7,854$3,489 – $15,940
Children’s29$9,528$1,229 – $19,747
Critical access125$3,103$1,541 – $11,851
Ownership
For-profit181$9,312$4,602 – $19,852
Government191$6,059$2,440 – $10,802
Non-profit1,202$7,652$3,277 – $15,687
System affiliation
Part of a system1,383$7,750$3,424 – $15,940
Independent197$7,696$1,935 – $15,197

Cash price vs list price

Median list price (chargemaster)$13,292
Median cash price$7,750
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

1,177 hospitals filed a usable inpatient cash price for this code. The median is $7,652 and the average of the middle 60% is $8,178; most fall between $3,489 and $15,940.

Cash price percentiles, inpatient, across 1,177 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
$2,055$4,261$7,652$12,850$20,628

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($2,055 vs $20,628).

Of the 1,278 hospitals that filed this code inpatient, 1,177 gave a usable cash price; 50 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

1,580 of the 3,956 hospitals with a price file in our corpus (40%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,715 hospitals that filed this code at all gave us
Usable cash price — counted1,580
Cash price carrying a plausibility flag — shown on the compare tool, excluded here79
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 — excluded55
Hospitals that filed this code1,715

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 2 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 two heart wires through a vein (CPT 33217) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33217-placement-of-two-heart-wires-through-a-vein