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

Repair of one pacemaker or defibrillator heart wire

CPT 33218the billing code this page is about

Repair of a single implanted lead that runs through a vein to the heart, for a pacemaker or implanted defibrillator.

Hospitals typically charge $4,309 cash for this outpatient procedure — the median across 1,443 hospitals that filed a usable cash price; the average of the middle 60% is $4,586. Most fall between $2,184 and $8,156 (20th–80th percentile).

Hospitals
1,443
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 1,443 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
$1,233$2,498$4,309$7,160$12,440

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($1,233 vs $12,440).

How the prices are spread

$728 – $999: 45 hospitals$728$999 – $1,371: 41 hospitals$1,371 – $1,880: 83 hospitals$1,371$1,880 – $2,580: 132 hospitals$2,580 – $3,539: 161 hospitals$2,580$3,539 – $4,856: 286 hospitals$4,856 – $6,662: 203 hospitals$4,856$6,662 – $9,139: 156 hospitals$9,139 – $12,539: 121 hospitals$9,139$12,539 – $17,202: 71 hospitals$12,539median $4,309price bands are equal on a log scale
Hospitals per price band (1,299 of 1,443 — the bands cover the 5th to 95th percentile)
FromToHospitals
$728$99945
$999$1,37141
$1,371$1,88083
$1,880$2,580132
$2,580$3,539161
$3,539$4,856286
$4,856$6,662203
$6,662$9,139156
$9,139$12,539121
$12,539$17,20271

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,818
Median cash price$4,309
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 $4,309.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $4,293 across 39 hospitalsWA$4,293Idaho: median $7,929 across 11 hospitalsID$7,929Montana: 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 $5,502 across 42 hospitalsMN$5,502Illinois: median $4,516 across 63 hospitalsIL$4,516Wisconsin: median $2,844 across 38 hospitalsWI$2,844Michigan: median $3,706 across 51 hospitalsMI$3,706New York: median $4,307 across 51 hospitalsNY$4,307Massachusetts: median $9,295 across 22 hospitalsMA$9,295Oregon: median $1,310 across 26 hospitalsOR$1,310Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $3,315 across 21 hospitalsIA$3,315Indiana: median $3,536 across 41 hospitalsIN$3,536Ohio: median $5,654 across 77 hospitalsOH$5,654Pennsylvania: median $4,415 across 65 hospitalsPA$4,415New Jersey: median $4,500 across 43 hospitalsNJ$4,500Connecticut: median $3,657 across 11 hospitalsCT$3,657Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $7,230 across 121 hospitalsCA$7,230Utah: 9 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $5,179 across 33 hospitalsCO$5,179Nebraska: median $1,902 across 14 hospitalsNE$1,902Missouri: median $5,127 across 36 hospitalsMO$5,127Kentucky: median $3,371 across 22 hospitalsKY$3,371West Virginia: median $3,045 across 22 hospitalsWV$3,045Virginia: median $1,949 across 31 hospitalsVA$1,949Maryland: 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 $2,671 across 26 hospitalsAZ$2,671New Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $3,375 across 13 hospitalsKS$3,375Arkansas: median $2,497 across 11 hospitalsAR$2,497Tennessee: median $2,307 across 30 hospitalsTN$2,307North Carolina: median $4,142 across 36 hospitalsNC$4,142South Carolina: median $4,642 across 30 hospitalsSC$4,642Oklahoma: median $2,185 across 25 hospitalsOK$2,185Louisiana: median $3,009 across 22 hospitalsLA$3,009Mississippi: median $3,026 across 14 hospitalsMS$3,026Alabama: median $5,296 across 20 hospitalsAL$5,296Georgia: median $2,887 across 57 hospitalsGA$2,887Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $4,824 across 138 hospitalsTX$4,824Florida: median $6,733 across 72 hospitalsFL$6,733
Cash price by state, most expensive first. National median $4,309. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA22$9,295+116%$4,767 – $13,258
Idaho ID11$7,929+84%$7,280 – $7,929
California CA121$7,230+68%$3,499 – $13,052
Florida FL72$6,733+56%$3,662 – $10,056
Ohio OH77$5,654+31%$4,258 – $13,602
Minnesota MN42$5,502+28%$3,671 – $7,607
Alabama AL20$5,296+23%$2,412 – $10,325
Colorado CO33$5,179+20%$2,758 – $10,206
Missouri MO36$5,127+19%$2,519 – $7,697
Texas TX138$4,824+12%$3,238 – $10,490
South Carolina SC30$4,642+8%$3,417 – $5,025
Illinois IL63$4,516+5%$1,750 – $9,964
New Jersey NJ43$4,500+4%$3,977 – $5,741
Pennsylvania PA65$4,415+2%$2,214 – $7,444
New York NY51$4,3070%$2,639 – $7,873
Washington WA39$4,2930%$1,935 – $7,058
North Carolina NC36$4,142−4%$3,222 – $5,622
Michigan MI51$3,706−14%$895 – $6,725
Connecticut CT11$3,657−15%$3,223 – $5,400
Indiana IN41$3,536−18%$2,497 – $6,024
Kansas KS13$3,375−22%$1,536 – $11,781
Kentucky KY22$3,371−22%$1,466 – $18,178
Iowa IA21$3,315−23%$948 – $4,277
West Virginia WV22$3,045−29%$2,538 – $3,274
Mississippi MS14$3,026−30%$2,030 – $3,630
Louisiana LA22$3,009−30%$2,184 – $5,864
Georgia GA57$2,887−33%$1,801 – $5,024
Wisconsin WI38$2,844−34%$2,238 – $4,462
Arizona AZ26$2,671−38%$1,476 – $6,247
Arkansas AR11$2,497−42%$1,730 – $2,827
Tennessee TN30$2,307−46%$1,689 – $3,811
Oklahoma OK25$2,185−49%$1,288 – $3,563
Virginia VA31$1,949−55%$1,499 – $5,102
Nebraska NE14$1,902−56%$794 – $3,018
Oregon OR26$1,310−70%$702 – $7,273
Utah UT9not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Nevada NV6not 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
Wyoming WY5not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
South Dakota SD3not 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 $4,309.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,296$4,344$2,223 – $8,475
Children’s26$5,579$1,207 – $13,052
Critical access114$2,871$1,260 – $6,695
Ownership
For-profit160$5,652$2,750 – $13,889
Government177$4,142$2,011 – $6,013
Non-profit1,099$4,307$2,164 – $7,997
System affiliation
Part of a system1,274$4,323$2,238 – $8,475
Independent169$3,940$1,392 – $7,913

Cash price vs list price

Median list price (chargemaster)$8,284
Median cash price$4,309
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

1,054 hospitals filed a usable inpatient cash price for this code. The median is $4,415 and the average of the middle 60% is $4,746; most fall between $2,307 and $8,599.

Cash price percentiles, inpatient, across 1,054 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
$1,412$2,669$4,415$7,273$11,352

The most expensive tenth of hospitals charges at least 8.0× what the cheapest tenth charges ($1,412 vs $11,352).

Of the 1,126 hospitals that filed this code inpatient, 1,054 gave a usable cash price; 30 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 41 a list price only.

How complete is this

1,443 of the 3,956 hospitals with a price file in our corpus (36%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,549 hospitals that filed this code at all gave us
Usable cash price — counted1,443
Cash price carrying a plausibility flag — shown on the compare tool, excluded here55
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded49
Hospitals that filed this code1,549

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 Rpr 1 Transvns Eltrd Prm Pm/Pacing Implntbl 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, “Repair of one pacemaker or defibrillator heart wire (CPT 33218) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33218-repair-of-one-pacemaker-or-defibrillator-heart-wire