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

Repair of two pacemaker or defibrillator heart wires

CPT 33220the billing code this page is about

Repair of two implanted leads that run through a vein to the heart, for a pacemaker or implanted defibrillator.

Hospitals typically charge $4,286 cash for this outpatient procedure — the median across 1,135 hospitals that filed a usable cash price; the average of the middle 60% is $4,564. Most fall between $2,146 and $7,873 (20th–80th percentile).

Hospitals
1,135
States
49
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 1,135 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
$1,112$2,400$4,286$7,295$11,466

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($1,112 vs $11,466).

How the prices are spread

$688 – $939: 38 hospitals$688$939 – $1,282: 33 hospitals$1,282 – $1,749: 40 hospitals$1,282$1,749 – $2,386: 110 hospitals$2,386 – $3,256: 97 hospitals$2,386$3,256 – $4,443: 235 hospitals$4,443 – $6,062: 153 hospitals$4,443$6,062 – $8,271: 163 hospitals$8,271 – $11,286: 90 hospitals$8,271$11,286 – $15,399: 65 hospitals$11,286median $4,286price bands are equal on a log scale
Hospitals per price band (1,024 of 1,135 — the bands cover the 5th to 95th percentile)
FromToHospitals
$688$93938
$939$1,28233
$1,282$1,74940
$1,749$2,386110
$2,386$3,25697
$3,256$4,443235
$4,443$6,062153
$6,062$8,271163
$8,271$11,28690
$11,286$15,39965

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,818
Median cash price$4,286
Cash as a multiple of Medicare1.12×

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 $4,286.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 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 $5,498 across 33 hospitalsWA$5,498Idaho: median $7,280 across 10 hospitalsID$7,280Montana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $6,323 across 17 hospitalsMN$6,323Illinois: median $4,890 across 48 hospitalsIL$4,890Wisconsin: median $2,036 across 24 hospitalsWI$2,036Michigan: median $1,481 across 38 hospitalsMI$1,481New York: median $4,307 across 42 hospitalsNY$4,307Massachusetts: 7 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $4,957 across 18 hospitalsOR$4,957Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $2,908 across 19 hospitalsIA$2,908Indiana: median $3,536 across 40 hospitalsIN$3,536Ohio: median $6,206 across 63 hospitalsOH$6,206Pennsylvania: median $3,692 across 47 hospitalsPA$3,692New Jersey: median $4,333 across 41 hospitalsNJ$4,333Connecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $7,160 across 95 hospitalsCA$7,160Utah: median $6,008 across 10 hospitalsUT$6,008Colorado: median $6,427 across 21 hospitalsCO$6,427Nebraska: median $2,314 across 11 hospitalsNE$2,314Missouri: median $6,118 across 27 hospitalsMO$6,118Kentucky: median $14,613 across 21 hospitalsKY$14,613West Virginia: median $3,045 across 21 hospitalsWV$3,045Virginia: median $2,665 across 22 hospitalsVA$2,665Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $3,845 across 23 hospitalsAZ$3,845New Mexico: 6 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $2,427 across 11 hospitalsKS$2,427Arkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $2,481 across 19 hospitalsTN$2,481North Carolina: median $3,742 across 20 hospitalsNC$3,742South Carolina: median $7,454 across 21 hospitalsSC$7,454Oklahoma: median $2,205 across 24 hospitalsOK$2,205Louisiana: median $2,665 across 16 hospitalsLA$2,665Mississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $3,846 across 11 hospitalsAL$3,846Georgia: median $4,035 across 53 hospitalsGA$4,035Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $4,495 across 125 hospitalsTX$4,495Florida: median $6,733 across 64 hospitalsFL$6,733
Cash price by state, most expensive first. National median $4,286. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Kentucky KY21$14,613+241%$1,051 – $16,201
South Carolina SC21$7,454+74%$4,221 – $7,454
Idaho ID10$7,280+70%$3,197 – $7,929
California CA95$7,160+67%$3,412 – $11,094
Florida FL64$6,733+57%$3,653 – $12,988
Colorado CO21$6,427+50%$3,284 – $12,603
Minnesota MN17$6,323+48%$2,885 – $9,952
Ohio OH63$6,206+45%$3,856 – $11,981
Missouri MO27$6,118+43%$1,953 – $9,162
Utah UT10$6,008+40%$3,765 – $6,676
Washington WA33$5,498+28%$2,219 – $7,584
Oregon OR18$4,957+16%$886 – $9,406
Illinois IL48$4,890+14%$1,513 – $8,526
Texas TX125$4,495+5%$2,395 – $8,450
New Jersey NJ41$4,333+1%$3,786 – $5,575
New York NY42$4,3070%$2,639 – $7,873
Georgia GA53$4,035−6%$2,201 – $4,740
Alabama AL11$3,846−10%$2,011 – $5,962
Arizona AZ23$3,845−10%$1,656 – $7,455
North Carolina NC20$3,742−13%$1,766 – $4,772
Pennsylvania PA47$3,692−14%$1,800 – $6,153
Indiana IN40$3,536−17%$2,497 – $6,225
West Virginia WV21$3,045−29%$2,626 – $3,590
Iowa IA19$2,908−32%$922 – $4,311
Virginia VA22$2,665−38%$2,115 – $4,785
Louisiana LA16$2,665−38%$1,377 – $5,864
Tennessee TN19$2,481−42%$516 – $4,672
Kansas KS11$2,427−43%$1,536 – $3,520
Nebraska NE11$2,314−46%$769 – $2,369
Oklahoma OK24$2,205−49%$1,288 – $4,562
Wisconsin WI24$2,036−52%$2,036 – $2,146
Michigan MI38$1,481−65%$838 – $5,138
Arkansas AR9not enough hospitals filed a usable price
Mississippi MS9not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
Massachusetts MA7not enough hospitals filed a usable price
New Mexico NM6not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Vermont VT2not 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 $4,286.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,026$4,311$2,201 – $7,861
Children’s24$3,846$1,050 – $9,540
Critical access79$2,538$922 – $5,962
Ownership
For-profit129$4,782$2,643 – $13,390
Government133$3,846$1,852 – $6,733
Non-profit867$4,295$2,145 – $7,861
System affiliation
Part of a system1,001$4,307$2,201 – $7,929
Independent134$4,095$1,535 – $7,366

Cash price vs list price

Median list price (chargemaster)$8,318
Median cash price$4,286
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

808 hospitals filed a usable inpatient cash price for this code. The median is $4,476 and the average of the middle 60% is $4,871; most fall between $2,223 and $7,929.

Cash price percentiles, inpatient, across 808 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
$1,370$2,665$4,476$7,455$11,239

The most expensive tenth of hospitals charges at least 8.2× what the cheapest tenth charges ($1,370 vs $11,239).

Of the 866 hospitals that filed this code inpatient, 808 gave a usable cash price; 24 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 33 a list price only.

How complete is this

1,135 of the 3,956 hospitals with a price file in our corpus (29%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,216 hospitals that filed this code at all gave us
Usable cash price — counted1,135
Cash price carrying a plausibility flag — shown on the compare tool, excluded here44
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 — excluded36
Hospitals that filed this code1,216

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 2 Transvns Electrodes Prm Pm/Implantable 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 two pacemaker or defibrillator heart wires (CPT 33220) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33220-repair-of-two-pacemaker-or-defibrillator-heart-wires