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

Pacemaker battery unit replacement with three or more wires

CPT 33221the billing code this page is about

Placement of the pacemaker pulse generator alone, connected to multiple leads already in place; the heart wires are not newly inserted.

Hospitals typically charge $15,523 cash for this outpatient procedure — the median across 1,209 hospitals that filed a usable cash price; the average of the middle 60% is $16,337. Most fall between $6,667 and $29,232 (20th–80th percentile).

Hospitals
1,209
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 1,209 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
$3,841$8,104$15,523$25,681$43,390

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($3,841 vs $43,390).

How the prices are spread

$2,544 – $3,476: 53 hospitals$2,544$3,476 – $4,749: 48 hospitals$4,749 – $6,488: 70 hospitals$4,749$6,488 – $8,863: 100 hospitals$8,863 – $12,109: 111 hospitals$8,863$12,109 – $16,544: 210 hospitals$16,544 – $22,602: 195 hospitals$16,544$22,602 – $30,879: 147 hospitals$30,879 – $42,187: 86 hospitals$30,879$42,187 – $57,637: 70 hospitals$42,187median $15,523price bands are equal on a log scale
Hospitals per price band (1,090 of 1,209 — the bands cover the 5th to 95th percentile)
FromToHospitals
$2,544$3,47653
$3,476$4,74948
$4,749$6,48870
$6,488$8,863100
$8,863$12,109111
$12,109$16,544210
$16,544$22,602195
$22,602$30,879147
$30,879$42,18786
$42,187$57,63770

Against Medicare

Medicare pays (OPPS 2026, national rate)$19,679
Median cash price$15,523
Cash as a multiple of Medicare0.79×

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 $15,523.

Alaska: 4 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 $13,457 across 30 hospitalsWA$13,457Idaho: median $20,158 across 12 hospitalsID$20,158Montana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $10,851 across 12 hospitalsMN$10,851Illinois: median $20,149 across 57 hospitalsIL$20,149Wisconsin: median $2,744 across 36 hospitalsWI$2,744Michigan: median $16,662 across 40 hospitalsMI$16,662New York: median $22,568 across 43 hospitalsNY$22,568Massachusetts: median $16,580 across 21 hospitalsMA$16,580Oregon: median $22,064 across 20 hospitalsOR$22,064Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $8,192 across 18 hospitalsIA$8,192Indiana: median $7,077 across 32 hospitalsIN$7,077Ohio: median $15,601 across 72 hospitalsOH$15,601Pennsylvania: median $22,210 across 56 hospitalsPA$22,210New Jersey: median $10,518 across 35 hospitalsNJ$10,518Connecticut: median $8,803 across 10 hospitalsCT$8,803Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $19,723 across 96 hospitalsCA$19,723Utah: median $43,390 across 26 hospitalsUT$43,390Colorado: median $14,100 across 28 hospitalsCO$14,100Nebraska: median $8,104 across 13 hospitalsNE$8,104Missouri: median $13,726 across 27 hospitalsMO$13,726Kentucky: median $33,884 across 22 hospitalsKY$33,884West Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $11,421 across 33 hospitalsVA$11,421Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $16,353 across 25 hospitalsAZ$16,353New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $15,691 across 14 hospitalsKS$15,691Arkansas: median $13,126 across 12 hospitalsAR$13,126Tennessee: median $6,294 across 26 hospitalsTN$6,294North Carolina: median $6,667 across 20 hospitalsNC$6,667South Carolina: median $13,763 across 30 hospitalsSC$13,763Oklahoma: median $11,440 across 19 hospitalsOK$11,440Louisiana: median $10,500 across 18 hospitalsLA$10,500Mississippi: median $14,400 across 14 hospitalsMS$14,400Alabama: median $10,282 across 14 hospitalsAL$10,282Georgia: median $3,090 across 46 hospitalsGA$3,090Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $15,268 across 112 hospitalsTX$15,268Florida: median $27,737 across 60 hospitalsFL$27,737
Cash price by state, most expensive first. National median $15,523. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT26$43,390+180%$43,390 – $43,390
Kentucky KY22$33,884+118%$8,013 – $52,245
Florida FL60$27,737+79%$14,273 – $45,743
New York NY43$22,568+45%$15,684 – $41,257
Pennsylvania PA56$22,210+43%$4,555 – $41,512
Oregon OR20$22,064+42%$19,784 – $43,490
Idaho ID12$20,158+30%$15,830 – $24,500
Illinois IL57$20,149+30%$6,345 – $32,985
California CA96$19,723+27%$14,132 – $27,180
Michigan MI40$16,662+7%$12,620 – $34,057
Massachusetts MA21$16,580+7%$8,646 – $58,473
Arizona AZ25$16,353+5%$5,498 – $23,743
Kansas KS14$15,691+1%$5,000 – $22,158
Ohio OH72$15,601+1%$12,375 – $29,274
Texas TX112$15,268−2%$10,354 – $30,525
Mississippi MS14$14,400−7%$9,780 – $18,621
Colorado CO28$14,100−9%$10,750 – $24,033
South Carolina SC30$13,763−11%$13,763 – $22,369
Missouri MO27$13,726−12%$11,000 – $21,165
Washington WA30$13,457−13%$4,258 – $19,794
Arkansas AR12$13,126−15%$7,152 – $20,086
Oklahoma OK19$11,440−26%$3,841 – $22,888
Virginia VA33$11,421−26%$6,163 – $14,412
Minnesota MN12$10,851−30%$4,460 – $18,464
New Jersey NJ35$10,518−32%$5,339 – $22,459
Louisiana LA18$10,500−32%$3,712 – $17,211
Alabama AL14$10,282−34%$6,016 – $26,876
Connecticut CT10$8,803−43%$6,684 – $17,927
Iowa IA18$8,192−47%$887 – $17,191
Nebraska NE13$8,104−48%$7,964 – $15,302
Indiana IN32$7,077−54%$4,997 – $14,863
North Carolina NC20$6,667−57%$5,852 – $16,502
Tennessee TN26$6,294−59%$4,021 – $9,812
Georgia GA46$3,090−80%$2,824 – $23,516
Wisconsin WI36$2,744−82%$2,055 – $16,526
Nevada NV9not enough hospitals filed a usable price
West Virginia WV6not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
South Dakota SD1not 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 $15,523.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,103$15,539$6,923 – $29,274
Children’s22$15,416$11,725 – $26,884
Critical access77$15,365$2,744 – $26,439
Ownership
For-profit138$20,076$9,812 – $38,330
Government125$14,670$6,016 – $26,876
Non-profit939$15,162$6,583 – $27,654
System affiliation
Part of a system1,074$15,268$6,667 – $28,861
Independent135$18,561$6,884 – $32,683

Cash price vs list price

Median list price (chargemaster)$25,387
Median cash price$15,523
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

916 hospitals filed a usable inpatient cash price for this code. The median is $15,108 and the average of the middle 60% is $15,712; most fall between $6,923 and $28,531.

Cash price percentiles, inpatient, across 916 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
$3,706$8,192$15,108$24,350$42,557

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($3,706 vs $42,557).

Of the 1,052 hospitals that filed this code inpatient, 916 gave a usable cash price; 89 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 46 a list price only.

How complete is this

1,209 of the 3,956 hospitals with a price file in our corpus (31%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,403 hospitals that filed this code at all gave us
Usable cash price — counted1,209
Cash price carrying a plausibility flag — shown on the compare tool, excluded here141
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded50
Hospitals that filed this code1,403

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 Ins Pacemaker Pulse Gen Only W/Exist Mult Leads.

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, “Pacemaker battery unit replacement with three or more wires (CPT 33221) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33221-pacemaker-battery-unit-replacement-with-three-or-more-wires