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

Moving or revising the pacemaker pocket under the skin

CPT 33222the billing code this page is about

Surgery to relocate or revise the pocket under the skin that holds a pacemaker generator, without replacing the heart wires.

Hospitals typically charge $2,585 cash for this outpatient procedure — the median across 1,688 hospitals that filed a usable cash price; the average of the middle 60% is $2,854. Most fall between $1,423 and $5,247 (20th–80th percentile).

Hospitals
1,688
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 1,688 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
$833$1,656$2,585$4,408$7,946

The most expensive tenth of hospitals charges at least 9.5× what the cheapest tenth charges ($833 vs $7,946).

How the prices are spread

$566 – $762: 70 hospitals$566$762 – $1,027: 59 hospitals$1,027 – $1,385: 115 hospitals$1,027$1,385 – $1,866: 175 hospitals$1,866 – $2,515: 307 hospitals$1,866$2,515 – $3,390: 252 hospitals$3,390 – $4,569: 241 hospitals$3,390$4,569 – $6,158: 108 hospitals$6,158 – $8,299: 124 hospitals$6,158$8,299 – $11,186: 70 hospitals$8,299median $2,585price bands are equal on a log scale
Hospitals per price band (1,521 of 1,688 — the bands cover the 5th to 95th percentile)
FromToHospitals
$566$76270
$762$1,02759
$1,027$1,385115
$1,385$1,866175
$1,866$2,515307
$2,515$3,390252
$3,390$4,569241
$4,569$6,158108
$6,158$8,299124
$8,299$11,18670

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,108
Median cash price$2,585
Cash as a multiple of Medicare1.23×

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 $2,585.

Alaska: 4 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: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,745 across 41 hospitalsWA$2,745Idaho: median $2,988 across 11 hospitalsID$2,988Montana: 5 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 $2,334 across 41 hospitalsMN$2,334Illinois: median $2,267 across 68 hospitalsIL$2,267Wisconsin: median $2,431 across 47 hospitalsWI$2,431Michigan: median $2,353 across 62 hospitalsMI$2,353New York: median $2,449 across 52 hospitalsNY$2,449Massachusetts: median $3,057 across 23 hospitalsMA$3,057Oregon: median $2,847 across 31 hospitalsOR$2,847Nevada: median $2,244 across 11 hospitalsNV$2,244Wyoming: 4 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 $1,745 across 22 hospitalsIA$1,745Indiana: median $2,172 across 48 hospitalsIN$2,172Ohio: median $2,939 across 95 hospitalsOH$2,939Pennsylvania: median $2,504 across 81 hospitalsPA$2,504New Jersey: median $2,441 across 50 hospitalsNJ$2,441Connecticut: median $2,722 across 14 hospitalsCT$2,722Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $4,451 across 128 hospitalsCA$4,451Utah: median $3,937 across 15 hospitalsUT$3,937Colorado: median $4,092 across 36 hospitalsCO$4,092Nebraska: median $2,058 across 17 hospitalsNE$2,058Missouri: median $2,348 across 44 hospitalsMO$2,348Kentucky: median $2,723 across 27 hospitalsKY$2,723West Virginia: median $2,058 across 23 hospitalsWV$2,058Virginia: median $1,805 across 38 hospitalsVA$1,805Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,905 across 30 hospitalsAZ$1,905New Mexico: 6 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $2,404 across 19 hospitalsKS$2,404Arkansas: median $1,249 across 16 hospitalsAR$1,249Tennessee: median $1,164 across 41 hospitalsTN$1,164North Carolina: median $2,869 across 42 hospitalsNC$2,869South Carolina: median $3,260 across 35 hospitalsSC$3,260Oklahoma: median $1,196 across 35 hospitalsOK$1,196Louisiana: median $1,892 across 37 hospitalsLA$1,892Mississippi: median $1,606 across 18 hospitalsMS$1,606Alabama: median $2,620 across 24 hospitalsAL$2,620Georgia: median $2,059 across 66 hospitalsGA$2,059Hawaii: median $2,722 across 10 hospitalsHI$2,722Texas: median $3,959 across 152 hospitalsTX$3,959Florida: median $3,843 across 78 hospitalsFL$3,843
Cash price by state, most expensive first. National median $2,585. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA128$4,451+72%$2,281 – $10,664
Colorado CO36$4,092+58%$1,890 – $6,787
Texas TX152$3,959+53%$1,888 – $10,296
Utah UT15$3,937+52%$3,870 – $3,937
Florida FL78$3,843+49%$3,088 – $8,445
South Carolina SC35$3,260+26%$3,048 – $4,222
Massachusetts MA23$3,057+18%$1,528 – $4,885
Idaho ID11$2,988+16%$2,971 – $5,500
Ohio OH95$2,939+14%$1,306 – $6,837
North Carolina NC42$2,869+11%$1,795 – $4,319
Oregon OR31$2,847+10%$774 – $4,219
Washington WA41$2,745+6%$1,555 – $4,420
Kentucky KY27$2,723+5%$1,028 – $7,946
Hawaii HI10$2,722+5%$352 – $4,132
Connecticut CT14$2,722+5%$1,884 – $6,218
Alabama AL24$2,620+1%$1,687 – $8,047
Pennsylvania PA81$2,504−3%$1,468 – $6,105
New York NY52$2,449−5%$1,423 – $4,092
New Jersey NJ50$2,441−6%$2,025 – $5,785
Wisconsin WI47$2,431−6%$1,972 – $4,333
Kansas KS19$2,404−7%$1,160 – $4,145
Michigan MI62$2,353−9%$1,166 – $2,969
Missouri MO44$2,348−9%$1,314 – $3,898
Minnesota MN41$2,334−10%$1,576 – $5,092
Illinois IL68$2,267−12%$713 – $3,884
Nevada NV11$2,244−13%$1,429 – $4,900
Indiana IN48$2,172−16%$1,723 – $4,238
Georgia GA66$2,059−20%$1,136 – $4,154
West Virginia WV23$2,058−20%$1,715 – $2,405
Nebraska NE17$2,058−20%$856 – $3,922
Arizona AZ30$1,905−26%$1,301 – $4,408
Louisiana LA37$1,892−27%$1,123 – $3,018
Virginia VA38$1,805−30%$1,548 – $2,269
Iowa IA22$1,745−32%$833 – $3,993
Mississippi MS18$1,606−38%$1,108 – $2,592
Arkansas AR16$1,249−52%$955 – $2,446
Oklahoma OK35$1,196−54%$652 – $2,420
Tennessee TN41$1,164−55%$929 – $1,818
Delaware DE6not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
New Mexico NM6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
South Dakota SD3not 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 $2,585.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,519$2,585$1,429 – $5,285
Children’s34$4,130$1,964 – $9,305
Critical access127$2,431$1,166 – $4,310
Ownership
For-profit206$3,603$1,557 – $10,690
Government205$2,147$949 – $4,085
Non-profit1,269$2,585$1,468 – $5,078
System affiliation
Part of a system1,469$2,629$1,468 – $5,247
Independent219$2,420$1,048 – $5,500

Cash price vs list price

Median list price (chargemaster)$4,964
Median cash price$2,585
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

1,257 hospitals filed a usable inpatient cash price for this code. The median is $2,700 and the average of the middle 60% is $2,899; most fall between $1,401 and $5,116.

Cash price percentiles, inpatient, across 1,257 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
$814$1,642$2,700$4,408$7,683

The most expensive tenth of hospitals charges at least 9.4× what the cheapest tenth charges ($814 vs $7,683).

Of the 1,342 hospitals that filed this code inpatient, 1,257 gave a usable cash price; 33 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 51 a list price only.

How complete is this

1,688 of the 3,956 hospitals with a price file in our corpus (43%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,812 hospitals that filed this code at all gave us
Usable cash price — counted1,688
Cash price carrying a plausibility flag — shown on the compare tool, excluded here60
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded61
Hospitals that filed this code1,812

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 Relocation of Skin Pocket for Pacemaker.

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, “Moving or revising the pacemaker pocket under the skin (CPT 33222) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33222-moving-or-revising-the-pacemaker-pocket-under-the-skin