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

Moving or revising the defibrillator pocket under the skin

CPT 33223the billing code this page is about

Surgery to relocate or revise the pocket under the skin that holds an implanted defibrillator generator, without replacing the heart wires.

Hospitals typically charge $2,716 cash for this outpatient procedure — the median across 1,551 hospitals that filed a usable cash price; the average of the middle 60% is $2,943. Most fall between $1,468 and $5,500 (20th–80th percentile).

Hospitals
1,551
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 1,551 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
$942$1,666$2,716$4,586$8,023

The most expensive tenth of hospitals charges at least 8.5× what the cheapest tenth charges ($942 vs $8,023).

How the prices are spread

$665 – $910: 71 hospitals$665$910 – $1,244: 85 hospitals$1,244 – $1,702: 174 hospitals$1,244$1,702 – $2,328: 229 hospitals$2,328 – $3,185: 263 hospitals$2,328$3,185 – $4,356: 221 hospitals$4,356 – $5,958: 154 hospitals$4,356$5,958 – $8,149: 126 hospitals$8,149 – $11,147: 45 hospitals$8,149$11,147 – $15,247: 29 hospitals$11,147median $2,716price bands are equal on a log scale
Hospitals per price band (1,397 of 1,551 — the bands cover the 5th to 95th percentile)
FromToHospitals
$665$91071
$910$1,24485
$1,244$1,702174
$1,702$2,328229
$2,328$3,185263
$3,185$4,356221
$4,356$5,958154
$5,958$8,149126
$8,149$11,14745
$11,147$15,24729

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,108
Median cash price$2,716
Cash as a multiple of Medicare1.29×

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 $2,716.

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: 4 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 $2,786 across 37 hospitalsWA$2,786Idaho: median $2,988 across 12 hospitalsID$2,988Montana: 5 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 $2,293 across 28 hospitalsMN$2,293Illinois: median $2,161 across 63 hospitalsIL$2,161Wisconsin: median $2,975 across 48 hospitalsWI$2,975Michigan: median $2,354 across 56 hospitalsMI$2,354New York: median $2,367 across 50 hospitalsNY$2,367Massachusetts: median $2,755 across 19 hospitalsMA$2,755Oregon: median $3,855 across 25 hospitalsOR$3,855Nevada: median $1,715 across 10 hospitalsNV$1,715Wyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $2,936 across 21 hospitalsIA$2,936Indiana: median $3,085 across 46 hospitalsIN$3,085Ohio: median $3,869 across 77 hospitalsOH$3,869Pennsylvania: median $2,841 across 83 hospitalsPA$2,841New Jersey: median $3,786 across 43 hospitalsNJ$3,786Connecticut: median $2,722 across 14 hospitalsCT$2,722Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $4,524 across 129 hospitalsCA$4,524Utah: 9 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $5,051 across 33 hospitalsCO$5,051Nebraska: median $1,241 across 14 hospitalsNE$1,241Missouri: median $2,538 across 41 hospitalsMO$2,538Kentucky: median $3,065 across 27 hospitalsKY$3,065West Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $1,548 across 36 hospitalsVA$1,548Maryland: 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 $1,848 across 28 hospitalsAZ$1,848New Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $2,404 across 18 hospitalsKS$2,404Arkansas: median $1,457 across 13 hospitalsAR$1,457Tennessee: median $1,237 across 37 hospitalsTN$1,237North Carolina: median $1,702 across 40 hospitalsNC$1,702South Carolina: median $3,725 across 32 hospitalsSC$3,725Oklahoma: median $1,843 across 32 hospitalsOK$1,843Louisiana: median $1,817 across 36 hospitalsLA$1,817Mississippi: median $1,966 across 21 hospitalsMS$1,966Alabama: median $2,306 across 18 hospitalsAL$2,306Georgia: median $2,201 across 63 hospitalsGA$2,201Hawaii: median $2,956 across 10 hospitalsHI$2,956Texas: median $4,481 across 146 hospitalsTX$4,481Florida: median $3,816 across 78 hospitalsFL$3,816
Cash price by state, most expensive first. National median $2,716. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Colorado CO33$5,051+86%$2,392 – $15,247
California CA129$4,524+67%$2,383 – $10,138
Texas TX146$4,481+65%$1,666 – $10,515
Ohio OH77$3,869+42%$1,409 – $6,837
Oregon OR25$3,855+42%$736 – $5,108
Florida FL78$3,816+41%$3,233 – $7,495
New Jersey NJ43$3,786+39%$2,025 – $7,285
South Carolina SC32$3,725+37%$3,048 – $3,877
Indiana IN46$3,085+14%$2,086 – $5,078
Kentucky KY27$3,065+13%$1,522 – $28,003
Idaho ID12$2,988+10%$2,988 – $5,500
Wisconsin WI48$2,975+10%$2,342 – $4,070
Hawaii HI10$2,956+9%$413 – $3,657
Iowa IA21$2,936+8%$1,005 – $4,192
Pennsylvania PA83$2,841+5%$1,369 – $5,841
Washington WA37$2,786+3%$1,628 – $3,867
Massachusetts MA19$2,755+1%$1,482 – $5,145
Connecticut CT14$2,7220%$2,155 – $8,747
Missouri MO41$2,538−7%$1,534 – $5,500
Kansas KS18$2,404−11%$896 – $4,145
New York NY50$2,367−13%$1,552 – $4,092
Michigan MI56$2,354−13%$1,257 – $2,837
Alabama AL18$2,306−15%$1,807 – $3,333
Minnesota MN28$2,293−16%$1,986 – $3,521
Georgia GA63$2,201−19%$1,358 – $4,029
Illinois IL63$2,161−20%$1,109 – $4,735
Mississippi MS21$1,966−28%$1,385 – $2,592
Arizona AZ28$1,848−32%$1,380 – $4,245
Oklahoma OK32$1,843−32%$662 – $2,802
Louisiana LA36$1,817−33%$1,123 – $3,018
Nevada NV10$1,715−37%$1,404 – $4,080
North Carolina NC40$1,702−37%$1,305 – $3,074
Virginia VA36$1,548−43%$1,506 – $2,673
Arkansas AR13$1,457−46%$955 – $2,180
Nebraska NE14$1,241−54%$856 – $2,944
Tennessee TN37$1,237−54%$964 – $1,849
Utah UT9not enough hospitals filed a usable price
West Virginia WV8not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Vermont VT4not 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 SD2not 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 $2,716.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,409$2,722$1,471 – $5,452
Children’s33$3,869$1,410 – $12,965
Critical access103$2,657$1,089 – $3,855
Ownership
For-profit194$3,607$1,520 – $10,550
Government190$2,165$1,180 – $3,816
Non-profit1,161$2,762$1,506 – $5,293
System affiliation
Part of a system1,345$2,820$1,493 – $5,598
Independent206$2,420$1,203 – $4,876

Cash price vs list price

Median list price (chargemaster)$5,148
Median cash price$2,716
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

1,163 hospitals filed a usable inpatient cash price for this code. The median is $2,771 and the average of the middle 60% is $2,919; most fall between $1,406 and $5,096.

Cash price percentiles, inpatient, across 1,163 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
$909$1,591$2,771$4,481$7,495

The most expensive tenth of hospitals charges at least 8.2× what the cheapest tenth charges ($909 vs $7,495).

Of the 1,243 hospitals that filed this code inpatient, 1,163 gave a usable cash price; 34 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 45 a list price only.

How complete is this

1,551 of the 3,956 hospitals with a price file in our corpus (39%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,665 hospitals that filed this code at all gave us
Usable cash price — counted1,551
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 — excluded1
A list price only, no cash figure — excluded52
Hospitals that filed this code1,665

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 Relocate Skin Pocket Implantable Defibrillator.

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 defibrillator pocket under the skin (CPT 33223) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33223-moving-or-revising-the-defibrillator-pocket-under-the-skin