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

Added left-side pacing wire attached to existing device

CPT 33224the billing code this page is about

Insertion of a pacing lead through a heart vein to pace the left lower chamber, connected to a pacemaker or defibrillator generator already in place.

Hospitals typically charge $12,349 cash for this outpatient procedure — the median across 1,566 hospitals that filed a usable cash price; the average of the middle 60% is $12,885. Most fall between $4,730 and $25,001 (20th–80th percentile).

Hospitals
1,566
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 1,566 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
$2,677$5,503$12,349$21,407$33,423

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($2,677 vs $33,423).

How the prices are spread

$1,198 – $1,736: 45 hospitals$1,198$1,736 – $2,517: 27 hospitals$2,517 – $3,650: 81 hospitals$2,517$3,650 – $5,292: 147 hospitals$5,292 – $7,672: 130 hospitals$5,292$7,672 – $11,124: 204 hospitals$11,124 – $16,127: 265 hospitals$11,124$16,127 – $23,382: 248 hospitals$23,382 – $33,901: 192 hospitals$23,382$33,901 – $49,151: 77 hospitals$33,901median $12,349price bands are equal on a log scale
Hospitals per price band (1,416 of 1,566 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,198$1,73645
$1,736$2,51727
$2,517$3,65081
$3,650$5,292147
$5,292$7,672130
$7,672$11,124204
$11,124$16,127265
$16,127$23,382248
$23,382$33,901192
$33,901$49,15177

Against Medicare

Medicare pays (OPPS 2026, national rate)$10,678
Median cash price$12,349
Cash as a multiple of Medicare1.16×

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 $12,349.

Alaska: 2 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: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $10,807 across 39 hospitalsWA$10,807Idaho: median $12,726 across 12 hospitalsID$12,726Montana: 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 $14,131 across 26 hospitalsMN$14,131Illinois: median $14,295 across 63 hospitalsIL$14,295Wisconsin: median $3,750 across 42 hospitalsWI$3,750Michigan: median $9,302 across 59 hospitalsMI$9,302New York: median $12,384 across 52 hospitalsNY$12,384Massachusetts: median $14,417 across 21 hospitalsMA$14,417Oregon: median $13,723 across 29 hospitalsOR$13,723Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $11,204 across 22 hospitalsIA$11,204Indiana: median $9,674 across 47 hospitalsIN$9,674Ohio: median $14,294 across 88 hospitalsOH$14,294Pennsylvania: median $12,349 across 69 hospitalsPA$12,349New Jersey: median $11,584 across 43 hospitalsNJ$11,584Connecticut: median $7,100 across 12 hospitalsCT$7,100Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $21,006 across 128 hospitalsCA$21,006Utah: median $21,646 across 10 hospitalsUT$21,646Colorado: median $13,750 across 33 hospitalsCO$13,750Nebraska: median $6,659 across 15 hospitalsNE$6,659Missouri: median $10,417 across 41 hospitalsMO$10,417Kentucky: median $21,989 across 25 hospitalsKY$21,989West Virginia: median $4,989 across 19 hospitalsWV$4,989Virginia: median $8,030 across 35 hospitalsVA$8,030Maryland: 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 $10,634 across 29 hospitalsAZ$10,634New Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $10,513 across 19 hospitalsKS$10,513Arkansas: median $8,560 across 15 hospitalsAR$8,560Tennessee: median $3,932 across 36 hospitalsTN$3,932North Carolina: median $7,415 across 37 hospitalsNC$7,415South Carolina: median $23,067 across 35 hospitalsSC$23,067Oklahoma: median $9,149 across 34 hospitalsOK$9,149Louisiana: median $11,105 across 33 hospitalsLA$11,105Mississippi: median $8,012 across 18 hospitalsMS$8,012Alabama: median $15,551 across 19 hospitalsAL$15,551Georgia: median $4,612 across 59 hospitalsGA$4,612Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $20,537 across 143 hospitalsTX$20,537Florida: median $18,748 across 84 hospitalsFL$18,748
Cash price by state, most expensive first. National median $12,349. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC35$23,067+87%$11,864 – $51,052
Kentucky KY25$21,989+78%$4,499 – $63,155
Utah UT10$21,646+75%$15,370 – $25,604
California CA128$21,006+70%$11,028 – $33,309
Texas TX143$20,537+66%$10,448 – $33,423
Florida FL84$18,748+52%$9,016 – $30,075
Alabama AL19$15,551+26%$7,493 – $25,858
Massachusetts MA21$14,417+17%$5,215 – $24,357
Illinois IL63$14,295+16%$5,120 – $25,230
Ohio OH88$14,294+16%$5,524 – $19,928
Minnesota MN26$14,131+14%$11,627 – $19,593
Colorado CO33$13,750+11%$7,616 – $32,521
Oregon OR29$13,723+11%$1,038 – $31,137
Idaho ID12$12,726+3%$12,692 – $14,000
New York NY52$12,3840%$5,380 – $22,640
Pennsylvania PA69$12,3490%$6,192 – $22,887
New Jersey NJ43$11,584−6%$4,350 – $13,965
Iowa IA22$11,204−9%$1,266 – $26,466
Louisiana LA33$11,105−10%$4,379 – $18,000
Washington WA39$10,807−12%$2,404 – $17,150
Arizona AZ29$10,634−14%$4,959 – $26,066
Kansas KS19$10,513−15%$3,500 – $17,469
Missouri MO41$10,417−16%$6,626 – $17,950
Indiana IN47$9,674−22%$3,536 – $15,246
Michigan MI59$9,302−25%$1,085 – $29,954
Oklahoma OK34$9,149−26%$1,442 – $16,476
Arkansas AR15$8,560−31%$1,565 – $11,322
Virginia VA35$8,030−35%$2,714 – $11,031
Mississippi MS18$8,012−35%$8,011 – $12,918
North Carolina NC37$7,415−40%$5,183 – $18,317
Connecticut CT12$7,100−43%$6,258 – $28,732
Nebraska NE15$6,659−46%$1,044 – $9,081
West Virginia WV19$4,989−60%$4,157 – $5,363
Georgia GA59$4,612−63%$3,107 – $19,793
Tennessee TN36$3,932−68%$2,714 – $7,557
Wisconsin WI42$3,750−70%$2,892 – $12,105
Nevada NV9not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
North Dakota ND5not 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
Vermont VT4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Alaska AK2not 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 $12,349.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,415$12,396$4,989 – $25,079
Children’s31$12,206$1,906 – $26,197
Critical access114$7,708$2,426 – $18,558
Ownership
For-profit190$15,974$8,291 – $35,075
Government180$10,807$3,932 – $19,793
Non-profit1,190$12,239$4,730 – $24,052
System affiliation
Part of a system1,366$12,349$4,746 – $25,013
Independent200$12,330$3,518 – $24,703

Cash price vs list price

Median list price (chargemaster)$22,872
Median cash price$12,349
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

1,161 hospitals filed a usable inpatient cash price for this code. The median is $12,730 and the average of the middle 60% is $13,259; most fall between $4,612 and $25,369.

Cash price percentiles, inpatient, across 1,161 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
$2,380$5,276$12,730$22,520$33,423

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($2,380 vs $33,423).

Of the 1,273 hospitals that filed this code inpatient, 1,161 gave a usable cash price; 61 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 50 a list price only.

How complete is this

1,566 of the 3,956 hospitals with a price file in our corpus (40%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,717 hospitals that filed this code at all gave us
Usable cash price — counted1,566
Cash price carrying a plausibility flag — shown on the compare tool, excluded here94
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 — excluded54
Hospitals that filed this code1,717

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 Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen.

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, “Added left-side pacing wire attached to existing device (CPT 33224) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33224-added-left-side-pacing-wire-attached-to-existing-device