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

Left-side pacing wire added during device implant

CPT 33225the billing code this page is about

Insertion of a pacing lead through a heart vein to pace the left lower chamber, done at the same session as placing a pacemaker or defibrillator generator; billed in addition to the main procedure.

Hospitals typically charge $9,013 cash for this outpatient procedure — the median across 1,684 hospitals that filed a usable cash price; the average of the middle 60% is $10,016. Most fall between $2,931 and $20,858 (20th–80th percentile).

Hospitals
1,684
States
50
Filings dated
Dec 2023 – 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 1,684 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
$1,368$3,750$9,013$18,480$32,958

The most expensive tenth of hospitals charges at least 24× what the cheapest tenth charges ($1,368 vs $32,958).

How the prices are spread

$824 – $1,245: 73 hospitals$824$1,245 – $1,879: 65 hospitals$1,879 – $2,838: 102 hospitals$1,879$2,838 – $4,285: 129 hospitals$4,285 – $6,471: 208 hospitals$4,285$6,471 – $9,771: 224 hospitals$9,771 – $14,755: 261 hospitals$9,771$14,755 – $22,280: 237 hospitals$22,280 – $33,644: 157 hospitals$22,280$33,644 – $50,803: 67 hospitals$33,644median $9,013price bands are equal on a log scale
Hospitals per price band (1,523 of 1,684 — the bands cover the 5th to 95th percentile)
FromToHospitals
$824$1,24573
$1,245$1,87965
$1,879$2,838102
$2,838$4,285129
$4,285$6,471208
$6,471$9,771224
$9,771$14,755261
$14,755$22,280237
$22,280$33,644157
$33,644$50,80367

By state

The median cash price in each state, against the national median of $9,013.

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: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $10,209 across 40 hospitalsWA$10,209Idaho: median $10,886 across 12 hospitalsID$10,886Montana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $13,644 across 42 hospitalsMN$13,644Illinois: median $8,890 across 78 hospitalsIL$8,890Wisconsin: median $3,238 across 49 hospitalsWI$3,238Michigan: median $7,790 across 63 hospitalsMI$7,790New York: median $4,595 across 53 hospitalsNY$4,595Massachusetts: median $10,437 across 22 hospitalsMA$10,437Oregon: median $3,740 across 33 hospitalsOR$3,740Nevada: 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: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $8,272 across 23 hospitalsIA$8,272Indiana: median $4,899 across 48 hospitalsIN$4,899Ohio: median $10,309 across 94 hospitalsOH$10,309Pennsylvania: median $7,898 across 67 hospitalsPA$7,898New Jersey: median $5,855 across 30 hospitalsNJ$5,855Connecticut: median $12,370 across 16 hospitalsCT$12,370Rhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $18,642 across 133 hospitalsCA$18,642Utah: median $5,865 across 15 hospitalsUT$5,865Colorado: median $8,950 across 34 hospitalsCO$8,950Nebraska: median $8,367 across 17 hospitalsNE$8,367Missouri: median $7,769 across 47 hospitalsMO$7,769Kentucky: median $19,200 across 27 hospitalsKY$19,200West Virginia: median $2,950 across 20 hospitalsWV$2,950Virginia: median $8,030 across 42 hospitalsVA$8,030Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $16,913 across 33 hospitalsAZ$16,913New Mexico: 6 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $6,099 across 23 hospitalsKS$6,099Arkansas: median $5,400 across 15 hospitalsAR$5,400Tennessee: median $2,714 across 41 hospitalsTN$2,714North Carolina: median $6,325 across 43 hospitalsNC$6,325South Carolina: median $17,468 across 30 hospitalsSC$17,468Oklahoma: median $5,109 across 32 hospitalsOK$5,109Louisiana: median $8,740 across 38 hospitalsLA$8,740Mississippi: median $2,866 across 24 hospitalsMS$2,866Alabama: median $15,474 across 24 hospitalsAL$15,474Georgia: median $2,972 across 63 hospitalsGA$2,972Hawaii: median $3,260 across 11 hospitalsHI$3,260Texas: median $17,706 across 147 hospitalsTX$17,706Florida: median $14,608 across 84 hospitalsFL$14,608
Cash price by state, most expensive first. National median $9,013. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Kentucky KY27$19,200+113%$1,811 – $58,853
California CA133$18,642+107%$5,730 – $29,558
Texas TX147$17,706+96%$8,144 – $33,423
South Carolina SC30$17,468+94%$3,646 – $51,052
Arizona AZ33$16,913+88%$4,968 – $27,086
Alabama AL24$15,474+72%$3,576 – $61,249
Florida FL84$14,608+62%$9,321 – $27,068
Minnesota MN42$13,644+51%$8,721 – $15,290
Connecticut CT16$12,370+37%$5,996 – $14,686
Idaho ID12$10,886+21%$10,886 – $19,356
Massachusetts MA22$10,437+16%$4,134 – $18,753
Ohio OH94$10,309+14%$5,524 – $13,338
Washington WA40$10,209+13%$7,253 – $15,528
Colorado CO34$8,950−1%$4,983 – $19,970
Illinois IL78$8,890−1%$2,172 – $22,627
Louisiana LA38$8,740−3%$3,416 – $20,943
Nebraska NE17$8,367−7%$1,588 – $15,063
Iowa IA23$8,272−8%$1,153 – $19,630
Virginia VA42$8,030−11%$4,433 – $12,770
Pennsylvania PA67$7,898−12%$2,918 – $17,288
Michigan MI63$7,790−14%$857 – $29,954
Missouri MO47$7,769−14%$4,507 – $14,050
North Carolina NC43$6,325−30%$2,877 – $13,324
Kansas KS23$6,099−32%$1,846 – $22,624
Utah UT15$5,865−35%$5,865 – $5,865
New Jersey NJ30$5,855−35%$3,986 – $42,782
Arkansas AR15$5,400−40%$1,717 – $9,350
Oklahoma OK32$5,109−43%$1,406 – $13,401
Indiana IN48$4,899−46%$2,916 – $10,244
New York NY53$4,595−49%$1,569 – $13,082
Oregon OR33$3,740−59%$1,327 – $11,144
Hawaii HI11$3,260−64%$860 – $3,698
Wisconsin WI49$3,238−64%$2,610 – $6,278
Georgia GA63$2,972−67%$2,702 – $16,556
West Virginia WV20$2,950−67%$488 – $22,440
Mississippi MS24$2,866−68%$1,729 – $13,813
Tennessee TN41$2,714−70%$1,082 – $10,433
New Hampshire NH9not enough hospitals filed a usable price
Nevada NV9not enough hospitals filed a usable price
Delaware DE7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
New Mexico NM6not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Maine ME2not 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 $9,013.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,509$9,321$3,059 – $21,632
Children’s34$8,890$1,385 – $23,447
Critical access134$4,269$1,066 – $13,878
Ownership
For-profit204$17,706$6,832 – $53,711
Government189$6,088$1,582 – $18,450
Non-profit1,284$8,721$2,988 – $18,643
System affiliation
Part of a system1,457$9,124$3,184 – $20,270
Independent227$8,100$1,327 – $21,091

Cash price vs list price

Median list price (chargemaster)$17,400
Median cash price$9,013
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

1,290 hospitals filed a usable inpatient cash price for this code. The median is $9,107 and the average of the middle 60% is $9,893; most fall between $2,972 and $19,527.

Cash price percentiles, inpatient, across 1,290 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
$1,406$3,852$9,107$17,998$29,558

The most expensive tenth of hospitals charges at least 21× what the cheapest tenth charges ($1,406 vs $29,558).

Of the 1,411 hospitals that filed this code inpatient, 1,290 gave a usable cash price; 54 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 66 a list price only.

How complete is this

1,684 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 1,897 hospitals that filed this code at all gave us
Usable cash price — counted1,684
Cash price carrying a plausibility flag — shown on the compare tool, excluded here99
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded110
Hospitals that filed this code1,897

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 Tm Insj Dfb/Pm 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, “Left-side pacing wire added during device implant (CPT 33225) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33225-left-side-pacing-wire-added-during-device-implant