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

Repositioning of a left-side heart pacing wire

CPT 33226the billing code this page is about

Repositioning of a previously placed pacing lead that runs through a heart vein to pace the left lower chamber.

Hospitals typically charge $3,776 cash for this outpatient procedure — the median across 1,422 hospitals that filed a usable cash price; the average of the middle 60% is $3,924. Most fall between $1,818 and $6,839 (20th–80th percentile).

Hospitals
1,422
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 1,422 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
$1,071$2,086$3,776$6,078$10,679

The most expensive tenth of hospitals charges at least 10.0× what the cheapest tenth charges ($1,071 vs $10,679).

How the prices are spread

$750 – $1,017: 61 hospitals$750$1,017 – $1,379: 65 hospitals$1,379 – $1,871: 104 hospitals$1,379$1,871 – $2,537: 112 hospitals$2,537 – $3,441: 220 hospitals$2,537$3,441 – $4,668: 241 hospitals$4,668 – $6,331: 209 hospitals$4,668$6,331 – $8,587: 140 hospitals$8,587 – $11,647: 67 hospitals$8,587$11,647 – $15,797: 61 hospitals$11,647median $3,776price bands are equal on a log scale
Hospitals per price band (1,280 of 1,422 — the bands cover the 5th to 95th percentile)
FromToHospitals
$750$1,01761
$1,017$1,37965
$1,379$1,871104
$1,871$2,537112
$2,537$3,441220
$3,441$4,668241
$4,668$6,331209
$6,331$8,587140
$8,587$11,64767
$11,647$15,79761

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,226
Median cash price$3,776
Cash as a multiple of Medicare1.17×

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 $3,776.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,915 across 36 hospitalsWA$2,915Idaho: median $7,280 across 12 hospitalsID$7,280Montana: 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 $5,578 across 13 hospitalsMN$5,578Illinois: median $4,205 across 65 hospitalsIL$4,205Wisconsin: median $2,752 across 37 hospitalsWI$2,752Michigan: median $2,730 across 51 hospitalsMI$2,730New York: median $3,725 across 46 hospitalsNY$3,725Massachusetts: median $4,009 across 16 hospitalsMA$4,009Oregon: median $1,139 across 17 hospitalsOR$1,139Nevada: 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: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $3,062 across 20 hospitalsIA$3,062Indiana: median $4,744 across 42 hospitalsIN$4,744Ohio: median $4,507 across 76 hospitalsOH$4,507Pennsylvania: median $3,730 across 68 hospitalsPA$3,730New Jersey: median $4,129 across 44 hospitalsNJ$4,129Connecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $5,386 across 118 hospitalsCA$5,386Utah: median $5,802 across 23 hospitalsUT$5,802Colorado: median $4,367 across 31 hospitalsCO$4,367Nebraska: median $1,684 across 13 hospitalsNE$1,684Missouri: median $2,646 across 37 hospitalsMO$2,646Kentucky: median $6,049 across 24 hospitalsKY$6,049West Virginia: median $524 across 14 hospitalsWV$524Virginia: median $2,665 across 34 hospitalsVA$2,665Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $2,929 across 27 hospitalsAZ$2,929New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $2,974 across 16 hospitalsKS$2,974Arkansas: median $1,906 across 13 hospitalsAR$1,906Tennessee: median $1,488 across 35 hospitalsTN$1,488North Carolina: median $1,669 across 39 hospitalsNC$1,669South Carolina: median $4,565 across 33 hospitalsSC$4,565Oklahoma: median $2,506 across 31 hospitalsOK$2,506Louisiana: median $2,000 across 27 hospitalsLA$2,000Mississippi: median $3,880 across 15 hospitalsMS$3,880Alabama: median $2,733 across 12 hospitalsAL$2,733Georgia: median $2,722 across 61 hospitalsGA$2,722Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $4,526 across 139 hospitalsTX$4,526Florida: median $6,944 across 65 hospitalsFL$6,944
Cash price by state, most expensive first. National median $3,776. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Idaho ID12$7,280+93%$5,495 – $7,280
Florida FL65$6,944+84%$4,082 – $8,617
Kentucky KY24$6,049+60%$2,056 – $17,787
Utah UT23$5,802+54%$5,802 – $6,673
Minnesota MN13$5,578+48%$3,781 – $6,179
California CA118$5,386+43%$3,231 – $10,679
Indiana IN42$4,744+26%$2,223 – $6,524
South Carolina SC33$4,565+21%$3,378 – $4,710
Texas TX139$4,526+20%$1,909 – $11,820
Ohio OH76$4,507+19%$2,164 – $11,764
Colorado CO31$4,367+16%$1,841 – $9,592
Illinois IL65$4,205+11%$1,253 – $6,962
New Jersey NJ44$4,129+9%$3,484 – $5,855
Massachusetts MA16$4,009+6%$1,786 – $4,882
Mississippi MS15$3,880+3%$1,604 – $4,639
Pennsylvania PA68$3,730−1%$1,821 – $6,438
New York NY46$3,725−1%$2,000 – $6,690
Iowa IA20$3,062−19%$1,216 – $4,601
Kansas KS16$2,974−21%$2,615 – $7,009
Arizona AZ27$2,929−22%$1,794 – $5,338
Washington WA36$2,915−23%$2,266 – $5,122
Wisconsin WI37$2,752−27%$2,631 – $3,635
Alabama AL12$2,733−28%$2,582 – $3,692
Michigan MI51$2,730−28%$641 – $4,906
Georgia GA61$2,722−28%$2,592 – $5,630
Virginia VA34$2,665−29%$1,933 – $3,853
Missouri MO37$2,646−30%$1,809 – $7,009
Oklahoma OK31$2,506−34%$938 – $3,596
Louisiana LA27$2,000−47%$1,273 – $3,921
Arkansas AR13$1,906−50%$1,076 – $3,248
Nebraska NE13$1,684−55%$1,229 – $3,716
North Carolina NC39$1,669−56%$1,406 – $3,724
Tennessee TN35$1,488−61%$794 – $1,852
Oregon OR17$1,139−70%$875 – $7,817
West Virginia WV14$524−86%$507 – $2,981
Hawaii HI9not enough hospitals filed a usable price
Nevada NV9not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Maryland MD2not 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 $3,776.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,283$3,866$1,852 – $6,810
Children’s25$3,323$1,220 – $12,556
Critical access108$2,752$823 – $5,981
Ownership
For-profit162$4,827$1,996 – $13,273
Government179$3,234$1,669 – $5,630
Non-profit1,075$3,781$1,824 – $6,673
System affiliation
Part of a system1,235$3,802$1,830 – $6,810
Independent187$3,378$1,420 – $6,907

Cash price vs list price

Median list price (chargemaster)$6,929
Median cash price$3,776
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

1,052 hospitals filed a usable inpatient cash price for this code. The median is $3,796 and the average of the middle 60% is $3,940; most fall between $1,830 and $6,721.

Cash price percentiles, inpatient, across 1,052 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
$1,107$2,013$3,796$6,078$9,716

The most expensive tenth of hospitals charges at least 8.8× what the cheapest tenth charges ($1,107 vs $9,716).

Of the 1,120 hospitals that filed this code inpatient, 1,052 gave a usable cash price; 24 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 43 a list price only.

How complete is this

1,422 of the 3,956 hospitals with a price file in our corpus (36%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,520 hospitals that filed this code at all gave us
Usable cash price — counted1,422
Cash price carrying a plausibility flag — shown on the compare tool, excluded here47
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded50
Hospitals that filed this code1,520

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 Rpsg Prev Implted Car Ven Sys L Ventr Eltrd.

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, “Repositioning of a left-side heart pacing wire (CPT 33226) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33226-repositioning-of-a-left-side-heart-pacing-wire