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

Pacemaker battery replacement, single-wire system

CPT 33227the billing code this page is about

Removal of an existing pacemaker pulse generator and placement of a new one connected to a single existing pacing wire; the wires already in the heart are left in place.

Hospitals typically charge $10,427 cash for this outpatient procedure — the median across 1,742 hospitals that filed a usable cash price; the average of the middle 60% is $10,852. Most fall between $4,987 and $19,022 (20th–80th percentile).

Hospitals
1,742
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 1,742 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
$2,533$5,785$10,427$17,102$27,011

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($2,533 vs $27,011).

How the prices are spread

$925 – $1,328: 28 hospitals$925$1,328 – $1,906: 13 hospitals$1,906 – $2,735: 57 hospitals$1,906$2,735 – $3,926: 87 hospitals$3,926 – $5,636: 149 hospitals$3,926$5,636 – $8,089: 227 hospitals$8,089 – $11,611: 340 hospitals$8,089$11,611 – $16,665: 294 hospitals$16,665 – $23,921: 213 hospitals$16,665$23,921 – $34,335: 161 hospitals$23,921median $10,427price bands are equal on a log scale
Hospitals per price band (1,569 of 1,742 — the bands cover the 5th to 95th percentile)
FromToHospitals
$925$1,32828
$1,328$1,90613
$1,906$2,73557
$2,735$3,92687
$3,926$5,636149
$5,636$8,089227
$8,089$11,611340
$11,611$16,665294
$16,665$23,921213
$23,921$34,335161

Against Medicare

Medicare pays (OPPS 2026, national rate)$8,455
Median cash price$10,427
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 $10,427.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $5,241 across 10 hospitalsNH$5,241Washington: median $7,842 across 42 hospitalsWA$7,842Idaho: median $7,568 across 12 hospitalsID$7,568Montana: 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 $10,486 across 43 hospitalsMN$10,486Illinois: median $10,837 across 75 hospitalsIL$10,837Wisconsin: median $5,071 across 51 hospitalsWI$5,071Michigan: median $9,998 across 66 hospitalsMI$9,998New York: median $9,793 across 55 hospitalsNY$9,793Massachusetts: median $18,540 across 30 hospitalsMA$18,540Oregon: median $10,368 across 34 hospitalsOR$10,368Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $17,387 across 10 hospitalsSD$17,387Iowa: median $12,244 across 22 hospitalsIA$12,244Indiana: median $5,739 across 44 hospitalsIN$5,739Ohio: median $12,298 across 88 hospitalsOH$12,298Pennsylvania: median $9,777 across 82 hospitalsPA$9,777New Jersey: median $9,584 across 51 hospitalsNJ$9,584Connecticut: median $10,570 across 13 hospitalsCT$10,570Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $16,712 across 138 hospitalsCA$16,712Utah: median $21,265 across 17 hospitalsUT$21,265Colorado: median $6,632 across 36 hospitalsCO$6,632Nebraska: median $4,987 across 18 hospitalsNE$4,987Missouri: median $8,162 across 44 hospitalsMO$8,162Kentucky: median $16,578 across 25 hospitalsKY$16,578West Virginia: median $2,881 across 12 hospitalsWV$2,881Virginia: median $10,265 across 42 hospitalsVA$10,265Maryland: 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 $9,594 across 33 hospitalsAZ$9,594New Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $7,989 across 21 hospitalsKS$7,989Arkansas: median $5,473 across 18 hospitalsAR$5,473Tennessee: median $4,752 across 38 hospitalsTN$4,752North Carolina: median $6,520 across 47 hospitalsNC$6,520South Carolina: median $12,182 across 34 hospitalsSC$12,182Oklahoma: median $5,944 across 32 hospitalsOK$5,944Louisiana: median $9,475 across 35 hospitalsLA$9,475Mississippi: median $6,579 across 24 hospitalsMS$6,579Alabama: median $9,172 across 20 hospitalsAL$9,172Georgia: median $5,539 across 65 hospitalsGA$5,539Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $15,677 across 158 hospitalsTX$15,677Florida: median $15,712 across 86 hospitalsFL$15,712
Cash price by state, most expensive first. National median $10,427. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT17$21,265+104%$13,605 – $21,265
Massachusetts MA30$18,540+78%$9,016 – $33,283
South Dakota SD10$17,387+67%$9,628 – $20,472
California CA138$16,712+60%$8,992 – $25,746
Kentucky KY25$16,578+59%$5,342 – $58,601
Florida FL86$15,712+51%$11,107 – $20,526
Texas TX158$15,677+50%$6,720 – $30,071
Ohio OH88$12,298+18%$8,149 – $14,529
Iowa IA22$12,244+17%$4,987 – $18,259
South Carolina SC34$12,182+17%$9,912 – $18,643
Illinois IL75$10,837+4%$3,250 – $23,145
Connecticut CT13$10,570+1%$3,668 – $13,208
Minnesota MN43$10,486+1%$8,172 – $13,503
Oregon OR34$10,368−1%$920 – $21,625
Virginia VA42$10,265−2%$7,080 – $13,824
Michigan MI66$9,998−4%$666 – $14,140
New York NY55$9,793−6%$3,521 – $17,904
Pennsylvania PA82$9,777−6%$6,139 – $25,665
Arizona AZ33$9,594−8%$5,631 – $25,482
New Jersey NJ51$9,584−8%$5,110 – $11,298
Louisiana LA35$9,475−9%$4,298 – $18,063
Alabama AL20$9,172−12%$7,419 – $16,318
Missouri MO44$8,162−22%$5,633 – $11,472
Kansas KS21$7,989−23%$5,592 – $33,426
Washington WA42$7,842−25%$6,330 – $14,463
Idaho ID12$7,568−27%$7,568 – $18,000
Colorado CO36$6,632−36%$4,995 – $14,827
Mississippi MS24$6,579−37%$5,318 – $10,233
North Carolina NC47$6,520−37%$4,920 – $12,526
Oklahoma OK32$5,944−43%$1,944 – $9,779
Indiana IN44$5,739−45%$3,243 – $13,783
Georgia GA65$5,539−47%$3,800 – $14,187
Arkansas AR18$5,473−48%$3,999 – $10,598
New Hampshire NH10$5,241−50%$1,227 – $13,699
Wisconsin WI51$5,071−51%$2,111 – $12,862
Nebraska NE18$4,987−52%$1,270 – $8,716
Tennessee TN38$4,752−54%$2,924 – $10,332
West Virginia WV12$2,881−72%$955 – $3,441
Nevada NV9not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Wyoming WY6not 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 MD3not 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 $10,427.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,571$10,488$5,290 – $19,326
Children’s34$13,034$8,505 – $22,931
Critical access129$6,579$1,234 – $14,999
Ownership
For-profit213$15,677$6,632 – $31,608
Government212$8,676$3,625 – $15,207
Non-profit1,309$10,460$4,987 – $18,111
System affiliation
Part of a system1,496$10,474$5,071 – $18,788
Independent246$9,596$2,590 – $19,649

Cash price vs list price

Median list price (chargemaster)$18,920
Median cash price$10,427
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

1,293 hospitals filed a usable inpatient cash price for this code. The median is $10,766 and the average of the middle 60% is $11,112; most fall between $5,289 and $18,302.

Cash price percentiles, inpatient, across 1,293 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
$3,227$6,157$10,766$17,102$25,486

The most expensive tenth of hospitals charges at least 7.9× what the cheapest tenth charges ($3,227 vs $25,486).

Of the 1,432 hospitals that filed this code inpatient, 1,293 gave a usable cash price; 82 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 56 a list price only.

How complete is this

1,742 of the 3,956 hospitals with a price file in our corpus (44%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,928 hospitals that filed this code at all gave us
Usable cash price — counted1,742
Cash price carrying a plausibility flag — shown on the compare tool, excluded here119
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 — excluded63
Hospitals that filed this code1,928

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 Remvl Perm Pm Plse Gen W/Repl Plse Gen Sngl Lead.

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, “Pacemaker battery replacement, single-wire system (CPT 33227) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33227-pacemaker-battery-replacement-single-wire-system