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

Pacemaker battery replacement, two-wire system

CPT 33228the billing code this page is about

Removal of an existing pacemaker pulse generator and placement of a new one connected to two existing pacing wires already in the heart.

Hospitals typically charge $12,384 cash for this outpatient procedure — the median across 1,841 hospitals that filed a usable cash price; the average of the middle 60% is $13,117. Most fall between $5,966 and $23,893 (20th–80th percentile).

Hospitals
1,841
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 1,841 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
$3,313$7,241$12,384$20,363$31,382

The most expensive tenth of hospitals charges at least 9.5× what the cheapest tenth charges ($3,313 vs $31,382).

How the prices are spread

$1,288 – $1,831: 20 hospitals$1,288$1,831 – $2,604: 45 hospitals$2,604 – $3,703: 42 hospitals$2,604$3,703 – $5,265: 117 hospitals$5,265 – $7,486: 157 hospitals$5,265$7,486 – $10,645: 275 hospitals$10,645 – $15,136: 376 hospitals$10,645$15,136 – $21,522: 296 hospitals$21,522 – $30,603: 232 hospitals$21,522$30,603 – $43,515: 97 hospitals$30,603median $12,384price bands are equal on a log scale
Hospitals per price band (1,657 of 1,841 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,288$1,83120
$1,831$2,60445
$2,604$3,70342
$3,703$5,265117
$5,265$7,486157
$7,486$10,645275
$10,645$15,136376
$15,136$21,522296
$21,522$30,603232
$30,603$43,51597

Against Medicare

Medicare pays (OPPS 2026, national rate)$10,678
Median cash price$12,384
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 $12,384.

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: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $7,296 across 10 hospitalsNH$7,296Washington: median $13,120 across 41 hospitalsWA$13,120Idaho: median $12,726 across 14 hospitalsID$12,726Montana: 7 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 $12,245 across 43 hospitalsMN$12,245Illinois: median $12,175 across 76 hospitalsIL$12,175Wisconsin: median $5,940 across 51 hospitalsWI$5,940Michigan: median $12,257 across 66 hospitalsMI$12,257New York: median $12,406 across 70 hospitalsNY$12,406Massachusetts: median $13,173 across 32 hospitalsMA$13,173Oregon: median $13,723 across 34 hospitalsOR$13,723Nevada: median $12,928 across 11 hospitalsNV$12,928Wyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $27,073 across 11 hospitalsSD$27,073Iowa: median $15,603 across 25 hospitalsIA$15,603Indiana: median $8,542 across 45 hospitalsIN$8,542Ohio: median $12,810 across 99 hospitalsOH$12,810Pennsylvania: median $12,699 across 84 hospitalsPA$12,699New Jersey: median $11,594 across 51 hospitalsNJ$11,594Connecticut: median $14,256 across 15 hospitalsCT$14,256Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $21,006 across 142 hospitalsCA$21,006Utah: median $24,974 across 26 hospitalsUT$24,974Colorado: median $7,959 across 35 hospitalsCO$7,959Nebraska: median $7,766 across 17 hospitalsNE$7,766Missouri: median $8,585 across 49 hospitalsMO$8,585Kentucky: median $17,867 across 26 hospitalsKY$17,867West Virginia: median $4,989 across 13 hospitalsWV$4,989Virginia: median $11,343 across 44 hospitalsVA$11,343Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $13,560 across 33 hospitalsAZ$13,560New Mexico: median $12,164 across 11 hospitalsNM$12,164Kansas: median $9,846 across 25 hospitalsKS$9,846Arkansas: median $6,115 across 18 hospitalsAR$6,115Tennessee: median $5,397 across 40 hospitalsTN$5,397North Carolina: median $8,452 across 48 hospitalsNC$8,452South Carolina: median $23,198 across 35 hospitalsSC$23,198Oklahoma: median $8,050 across 32 hospitalsOK$8,050Louisiana: median $9,751 across 37 hospitalsLA$9,751Mississippi: median $8,424 across 26 hospitalsMS$8,424Alabama: median $15,168 across 27 hospitalsAL$15,168Georgia: median $6,596 across 68 hospitalsGA$6,596Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $18,139 across 161 hospitalsTX$18,139Florida: median $18,636 across 92 hospitalsFL$18,636
Cash price by state, most expensive first. National median $12,384. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Dakota SD11$27,073+119%$12,165 – $27,073
Utah UT26$24,974+102%$24,974 – $24,974
South Carolina SC35$23,198+87%$10,949 – $28,676
California CA142$21,006+70%$10,771 – $28,650
Florida FL92$18,636+50%$13,134 – $25,079
Texas TX161$18,139+46%$7,735 – $33,536
Kentucky KY26$17,867+44%$7,988 – $52,245
Iowa IA25$15,603+26%$6,311 – $17,844
Alabama AL27$15,168+22%$8,760 – $25,210
Connecticut CT15$14,256+15%$4,332 – $18,931
Oregon OR34$13,723+11%$1,013 – $25,987
Arizona AZ33$13,560+9%$6,288 – $27,777
Massachusetts MA32$13,173+6%$7,075 – $30,568
Washington WA41$13,120+6%$7,284 – $21,422
Nevada NV11$12,928+4%$1,695 – $27,523
Ohio OH99$12,810+3%$8,517 – $17,378
Idaho ID14$12,726+3%$7,968 – $18,000
Pennsylvania PA84$12,699+3%$7,016 – $29,639
New York NY70$12,4060%$3,745 – $38,249
Michigan MI66$12,257−1%$2,224 – $16,859
Minnesota MN43$12,245−1%$10,229 – $16,988
Illinois IL76$12,175−2%$5,750 – $23,587
New Mexico NM11$12,164−2%$6,039 – $15,025
New Jersey NJ51$11,594−6%$5,110 – $14,249
Virginia VA44$11,343−8%$10,202 – $15,866
Kansas KS25$9,846−20%$5,828 – $26,250
Louisiana LA37$9,751−21%$6,631 – $21,396
Missouri MO49$8,585−31%$6,326 – $12,266
Indiana IN45$8,542−31%$3,589 – $17,455
North Carolina NC48$8,452−32%$4,888 – $12,904
Mississippi MS26$8,424−32%$7,316 – $11,681
Oklahoma OK32$8,050−35%$3,530 – $12,304
Colorado CO35$7,959−36%$6,207 – $17,792
Nebraska NE17$7,766−37%$2,580 – $13,426
New Hampshire NH10$7,296−41%$1,288 – $15,141
Georgia GA68$6,596−47%$4,039 – $14,007
Arkansas AR18$6,115−51%$5,096 – $11,040
Wisconsin WI51$5,940−52%$2,224 – $16,810
Tennessee TN40$5,397−56%$3,143 – $13,068
West Virginia WV13$4,989−60%$2,295 – $14,221
Hawaii HI8not enough hospitals filed a usable price
Delaware DE7not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
Montana MT7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Vermont VT3not 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 $12,384.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,651$12,384$6,313 – $24,197
Children’s38$15,322$8,910 – $26,687
Critical access144$9,000$1,706 – $18,695
Ownership
For-profit236$17,812$8,836 – $33,575
Government219$10,282$4,989 – $18,695
Non-profit1,378$12,325$5,845 – $22,306
System affiliation
Part of a system1,581$12,394$6,192 – $24,144
Independent260$12,121$4,388 – $22,422

Cash price vs list price

Median list price (chargemaster)$22,269
Median cash price$12,384
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

1,350 hospitals filed a usable inpatient cash price for this code. The median is $12,726 and the average of the middle 60% is $13,270; most fall between $6,282 and $23,198.

Cash price percentiles, inpatient, across 1,350 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
$3,668$7,487$12,726$19,901$28,676

The most expensive tenth of hospitals charges at least 7.8× what the cheapest tenth charges ($3,668 vs $28,676).

Of the 1,504 hospitals that filed this code inpatient, 1,350 gave a usable cash price; 95 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 58 a list price only.

How complete is this

1,841 of the 3,956 hospitals with a price file in our corpus (47%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,064 hospitals that filed this code at all gave us
Usable cash price — counted1,841
Cash price carrying a plausibility flag — shown on the compare tool, excluded here148
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded6
A list price only, no cash figure — excluded68
Hospitals that filed this code2,064

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 Pls Gen W/Repl Plse Gen 2 Lead Sys.

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, two-wire system (CPT 33228) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33228-pacemaker-battery-replacement-two-wire-system