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

Pacemaker battery replacement, three or more wires

CPT 33229the billing code this page is about

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

Hospitals typically charge $16,526 cash for this outpatient procedure — the median across 1,638 hospitals that filed a usable cash price; the average of the middle 60% is $17,107. Most fall between $7,758 and $29,301 (20th–80th percentile).

Hospitals
1,638
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 1,638 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
$4,878$8,628$16,526$26,687$44,633

The most expensive tenth of hospitals charges at least 9.2× what the cheapest tenth charges ($4,878 vs $44,633).

How the prices are spread

$2,780 – $3,772: 34 hospitals$2,780$3,772 – $5,118: 62 hospitals$5,118 – $6,943: 106 hospitals$5,118$6,943 – $9,419: 166 hospitals$9,419 – $12,779: 171 hospitals$9,419$12,779 – $17,337: 241 hospitals$17,337 – $23,520: 277 hospitals$17,337$23,520 – $31,910: 221 hospitals$31,910 – $43,291: 106 hospitals$31,910$43,291 – $58,732: 92 hospitals$43,291median $16,526price bands are equal on a log scale
Hospitals per price band (1,476 of 1,638 — the bands cover the 5th to 95th percentile)
FromToHospitals
$2,780$3,77234
$3,772$5,11862
$5,118$6,943106
$6,943$9,419166
$9,419$12,779171
$12,779$17,337241
$17,337$23,520277
$23,520$31,910221
$31,910$43,291106
$43,291$58,73292

Against Medicare

Medicare pays (OPPS 2026, national rate)$19,679
Median cash price$16,526
Cash as a multiple of Medicare0.84×

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 $16,526.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $8,155 across 10 hospitalsNH$8,155Washington: median $13,444 across 39 hospitalsWA$13,444Idaho: median $20,158 across 11 hospitalsID$20,158Montana: 4 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 $18,030 across 41 hospitalsMN$18,030Illinois: median $16,580 across 71 hospitalsIL$16,580Wisconsin: median $7,155 across 48 hospitalsWI$7,155Michigan: median $16,662 across 52 hospitalsMI$16,662New York: median $22,863 across 61 hospitalsNY$22,863Massachusetts: median $16,074 across 29 hospitalsMA$16,074Oregon: median $21,845 across 28 hospitalsOR$21,845Nevada: median $16,164 across 10 hospitalsNV$16,164Wyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $17,678 across 20 hospitalsIA$17,678Indiana: median $10,646 across 44 hospitalsIN$10,646Ohio: median $15,726 across 83 hospitalsOH$15,726Pennsylvania: median $22,757 across 78 hospitalsPA$22,757New Jersey: median $21,109 across 44 hospitalsNJ$21,109Connecticut: median $18,931 across 15 hospitalsCT$18,931Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $16,500 across 128 hospitalsCA$16,500Utah: median $50,569 across 17 hospitalsUT$50,569Colorado: median $10,537 across 33 hospitalsCO$10,537Nebraska: median $12,335 across 15 hospitalsNE$12,335Missouri: median $11,582 across 41 hospitalsMO$11,582Kentucky: median $20,663 across 26 hospitalsKY$20,663West Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $11,667 across 41 hospitalsVA$11,667Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $16,654 across 31 hospitalsAZ$16,654New Mexico: 6 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $16,140 across 19 hospitalsKS$16,140Arkansas: median $9,321 across 15 hospitalsAR$9,321Tennessee: median $8,304 across 36 hospitalsTN$8,304North Carolina: median $8,730 across 46 hospitalsNC$8,730South Carolina: median $23,198 across 34 hospitalsSC$23,198Oklahoma: median $8,102 across 29 hospitalsOK$8,102Louisiana: median $12,014 across 34 hospitalsLA$12,014Mississippi: median $11,681 across 23 hospitalsMS$11,681Alabama: median $21,899 across 24 hospitalsAL$21,899Georgia: median $8,238 across 63 hospitalsGA$8,238Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $19,824 across 148 hospitalsTX$19,824Florida: median $20,290 across 85 hospitalsFL$20,290
Cash price by state, most expensive first. National median $16,526. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT17$50,569+206%$27,504 – $50,569
South Carolina SC34$23,198+40%$13,856 – $28,676
New York NY61$22,863+38%$15,023 – $74,642
Pennsylvania PA78$22,757+38%$9,587 – $35,937
Alabama AL24$21,899+33%$10,282 – $43,056
Oregon OR28$21,845+32%$1,940 – $26,473
New Jersey NJ44$21,109+28%$5,741 – $25,448
Kentucky KY26$20,663+25%$10,229 – $52,554
Florida FL85$20,290+23%$13,922 – $34,908
Idaho ID11$20,158+22%$19,010 – $24,500
Texas TX148$19,824+20%$14,554 – $42,545
Connecticut CT15$18,931+15%$9,093 – $19,445
Minnesota MN41$18,030+9%$12,300 – $21,208
Iowa IA20$17,678+7%$9,436 – $22,650
Michigan MI52$16,662+1%$14,070 – $26,486
Arizona AZ31$16,654+1%$6,899 – $28,020
Illinois IL71$16,5800%$7,726 – $30,712
California CA128$16,5000%$13,262 – $40,059
Nevada NV10$16,164−2%$1,567 – $20,951
Kansas KS19$16,140−2%$7,511 – $56,825
Massachusetts MA29$16,074−3%$7,361 – $33,283
Ohio OH83$15,726−5%$10,851 – $27,927
Washington WA39$13,444−19%$7,738 – $29,707
Nebraska NE15$12,335−25%$2,580 – $16,563
Louisiana LA34$12,014−27%$6,631 – $25,497
Mississippi MS23$11,681−29%$7,241 – $18,400
Virginia VA41$11,667−29%$7,855 – $16,500
Missouri MO41$11,582−30%$7,152 – $16,985
Indiana IN44$10,646−36%$4,878 – $30,368
Colorado CO33$10,537−36%$8,975 – $23,556
Arkansas AR15$9,321−44%$4,397 – $13,126
North Carolina NC46$8,730−47%$7,566 – $19,697
Tennessee TN36$8,304−50%$4,025 – $13,676
Georgia GA63$8,238−50%$3,606 – $29,692
New Hampshire NH10$8,155−51%$1,326 – $19,582
Oklahoma OK29$8,102−51%$3,588 – $22,888
Wisconsin WI48$7,155−57%$2,292 – $26,584
West Virginia WV9not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
New Mexico NM6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Delaware DE5not 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
Maine ME4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
South Dakota SD3not 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 $16,526.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,498$16,580$8,066 – $29,692
Children’s30$17,313$4,397 – $32,424
Critical access103$14,326$2,292 – $26,392
Ownership
For-profit203$24,201$9,609 – $52,007
Government183$15,268$7,473 – $27,848
Non-profit1,245$15,829$7,519 – $27,927
System affiliation
Part of a system1,431$16,500$7,742 – $29,279
Independent207$19,010$8,028 – $31,105

Cash price vs list price

Median list price (chargemaster)$27,177
Median cash price$16,526
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

1,216 hospitals filed a usable inpatient cash price for this code. The median is $15,726 and the average of the middle 60% is $16,352; most fall between $7,855 and $27,927.

Cash price percentiles, inpatient, across 1,216 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
$4,631$8,584$15,726$25,024$41,193

The most expensive tenth of hospitals charges at least 8.9× what the cheapest tenth charges ($4,631 vs $41,193).

Of the 1,381 hospitals that filed this code inpatient, 1,216 gave a usable cash price; 107 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 57 a list price only.

How complete is this

1,638 of the 3,956 hospitals with a price file in our corpus (41%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,880 hospitals that filed this code at all gave us
Usable cash price — counted1,638
Cash price carrying a plausibility flag — shown on the compare tool, excluded here171
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded65
Hospitals that filed this code1,880

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 Mult 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, three or more wires (CPT 33229) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33229-pacemaker-battery-replacement-three-or-more-wires