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

Defibrillator generator placed with two existing wires

CPT 33230the billing code this page is about

Only the implantable defibrillator generator (the device and battery) is placed or replaced; two leads already in place are reconnected to it.

Hospitals typically charge $25,648 cash for this outpatient procedure — the median across 1,103 hospitals that filed a usable cash price; the average of the middle 60% is $25,380. Most fall between $10,566 and $45,347 (20th–80th percentile).

Hospitals
1,103
States
49
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 1,103 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
$5,592$13,537$25,648$38,277$64,550

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($5,592 vs $64,550).

How the prices are spread

$3,786 – $5,190: 42 hospitals$3,786$5,190 – $7,114: 50 hospitals$7,114 – $9,752: 50 hospitals$7,114$9,752 – $13,367: 73 hospitals$13,367 – $18,323: 109 hospitals$13,367$18,323 – $25,117: 165 hospitals$25,117 – $34,430: 231 hospitals$25,117$34,430 – $47,196: 134 hospitals$47,196 – $64,694: 84 hospitals$47,196$64,694 – $88,681: 60 hospitals$64,694median $25,648price bands are equal on a log scale
Hospitals per price band (998 of 1,103 — the bands cover the 5th to 95th percentile)
FromToHospitals
$3,786$5,19042
$5,190$7,11450
$7,114$9,75250
$9,752$13,36773
$13,367$18,323109
$18,323$25,117165
$25,117$34,430231
$34,430$47,196134
$47,196$64,69484
$64,694$88,68160

Against Medicare

Medicare pays (OPPS 2026, national rate)$22,725
Median cash price$25,648
Cash as a multiple of Medicare1.13×

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 $25,648.

Alaska: 3 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: no hospital in the corpus filed a usable priceNHWashington: median $19,095 across 25 hospitalsWA$19,095Idaho: median $19,930 across 10 hospitalsID$19,930Montana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $19,414 across 13 hospitalsMN$19,414Illinois: median $26,051 across 46 hospitalsIL$26,051Wisconsin: median $4,120 across 34 hospitalsWI$4,120Michigan: median $30,586 across 24 hospitalsMI$30,586New York: median $26,562 across 43 hospitalsNY$26,562Massachusetts: median $36,853 across 17 hospitalsMA$36,853Oregon: median $37,776 across 19 hospitalsOR$37,776Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $30,231 across 14 hospitalsIA$30,231Indiana: median $13,923 across 36 hospitalsIN$13,923Ohio: median $25,063 across 72 hospitalsOH$25,063Pennsylvania: median $25,289 across 39 hospitalsPA$25,289New Jersey: median $7,639 across 34 hospitalsNJ$7,639Connecticut: 9 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $27,205 across 95 hospitalsCA$27,205Utah: 8 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $26,751 across 29 hospitalsCO$26,751Nebraska: median $19,887 across 10 hospitalsNE$19,887Missouri: median $33,217 across 28 hospitalsMO$33,217Kentucky: median $88,681 across 20 hospitalsKY$88,681West Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $24,696 across 28 hospitalsVA$24,696Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $5,672 across 14 hospitalsAZ$5,672New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $27,752 across 13 hospitalsKS$27,752Arkansas: median $13,869 across 12 hospitalsAR$13,869Tennessee: median $13,265 across 13 hospitalsTN$13,265North Carolina: median $15,679 across 28 hospitalsNC$15,679South Carolina: median $33,207 across 31 hospitalsSC$33,207Oklahoma: median $18,422 across 20 hospitalsOK$18,422Louisiana: median $20,607 across 24 hospitalsLA$20,607Mississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $26,408 across 11 hospitalsAL$26,408Georgia: median $8,196 across 46 hospitalsGA$8,196Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $29,876 across 112 hospitalsTX$29,876Florida: median $45,470 across 66 hospitalsFL$45,470
Cash price by state, most expensive first. National median $25,648. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Kentucky KY20$88,681+246%$10,770 – $88,681
Florida FL66$45,470+77%$22,531 – $59,308
Oregon OR19$37,776+47%$30,086 – $58,970
Massachusetts MA17$36,853+44%$7,591 – $69,734
Missouri MO28$33,217+30%$12,304 – $46,467
South Carolina SC31$33,207+29%$21,794 – $54,764
Michigan MI24$30,586+19%$9,041 – $43,560
Iowa IA14$30,231+18%$16,317 – $36,983
Texas TX112$29,876+16%$19,436 – $45,759
Kansas KS13$27,752+8%$7,989 – $38,277
California CA95$27,205+6%$12,654 – $46,367
Colorado CO29$26,751+4%$23,126 – $51,602
New York NY43$26,562+4%$19,405 – $51,831
Alabama AL11$26,408+3%$15,766 – $33,985
Illinois IL46$26,051+2%$13,707 – $48,484
Pennsylvania PA39$25,289−1%$13,202 – $45,915
Ohio OH72$25,063−2%$15,481 – $27,752
Virginia VA28$24,696−4%$15,516 – $40,745
Louisiana LA24$20,607−20%$6,109 – $35,825
Idaho ID10$19,930−22%$8,057 – $19,930
Nebraska NE10$19,887−22%$6,284 – $23,201
Minnesota MN13$19,414−24%$9,865 – $28,476
Washington WA25$19,095−26%$6,426 – $23,382
Oklahoma OK20$18,422−28%$7,085 – $31,968
North Carolina NC28$15,679−39%$15,679 – $32,497
Indiana IN36$13,923−46%$8,304 – $19,978
Arkansas AR12$13,869−46%$7,307 – $26,142
Tennessee TN13$13,265−48%$10,569 – $27,811
Georgia GA46$8,196−68%$2,587 – $40,182
New Jersey NJ34$7,639−70%$5,339 – $28,779
Arizona AZ14$5,672−78%$4,880 – $22,561
Wisconsin WI34$4,120−84%$2,188 – $19,091
Connecticut CT9not enough hospitals filed a usable price
Mississippi MS9not enough hospitals filed a usable price
Utah UT8not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Wyoming WY2not 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 $25,648.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,012$26,208$11,379 – $45,470
Children’s24$22,053$4,312 – $43,302
Critical access61$17,133$4,120 – $37,226
Ownership
For-profit131$31,828$18,562 – $86,053
Government127$26,562$9,884 – $45,347
Non-profit839$24,531$10,217 – $40,745
System affiliation
Part of a system972$25,289$10,394 – $42,953
Independent131$27,752$13,537 – $63,380

Cash price vs list price

Median list price (chargemaster)$43,215
Median cash price$25,648
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

822 hospitals filed a usable inpatient cash price for this code. The median is $25,964 and the average of the middle 60% is $25,413; most fall between $10,514 and $42,953.

Cash price percentiles, inpatient, across 822 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
$5,609$13,867$25,964$38,258$58,970

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($5,609 vs $58,970).

Of the 968 hospitals that filed this code inpatient, 822 gave a usable cash price; 101 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 44 a list price only.

How complete is this

1,103 of the 3,956 hospitals with a price file in our corpus (28%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,303 hospitals that filed this code at all gave us
Usable cash price — counted1,103
Cash price carrying a plausibility flag — shown on the compare tool, excluded here158
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 — excluded41
Hospitals that filed this code1,303

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 Insj Implntbl Defib Pulse Gen W/Exist Dual Leads.

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, “Defibrillator generator placed with two existing wires (CPT 33230) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33230-defibrillator-generator-placed-with-two-existing-wires