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

Defibrillator generator placed with multiple existing wires

CPT 33231the billing code this page is about

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

Hospitals typically charge $31,287 cash for this outpatient procedure — the median across 1,078 hospitals that filed a usable cash price; the average of the middle 60% is $31,234. Most fall between $12,749 and $56,200 (20th–80th percentile).

Hospitals
1,078
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 1,078 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$15,035$31,287$47,747$82,169

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($5,592 vs $82,169).

How the prices are spread

$3,557 – $5,018: 43 hospitals$3,557$5,018 – $7,079: 36 hospitals$7,079 – $9,985: 27 hospitals$7,079$9,985 – $14,086: 85 hospitals$14,086 – $19,869: 103 hospitals$14,086$19,869 – $28,028: 150 hospitals$28,028 – $39,537: 204 hospitals$28,028$39,537 – $55,772: 159 hospitals$55,772 – $78,674: 98 hospitals$55,772$78,674 – $110,979: 68 hospitals$78,674median $31,287price bands are equal on a log scale
Hospitals per price band (973 of 1,078 — the bands cover the 5th to 95th percentile)
FromToHospitals
$3,557$5,01843
$5,018$7,07936
$7,079$9,98527
$9,985$14,08685
$14,086$19,869103
$19,869$28,028150
$28,028$39,537204
$39,537$55,772159
$55,772$78,67498
$78,674$110,97968

Against Medicare

Medicare pays (OPPS 2026, national rate)$32,069
Median cash price$31,287
Cash as a multiple of Medicare0.98×

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 $31,287.

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: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 1 hospital filed a usable price — fewer than 10, so no figureNHWashington: median $26,037 across 28 hospitalsWA$26,037Idaho: median $26,474 across 11 hospitalsID$26,474Montana: 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 $35,821 across 15 hospitalsMN$35,821Illinois: median $35,956 across 51 hospitalsIL$35,956Wisconsin: median $6,698 across 39 hospitalsWI$6,698Michigan: median $39,567 across 30 hospitalsMI$39,567New York: median $37,940 across 37 hospitalsNY$37,940Massachusetts: median $26,001 across 16 hospitalsMA$26,001Oregon: median $40,800 across 15 hospitalsOR$40,800Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: 8 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: median $16,609 across 36 hospitalsIN$16,609Ohio: median $26,801 across 74 hospitalsOH$26,801Pennsylvania: median $31,884 across 36 hospitalsPA$31,884New Jersey: median $25,448 across 37 hospitalsNJ$25,448Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $53,420 across 99 hospitalsCA$53,420Utah: 9 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $27,752 across 19 hospitalsCO$27,752Nebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $27,770 across 29 hospitalsMO$27,770Kentucky: median $46,645 across 22 hospitalsKY$46,645West Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $24,333 across 32 hospitalsVA$24,333Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $6,570 across 16 hospitalsAZ$6,570New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $29,571 across 13 hospitalsKS$29,571Arkansas: median $19,050 across 11 hospitalsAR$19,050Tennessee: median $13,265 across 20 hospitalsTN$13,265North Carolina: median $18,561 across 17 hospitalsNC$18,561South Carolina: median $56,901 across 32 hospitalsSC$56,901Oklahoma: median $22,948 across 24 hospitalsOK$22,948Louisiana: median $23,902 across 26 hospitalsLA$23,902Mississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $27,805 across 11 hospitalsAL$27,805Georgia: median $14,522 across 50 hospitalsGA$14,522Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $37,155 across 94 hospitalsTX$37,155Florida: median $34,929 across 60 hospitalsFL$34,929
Cash price by state, most expensive first. National median $31,287. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC32$56,901+82%$35,933 – $65,417
California CA99$53,420+71%$34,568 – $85,461
Kentucky KY22$46,645+49%$15,099 – $89,496
Oregon OR15$40,800+30%$34,133 – $80,688
Michigan MI30$39,567+26%$19,374 – $43,161
New York NY37$37,940+21%$30,962 – $51,831
Texas TX94$37,155+19%$15,035 – $59,723
Illinois IL51$35,956+15%$14,560 – $56,200
Minnesota MN15$35,821+14%$10,851 – $35,821
Florida FL60$34,929+12%$27,737 – $82,132
Pennsylvania PA36$31,884+2%$18,817 – $54,041
Kansas KS13$29,571−5%$7,989 – $40,103
Alabama AL11$27,805−11%$2,086 – $34,653
Missouri MO29$27,770−11%$12,855 – $41,014
Colorado CO19$27,752−11%$26,824 – $62,039
Ohio OH74$26,801−14%$16,500 – $42,600
Idaho ID11$26,474−15%$18,599 – $26,474
Washington WA28$26,037−17%$6,426 – $46,150
Massachusetts MA16$26,001−17%$12,749 – $79,958
New Jersey NJ37$25,448−19%$5,419 – $35,518
Virginia VA32$24,333−22%$14,261 – $47,631
Louisiana LA26$23,902−24%$13,979 – $65,484
Oklahoma OK24$22,948−27%$8,376 – $41,077
Arkansas AR11$19,050−39%$8,005 – $27,780
North Carolina NC17$18,561−41%$2,870 – $45,684
Indiana IN36$16,609−47%$12,239 – $26,195
Georgia GA50$14,522−54%$2,846 – $31,329
Tennessee TN20$13,265−58%$12,652 – $17,495
Wisconsin WI39$6,698−79%$4,063 – $29,098
Arizona AZ16$6,570−79%$5,416 – $23,881
Mississippi MS9not enough hospitals filed a usable price
Utah UT9not enough hospitals filed a usable price
Iowa IA8not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
New Hampshire NH1not enough hospitals filed a usable price
South Dakota SD1not 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 $31,287.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care979$31,377$13,265 – $56,901
Children’s24$26,037$14,483 – $50,482
Critical access70$26,474$4,063 – $45,684
Ownership
For-profit119$31,967$18,422 – $100,974
Government120$30,087$8,282 – $49,335
Non-profit834$31,287$12,482 – $54,216
System affiliation
Part of a system954$31,248$12,652 – $54,525
Independent124$34,653$16,583 – $71,851

Cash price vs list price

Median list price (chargemaster)$52,145
Median cash price$31,287
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

812 hospitals filed a usable inpatient cash price for this code. The median is $31,287 and the average of the middle 60% is $31,189; most fall between $12,749 and $55,918.

Cash price percentiles, inpatient, across 812 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$15,035$31,287$47,747$74,366

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($5,592 vs $74,366).

Of the 960 hospitals that filed this code inpatient, 812 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 46 a list price only.

How complete is this

1,078 of the 3,956 hospitals with a price file in our corpus (27%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,276 hospitals that filed this code at all gave us
Usable cash price — counted1,078
Cash price carrying a plausibility flag — shown on the compare tool, excluded here155
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded41
Hospitals that filed this code1,276

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 Multileads.

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 multiple existing wires (CPT 33231) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33231-defibrillator-generator-placed-with-multiple-existing-wires