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

Removal of a pacemaker generator only

CPT 33233the billing code this page is about

Surgical removal of the pacemaker pulse generator (the battery unit under the skin), leaving the pacing wires in place.

Hospitals typically charge $6,528 cash for this outpatient procedure — the median across 1,738 hospitals that filed a usable cash price; the average of the middle 60% is $6,589. Most fall between $2,499 and $12,288 (20th–80th percentile).

Hospitals
1,738
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 1,738 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
$1,339$2,989$6,528$10,722$18,601

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($1,339 vs $18,601).

How the prices are spread

$566 – $831: 48 hospitals$566$831 – $1,220: 27 hospitals$1,220 – $1,791: 92 hospitals$1,220$1,791 – $2,629: 118 hospitals$2,629 – $3,859: 204 hospitals$2,629$3,859 – $5,665: 202 hospitals$5,665 – $8,315: 324 hospitals$5,665$8,315 – $12,205: 289 hospitals$12,205 – $17,915: 148 hospitals$12,205$17,915 – $26,296: 115 hospitals$17,915median $6,528price bands are equal on a log scale
Hospitals per price band (1,567 of 1,738 — the bands cover the 5th to 95th percentile)
FromToHospitals
$566$83148
$831$1,22027
$1,220$1,79192
$1,791$2,629118
$2,629$3,859204
$3,859$5,665202
$5,665$8,315324
$8,315$12,205289
$12,205$17,915148
$17,915$26,296115

Against Medicare

Medicare pays (OPPS 2026, national rate)$8,455
Median cash price$6,528
Cash as a multiple of Medicare0.77×

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 $6,528.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $7,253 across 40 hospitalsWA$7,253Idaho: median $7,568 across 11 hospitalsID$7,568Montana: 6 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 $6,339 across 42 hospitalsMN$6,339Illinois: median $5,860 across 76 hospitalsIL$5,860Wisconsin: median $2,545 across 49 hospitalsWI$2,545Michigan: median $5,046 across 66 hospitalsMI$5,046New York: median $9,793 across 55 hospitalsNY$9,793Massachusetts: median $6,516 across 24 hospitalsMA$6,516Oregon: median $8,280 across 32 hospitalsOR$8,280Nevada: median $2,872 across 10 hospitalsNV$2,872Wyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $4,205 across 24 hospitalsIA$4,205Indiana: median $3,278 across 49 hospitalsIN$3,278Ohio: median $6,821 across 88 hospitalsOH$6,821Pennsylvania: median $8,865 across 82 hospitalsPA$8,865New Jersey: median $9,168 across 53 hospitalsNJ$9,168Connecticut: median $4,058 across 12 hospitalsCT$4,058Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $7,952 across 136 hospitalsCA$7,952Utah: median $20,837 across 17 hospitalsUT$20,837Colorado: median $5,546 across 34 hospitalsCO$5,546Nebraska: median $4,472 across 17 hospitalsNE$4,472Missouri: median $6,283 across 47 hospitalsMO$6,283Kentucky: median $10,305 across 26 hospitalsKY$10,305West Virginia: median $3,003 across 12 hospitalsWV$3,003Virginia: median $4,891 across 39 hospitalsVA$4,891Maryland: 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 $4,615 across 31 hospitalsAZ$4,615New Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $4,634 across 22 hospitalsKS$4,634Arkansas: median $4,485 across 15 hospitalsAR$4,485Tennessee: median $1,925 across 39 hospitalsTN$1,925North Carolina: median $2,207 across 47 hospitalsNC$2,207South Carolina: median $6,586 across 35 hospitalsSC$6,586Oklahoma: median $2,983 across 35 hospitalsOK$2,983Louisiana: median $2,764 across 39 hospitalsLA$2,764Mississippi: median $4,117 across 23 hospitalsMS$4,117Alabama: median $10,722 across 25 hospitalsAL$10,722Georgia: median $3,486 across 67 hospitalsGA$3,486Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $7,946 across 151 hospitalsTX$7,946Florida: median $9,625 across 89 hospitalsFL$9,625
Cash price by state, most expensive first. National median $6,528. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT17$20,837+219%$11,519 – $20,837
Alabama AL25$10,722+64%$3,547 – $14,712
Kentucky KY26$10,305+58%$3,033 – $16,416
New York NY55$9,793+50%$1,922 – $15,111
Florida FL89$9,625+47%$5,170 – $18,111
New Jersey NJ53$9,168+40%$3,986 – $22,803
Pennsylvania PA82$8,865+36%$3,458 – $13,992
Oregon OR32$8,280+27%$496 – $17,512
California CA136$7,952+22%$4,018 – $18,151
Texas TX151$7,946+22%$5,652 – $13,385
Idaho ID11$7,568+16%$7,280 – $7,568
Washington WA40$7,253+11%$4,225 – $14,273
Ohio OH88$6,821+4%$3,424 – $15,402
South Carolina SC35$6,586+1%$2,822 – $6,586
Massachusetts MA24$6,5160%$2,924 – $9,016
Minnesota MN42$6,339−3%$2,989 – $9,227
Missouri MO47$6,283−4%$2,761 – $8,933
Illinois IL76$5,860−10%$2,582 – $12,621
Colorado CO34$5,546−15%$2,742 – $12,399
Michigan MI66$5,046−23%$679 – $12,111
Virginia VA39$4,891−25%$2,098 – $6,600
Kansas KS22$4,634−29%$687 – $8,546
Arizona AZ31$4,615−29%$1,704 – $9,452
Arkansas AR15$4,485−31%$1,966 – $7,469
Nebraska NE17$4,472−31%$529 – $7,061
Iowa IA24$4,205−36%$566 – $7,221
Mississippi MS23$4,117−37%$1,365 – $7,200
Connecticut CT12$4,058−38%$3,534 – $9,393
Georgia GA67$3,486−47%$3,170 – $12,455
Indiana IN49$3,278−50%$1,452 – $7,144
West Virginia WV12$3,003−54%$659 – $5,165
Oklahoma OK35$2,983−54%$813 – $8,655
Nevada NV10$2,872−56%$970 – $9,001
Louisiana LA39$2,764−58%$1,915 – $8,410
Wisconsin WI49$2,545−61%$1,403 – $8,295
North Carolina NC47$2,207−66%$2,003 – $8,350
Tennessee TN39$1,925−71%$1,339 – $4,185
Hawaii HI9not enough hospitals filed a usable price
South Dakota SD9not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Delaware DE7not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Vermont VT4not 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 $6,528.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,557$6,586$2,742 – $12,399
Children’s40$7,580$3,570 – $12,829
Critical access133$2,829$715 – $9,827
Ownership
For-profit215$8,811$3,290 – $21,529
Government206$4,582$1,700 – $10,299
Non-profit1,309$6,257$2,545 – $11,640
System affiliation
Part of a system1,497$6,560$2,741 – $12,111
Independent241$6,077$970 – $14,105

Cash price vs list price

Median list price (chargemaster)$10,445
Median cash price$6,528
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

1,316 hospitals filed a usable inpatient cash price for this code. The median is $6,097 and the average of the middle 60% is $6,153; most fall between $2,533 and $11,539.

Cash price percentiles, inpatient, across 1,316 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
$1,339$2,951$6,097$9,827$18,111

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($1,339 vs $18,111).

Of the 1,432 hospitals that filed this code inpatient, 1,316 gave a usable cash price; 62 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 53 a list price only.

How complete is this

1,738 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 1,910 hospitals that filed this code at all gave us
Usable cash price — counted1,738
Cash price carrying a plausibility flag — shown on the compare tool, excluded here105
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 code1,910

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 Removal Permanent Pacemaker Pulse Generator Only.

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, “Removal of a pacemaker generator only (CPT 33233) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33233-removal-of-a-pacemaker-generator-only