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

Removal of a single pacemaker wire from a vein

CPT 33234the billing code this page is about

Surgery to take out a pacemaker lead that runs through a vein to the heart, in a system with one lead in either the upper or lower heart chamber.

Hospitals typically charge $4,176 cash for this outpatient procedure — the median across 1,657 hospitals that filed a usable cash price; the average of the middle 60% is $4,335. Most fall between $2,044 and $7,873 (20th–80th percentile).

Hospitals
1,657
States
50
Filings dated
Feb 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 1,657 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
$1,203$2,351$4,176$6,786$11,903

The most expensive tenth of hospitals charges at least 9.9× what the cheapest tenth charges ($1,203 vs $11,903).

How the prices are spread

$872 – $1,168: 73 hospitals$872$1,168 – $1,564: 53 hospitals$1,564 – $2,096: 129 hospitals$1,564$2,096 – $2,808: 199 hospitals$2,808 – $3,762: 217 hospitals$2,808$3,762 – $5,040: 246 hospitals$5,040 – $6,752: 234 hospitals$5,040$6,752 – $9,046: 152 hospitals$9,046 – $12,119: 111 hospitals$9,046$12,119 – $16,236: 80 hospitals$12,119median $4,176price bands are equal on a log scale
Hospitals per price band (1,494 of 1,657 — the bands cover the 5th to 95th percentile)
FromToHospitals
$872$1,16873
$1,168$1,56453
$1,564$2,096129
$2,096$2,808199
$2,808$3,762217
$3,762$5,040246
$5,040$6,752234
$6,752$9,046152
$9,046$12,119111
$12,119$16,23680

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,818
Median cash price$4,176
Cash as a multiple of Medicare1.09×

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 $4,176.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 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 $4,375 across 39 hospitalsWA$4,375Idaho: median $7,280 across 12 hospitalsID$7,280Montana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $3,209 across 40 hospitalsMN$3,209Illinois: median $3,544 across 75 hospitalsIL$3,544Wisconsin: median $2,947 across 49 hospitalsWI$2,947Michigan: median $3,023 across 62 hospitalsMI$3,023New York: median $4,436 across 55 hospitalsNY$4,436Massachusetts: median $4,767 across 26 hospitalsMA$4,767Oregon: median $4,248 across 30 hospitalsOR$4,248Nevada: median $2,901 across 10 hospitalsNV$2,901Wyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $3,767 across 22 hospitalsIA$3,767Indiana: median $3,148 across 47 hospitalsIN$3,148Ohio: median $4,903 across 85 hospitalsOH$4,903Pennsylvania: median $4,621 across 81 hospitalsPA$4,621New Jersey: median $4,881 across 47 hospitalsNJ$4,881Connecticut: median $4,234 across 12 hospitalsCT$4,234Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $6,031 across 130 hospitalsCA$6,031Utah: median $7,076 across 18 hospitalsUT$7,076Colorado: median $3,121 across 36 hospitalsCO$3,121Nebraska: median $1,571 across 16 hospitalsNE$1,571Missouri: median $3,294 across 46 hospitalsMO$3,294Kentucky: median $4,534 across 26 hospitalsKY$4,534West Virginia: median $1,373 across 13 hospitalsWV$1,373Virginia: median $2,622 across 38 hospitalsVA$2,622Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $2,756 across 30 hospitalsAZ$2,756New Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $2,721 across 20 hospitalsKS$2,721Arkansas: median $2,025 across 11 hospitalsAR$2,025Tennessee: median $1,818 across 38 hospitalsTN$1,818North Carolina: median $2,449 across 42 hospitalsNC$2,449South Carolina: median $4,850 across 33 hospitalsSC$4,850Oklahoma: median $2,474 across 33 hospitalsOK$2,474Louisiana: median $2,600 across 33 hospitalsLA$2,600Mississippi: median $2,441 across 16 hospitalsMS$2,441Alabama: median $3,576 across 22 hospitalsAL$3,576Georgia: median $3,265 across 62 hospitalsGA$3,265Hawaii: median $4,135 across 10 hospitalsHI$4,135Texas: median $5,726 across 152 hospitalsTX$5,726Florida: median $8,018 across 79 hospitalsFL$8,018
Cash price by state, most expensive first. National median $4,176. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL79$8,018+92%$4,408 – $11,550
Idaho ID12$7,280+74%$4,180 – $7,929
Utah UT18$7,076+69%$4,871 – $7,076
California CA130$6,031+44%$3,219 – $11,318
Texas TX152$5,726+37%$3,238 – $11,903
Ohio OH85$4,903+17%$2,254 – $13,053
New Jersey NJ47$4,881+17%$3,977 – $11,167
South Carolina SC33$4,850+16%$3,377 – $5,738
Massachusetts MA26$4,767+14%$2,043 – $12,966
Pennsylvania PA81$4,621+11%$3,290 – $11,025
Kentucky KY26$4,534+9%$2,013 – $36,064
New York NY55$4,436+6%$2,137 – $7,873
Washington WA39$4,375+5%$2,108 – $6,443
Oregon OR30$4,248+2%$872 – $7,380
Connecticut CT12$4,234+1%$3,514 – $5,527
Hawaii HI10$4,135−1%$486 – $5,678
Iowa IA22$3,767−10%$1,192 – $6,654
Alabama AL22$3,576−14%$2,705 – $13,759
Illinois IL75$3,544−15%$1,603 – $7,861
Missouri MO46$3,294−21%$1,996 – $9,350
Georgia GA62$3,265−22%$1,707 – $5,333
Minnesota MN40$3,209−23%$2,528 – $5,283
Indiana IN47$3,148−25%$2,297 – $5,272
Colorado CO36$3,121−25%$2,307 – $6,977
Michigan MI62$3,023−28%$1,040 – $5,057
Wisconsin WI49$2,947−29%$2,268 – $5,635
Nevada NV10$2,901−31%$1,710 – $6,805
Arizona AZ30$2,756−34%$1,841 – $6,190
Kansas KS20$2,721−35%$1,536 – $4,417
Virginia VA38$2,622−37%$1,818 – $3,938
Louisiana LA33$2,600−38%$1,289 – $4,253
Oklahoma OK33$2,474−41%$1,040 – $4,340
North Carolina NC42$2,449−41%$2,233 – $5,164
Mississippi MS16$2,441−42%$1,514 – $3,343
Arkansas AR11$2,025−52%$1,222 – $2,967
Tennessee TN38$1,818−56%$1,081 – $2,736
Nebraska NE16$1,571−62%$1,061 – $3,334
West Virginia WV13$1,373−67%$502 – $3,632
New Hampshire NH8not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Maryland MD1not 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 $4,176.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,491$4,187$2,115 – $7,795
Children’s33$6,443$1,774 – $15,769
Critical access125$3,023$1,040 – $6,711
Ownership
For-profit193$6,031$2,233 – $15,656
Government202$3,252$1,423 – $5,731
Non-profit1,254$4,187$2,140 – $7,401
System affiliation
Part of a system1,434$4,187$2,153 – $7,873
Independent223$3,816$1,423 – $7,913

Cash price vs list price

Median list price (chargemaster)$7,400
Median cash price$4,176
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

1,241 hospitals filed a usable inpatient cash price for this code. The median is $4,177 and the average of the middle 60% is $4,328; most fall between $2,099 and $7,719.

Cash price percentiles, inpatient, across 1,241 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
$1,364$2,351$4,177$6,786$11,318

The most expensive tenth of hospitals charges at least 8.3× what the cheapest tenth charges ($1,364 vs $11,318).

Of the 1,335 hospitals that filed this code inpatient, 1,241 gave a usable cash price; 43 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 50 a list price only.

How complete is this

1,657 of the 3,956 hospitals with a price file in our corpus (42%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,787 hospitals that filed this code at all gave us
Usable cash price — counted1,657
Cash price carrying a plausibility flag — shown on the compare tool, excluded here71
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 — excluded57
Hospitals that filed this code1,787

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 Rmvl Transvns Pm Eltrd 1 Lead Sys Atr/Ventr.

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 single pacemaker wire from a vein (CPT 33234) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33234-removal-of-a-single-pacemaker-wire-from-a-vein