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

Removal of pacemaker wires through a vein, two-wire system

CPT 33235the billing code this page is about

Extraction of both pacing wires of a dual-chamber pacemaker system by pulling them out through the vein rather than opening the chest.

Hospitals typically charge $4,163 cash for this outpatient procedure — the median across 1,688 hospitals that filed a usable cash price; the average of the middle 60% is $4,554. Most fall between $2,165 and $8,197 (20th–80th percentile).

Hospitals
1,688
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 1,688 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
$1,361$2,578$4,163$7,447$13,461

The most expensive tenth of hospitals charges at least 9.9× what the cheapest tenth charges ($1,361 vs $13,461).

How the prices are spread

$1,029 – $1,374: 92 hospitals$1,029$1,374 – $1,835: 86 hospitals$1,835 – $2,450: 136 hospitals$1,835$2,450 – $3,271: 194 hospitals$3,271 – $4,368: 309 hospitals$3,271$4,368 – $5,832: 220 hospitals$5,832 – $7,788: 184 hospitals$5,832$7,788 – $10,399: 120 hospitals$10,399 – $13,885: 111 hospitals$10,399$13,885 – $18,541: 68 hospitals$13,885median $4,163price bands are equal on a log scale
Hospitals per price band (1,520 of 1,688 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,029$1,37492
$1,374$1,83586
$1,835$2,450136
$2,450$3,271194
$3,271$4,368309
$4,368$5,832220
$5,832$7,788184
$7,788$10,399120
$10,399$13,885111
$13,885$18,54168

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,818
Median cash price$4,163
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 $4,163.

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: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $4,466 across 40 hospitalsWA$4,466Idaho: median $7,448 across 12 hospitalsID$7,448Montana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $3,979 across 41 hospitalsMN$3,979Illinois: median $4,115 across 77 hospitalsIL$4,115Wisconsin: median $3,669 across 48 hospitalsWI$3,669Michigan: median $3,314 across 65 hospitalsMI$3,314New York: median $4,307 across 49 hospitalsNY$4,307Massachusetts: median $4,628 across 22 hospitalsMA$4,628Oregon: median $4,064 across 33 hospitalsOR$4,064Nevada: median $3,269 across 11 hospitalsNV$3,269Wyoming: 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 $3,023 across 22 hospitalsIA$3,023Indiana: median $3,148 across 46 hospitalsIN$3,148Ohio: median $4,174 across 85 hospitalsOH$4,174Pennsylvania: median $5,290 across 82 hospitalsPA$5,290New Jersey: median $4,881 across 49 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 $5,856 across 130 hospitalsCA$5,856Utah: median $7,202 across 18 hospitalsUT$7,202Colorado: median $3,745 across 34 hospitalsCO$3,745Nebraska: median $1,683 across 16 hospitalsNE$1,683Missouri: median $3,724 across 45 hospitalsMO$3,724Kentucky: median $4,657 across 27 hospitalsKY$4,657West Virginia: median $2,468 across 19 hospitalsWV$2,468Virginia: median $3,382 across 36 hospitalsVA$3,382Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $4,564 across 29 hospitalsAZ$4,564New Mexico: 6 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $3,286 across 21 hospitalsKS$3,286Arkansas: median $2,178 across 16 hospitalsAR$2,178Tennessee: median $1,373 across 39 hospitalsTN$1,373North Carolina: median $3,486 across 43 hospitalsNC$3,486South Carolina: median $4,710 across 35 hospitalsSC$4,710Oklahoma: median $2,744 across 34 hospitalsOK$2,744Louisiana: median $2,614 across 34 hospitalsLA$2,614Mississippi: median $2,898 across 21 hospitalsMS$2,898Alabama: median $4,177 across 23 hospitalsAL$4,177Georgia: median $3,904 across 65 hospitalsGA$3,904Hawaii: median $3,916 across 10 hospitalsHI$3,916Texas: median $5,661 across 156 hospitalsTX$5,661Florida: median $7,682 across 77 hospitalsFL$7,682
Cash price by state, most expensive first. National median $4,163. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL77$7,682+85%$3,984 – $14,438
Idaho ID12$7,448+79%$4,180 – $7,929
Utah UT18$7,202+73%$4,871 – $7,202
California CA130$5,856+41%$3,249 – $11,703
Texas TX156$5,661+36%$2,764 – $11,757
Pennsylvania PA82$5,290+27%$3,290 – $11,025
New Jersey NJ49$4,881+17%$3,977 – $11,043
South Carolina SC35$4,710+13%$3,360 – $5,738
Kentucky KY27$4,657+12%$2,455 – $45,907
Massachusetts MA22$4,628+11%$2,983 – $8,157
Arizona AZ29$4,564+10%$2,301 – $7,696
Washington WA40$4,466+7%$1,997 – $6,455
New York NY49$4,307+3%$2,095 – $7,873
Connecticut CT12$4,234+2%$3,514 – $7,130
Alabama AL23$4,1770%$2,971 – $16,102
Ohio OH85$4,1740%$2,164 – $13,602
Illinois IL77$4,115−1%$1,875 – $7,854
Oregon OR33$4,064−2%$1,821 – $7,447
Minnesota MN41$3,979−4%$2,925 – $7,230
Hawaii HI10$3,916−6%$640 – $6,714
Georgia GA65$3,904−6%$1,774 – $5,333
Colorado CO34$3,745−10%$2,677 – $8,372
Missouri MO45$3,724−11%$2,042 – $12,962
Wisconsin WI48$3,669−12%$3,633 – $5,164
North Carolina NC43$3,486−16%$2,029 – $5,932
Virginia VA36$3,382−19%$2,097 – $3,938
Michigan MI65$3,314−20%$1,042 – $5,138
Kansas KS21$3,286−21%$2,168 – $5,697
Nevada NV11$3,269−21%$2,667 – $4,064
Indiana IN46$3,148−24%$1,896 – $6,043
Iowa IA22$3,023−27%$1,565 – $6,110
Mississippi MS21$2,898−30%$1,551 – $5,578
Oklahoma OK34$2,744−34%$1,368 – $4,592
Louisiana LA34$2,614−37%$1,352 – $4,846
West Virginia WV19$2,468−41%$665 – $5,019
Arkansas AR16$2,178−48%$1,695 – $3,654
Nebraska NE16$1,683−60%$1,475 – $3,838
Tennessee TN39$1,373−67%$1,214 – $2,458
New Hampshire NH9not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Delaware DE7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
New Mexico NM6not enough hospitals filed a usable price
Montana MT5not 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
Maryland MD2not enough hospitals filed a usable price
Vermont VT2not 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 $4,163.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,515$4,191$2,258 – $8,157
Children’s33$6,443$1,774 – $15,984
Critical access133$3,633$1,042 – $7,721
Ownership
For-profit204$5,661$2,393 – $16,238
Government203$3,381$1,659 – $5,842
Non-profit1,274$4,180$2,209 – $7,959
System affiliation
Part of a system1,469$4,191$2,282 – $8,223
Independent219$3,702$1,643 – $7,913

Cash price vs list price

Median list price (chargemaster)$7,824
Median cash price$4,163
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

1,260 hospitals filed a usable inpatient cash price for this code. The median is $4,003 and the average of the middle 60% is $4,515; most fall between $2,135 and $7,929.

Cash price percentiles, inpatient, across 1,260 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
$1,373$2,510$4,003$7,444$11,703

The most expensive tenth of hospitals charges at least 8.5× what the cheapest tenth charges ($1,373 vs $11,703).

Of the 1,350 hospitals that filed this code inpatient, 1,260 gave a usable cash price; 40 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 49 a list price only.

How complete is this

1,688 of the 3,956 hospitals with a price file in our corpus (43%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,815 hospitals that filed this code at all gave us
Usable cash price — counted1,688
Cash price carrying a plausibility flag — shown on the compare tool, excluded here69
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 — excluded56
Hospitals that filed this code1,815

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 Dual Lead Sys.

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 pacemaker wires through a vein, two-wire system (CPT 33235) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33235-removal-of-pacemaker-wires-through-a-vein-two-wire-system