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

Open chest removal of a two-wire pacemaker system

CPT 33237the billing code this page is about

Removal of a pacemaker generator and both of its pacing wires through a surgical opening in the chest.

Hospitals typically charge $2,084 cash for this outpatient procedure — the median across 171 hospitals that filed a usable cash price; the average of the middle 60% is $2,521. Most fall between $1,209 and $4,295 (20th–80th percentile).

Hospitals
171
States
33
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 171 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
$657$1,366$2,084$4,295$6,311

The most expensive tenth of hospitals charges at least 9.6× what the cheapest tenth charges ($657 vs $6,311).

How the prices are spread

$304 – $431: 6 hospitals$304$431 – $611: 3 hospitals$611 – $867: 9 hospitals$611$867 – $1,229: 11 hospitals$1,229 – $1,744: 25 hospitals$1,229$1,744 – $2,473: 42 hospitals$2,473 – $3,509: 11 hospitals$2,473$3,509 – $4,977: 31 hospitals$4,977 – $7,061: 12 hospitals$4,977$7,061 – $10,016: 7 hospitals$7,061median $2,084price bands are equal on a log scale
Hospitals per price band (157 of 171 — the bands cover the 5th to 95th percentile)
FromToHospitals
$304$4316
$431$6113
$611$8679
$867$1,22911
$1,229$1,74425
$1,744$2,47342
$2,473$3,50911
$3,509$4,97731
$4,977$7,06112
$7,061$10,0167

By state

The median cash price in each state, against the national median of $2,084.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 8 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 5 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $2,042 across 22 hospitalsMI$2,042New York: median $2,290 across 14 hospitalsNY$2,290Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $1,967 across 12 hospitalsOR$1,967Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: 4 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: no hospital in the corpus filed a usable priceINOhio: 6 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $537 across 15 hospitalsPA$537New Jersey: median $5,339 across 14 hospitalsNJ$5,339Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $4,295 across 21 hospitalsCA$4,295Utah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: no hospital in the corpus filed a usable priceAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 1 hospital filed a usable price — fewer than 10, so no figureTNNorth Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,366 across 10 hospitalsOK$1,366Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: 3 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,084. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ14$5,339+156%$4,350 – $6,839
California CA21$4,295+106%$4,295 – $4,295
New York NY14$2,290+10%$991 – $10,800
Michigan MI22$2,042−2%$1,235 – $2,175
Oregon OR12$1,967−6%$304 – $1,967
Oklahoma OK10$1,366−34%$1,366 – $1,366
Pennsylvania PA15$537−74%$139 – $2,284
Illinois IL8not enough hospitals filed a usable price
Ohio OH6not enough hospitals filed a usable price
Wisconsin WI5not enough hospitals filed a usable price
Iowa IA4not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Texas TX3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Carolina SC1not enough hospitals filed a usable price
Tennessee TN1not 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 $2,084.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care147$2,084$1,209 – $4,295
Children’s8fewer than 20 hospitals
Critical access16fewer than 20 hospitals
Ownership
For-profit11fewer than 20 hospitals
Government15fewer than 20 hospitals
Non-profit145$2,117$1,235 – $4,295
System affiliation
Part of a system140$2,049$1,186 – $4,295
Independent31$2,178$1,209 – $3,985

Cash price vs list price

Median list price (chargemaster)$2,907
Median cash price$2,084
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

104 hospitals filed a usable inpatient cash price for this code. The median is $1,997 and the average of the middle 60% is $2,484; most fall between $872 and $4,295.

Cash price percentiles, inpatient, across 104 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
$304$1,003$1,997$4,295$4,295

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($304 vs $4,295).

Of the 121 hospitals that filed this code inpatient, 104 gave a usable cash price; 9 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 8 a list price only.

How complete is this

171 of the 3,956 hospitals with a price file in our corpus (4%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 194 hospitals that filed this code at all gave us
Usable cash price — counted171
Cash price carrying a plausibility flag — shown on the compare tool, excluded here16
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 — excluded6
Hospitals that filed this code194

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 5, 2026 and September 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 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 Prm Epicar Pm&Eltrds Thorcom Dual Lead Sy.

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, “Open chest removal of a two-wire pacemaker system (CPT 33237) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33237-open-chest-removal-of-a-two-wire-pacemaker-system