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

Defibrillator generator placed with one existing wire

CPT 33240the billing code this page is about

Only the implantable defibrillator generator (the device and battery) is placed or replaced; a single lead already in place is reconnected to it.

Hospitals typically charge $23,231 cash for this outpatient procedure — the median across 1,174 hospitals that filed a usable cash price; the average of the middle 60% is $23,105. Most fall between $8,250 and $42,122 (20th–80th percentile).

Hospitals
1,174
States
49
Filings dated
Jun 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 1,174 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
$4,139$11,020$23,231$35,552$67,339

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($4,139 vs $67,339).

How the prices are spread

$2,806 – $3,922: 42 hospitals$2,806$3,922 – $5,483: 60 hospitals$5,483 – $7,664: 57 hospitals$5,483$7,664 – $10,714: 70 hospitals$10,714 – $14,976: 98 hospitals$10,714$14,976 – $20,934: 154 hospitals$20,934 – $29,263: 225 hospitals$20,934$29,263 – $40,905: 165 hospitals$40,905 – $57,179: 83 hospitals$40,905$57,179 – $79,928: 105 hospitals$57,179median $23,231price bands are equal on a log scale
Hospitals per price band (1,059 of 1,174 — the bands cover the 5th to 95th percentile)
FromToHospitals
$2,806$3,92242
$3,922$5,48360
$5,483$7,66457
$7,664$10,71470
$10,714$14,97698
$14,976$20,934154
$20,934$29,263225
$29,263$40,905165
$40,905$57,17983
$57,179$79,928105

Against Medicare

Medicare pays (OPPS 2026, national rate)$22,725
Median cash price$23,231
Cash as a multiple of Medicare1.02×

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 $23,231.

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: 4 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 $14,630 across 29 hospitalsWA$14,630Idaho: median $19,930 across 11 hospitalsID$19,930Montana: 3 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 $9,768 across 23 hospitalsMN$9,768Illinois: median $14,887 across 54 hospitalsIL$14,887Wisconsin: median $4,090 across 32 hospitalsWI$4,090Michigan: median $10,058 across 41 hospitalsMI$10,058New York: median $26,562 across 46 hospitalsNY$26,562Massachusetts: median $20,445 across 12 hospitalsMA$20,445Oregon: 9 hospitals filed a usable price — fewer than 10, so no figureORNevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: 6 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: median $7,958 across 37 hospitalsIN$7,958Ohio: median $23,743 across 74 hospitalsOH$23,743Pennsylvania: median $26,280 across 63 hospitalsPA$26,280New Jersey: median $7,550 across 33 hospitalsNJ$7,550Connecticut: median $26,258 across 11 hospitalsCT$26,258Rhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $37,200 across 102 hospitalsCA$37,200Utah: 8 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $23,131 across 28 hospitalsCO$23,131Nebraska: median $25,127 across 11 hospitalsNE$25,127Missouri: median $28,239 across 34 hospitalsMO$28,239Kentucky: median $88,121 across 21 hospitalsKY$88,121West Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $15,516 across 24 hospitalsVA$15,516Maryland: no hospital in the corpus filed a usable priceMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $6,037 across 18 hospitalsAZ$6,037New Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $20,955 across 13 hospitalsKS$20,955Arkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $14,763 across 20 hospitalsTN$14,763North Carolina: median $13,640 across 27 hospitalsNC$13,640South Carolina: median $32,395 across 15 hospitalsSC$32,395Oklahoma: median $13,758 across 20 hospitalsOK$13,758Louisiana: median $19,027 across 23 hospitalsLA$19,027Mississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $19,852 across 12 hospitalsAL$19,852Georgia: median $10,217 across 56 hospitalsGA$10,217Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $27,662 across 117 hospitalsTX$27,662Florida: median $23,572 across 67 hospitalsFL$23,572
Cash price by state, most expensive first. National median $23,231. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Kentucky KY21$88,121+279%$13,537 – $88,121
California CA102$37,200+60%$25,323 – $73,690
South Carolina SC15$32,395+39%$13,488 – $68,115
Missouri MO34$28,239+22%$12,580 – $40,773
Texas TX117$27,662+19%$19,393 – $37,528
New York NY46$26,562+14%$18,043 – $54,752
Pennsylvania PA63$26,280+13%$8,032 – $45,915
Connecticut CT11$26,258+13%$17,463 – $42,745
Nebraska NE11$25,127+8%$25,127 – $30,474
Ohio OH74$23,743+2%$16,500 – $32,500
Florida FL67$23,572+1%$10,041 – $59,308
Colorado CO28$23,1310%$18,820 – $42,073
Kansas KS13$20,955−10%$5,760 – $32,148
Massachusetts MA12$20,445−12%$6,825 – $55,327
Idaho ID11$19,930−14%$18,000 – $22,758
Alabama AL12$19,852−15%$12,161 – $37,538
Louisiana LA23$19,027−18%$5,824 – $36,508
Virginia VA24$15,516−33%$14,763 – $33,204
Illinois IL54$14,887−36%$9,552 – $36,280
Tennessee TN20$14,763−36%$6,851 – $14,763
Washington WA29$14,630−37%$6,856 – $28,387
Oklahoma OK20$13,758−41%$4,977 – $31,968
North Carolina NC27$13,640−41%$13,640 – $32,498
Georgia GA56$10,217−56%$2,825 – $40,182
Michigan MI41$10,058−57%$1,187 – $37,979
Minnesota MN23$9,768−58%$6,854 – $25,665
Indiana IN37$7,958−66%$3,497 – $20,486
New Jersey NJ33$7,550−67%$5,110 – $26,434
Arizona AZ18$6,037−74%$4,805 – $26,857
Wisconsin WI32$4,090−82%$2,084 – $20,779
Arkansas AR9not enough hospitals filed a usable price
Mississippi MS9not enough hospitals filed a usable price
Oregon OR9not enough hospitals filed a usable price
Utah UT8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
West Virginia WV7not enough hospitals filed a usable price
Iowa IA6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
New Hampshire NH1not 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 $23,231.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,072$23,720$9,182 – $42,073
Children’s31$25,657$11,980 – $50,918
Critical access66$6,856$3,517 – $32,498
Ownership
For-profit139$27,662$15,446 – $59,149
Government140$22,758$8,000 – $40,182
Non-profit890$22,235$7,666 – $40,773
System affiliation
Part of a system1,028$22,351$8,000 – $40,773
Independent146$25,404$10,930 – $50,552

Cash price vs list price

Median list price (chargemaster)$36,854
Median cash price$23,231
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

865 hospitals filed a usable inpatient cash price for this code. The median is $23,231 and the average of the middle 60% is $23,173; most fall between $8,634 and $42,073.

Cash price percentiles, inpatient, across 865 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
$4,321$11,510$23,231$34,925$67,238

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($4,321 vs $67,238).

Of the 1,026 hospitals that filed this code inpatient, 865 gave a usable cash price; 115 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 45 a list price only.

How complete is this

1,174 of the 3,956 hospitals with a price file in our corpus (30%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,388 hospitals that filed this code at all gave us
Usable cash price — counted1,174
Cash price carrying a plausibility flag — shown on the compare tool, excluded here169
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 — excluded43
Hospitals that filed this code1,388

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/1 Existing Ld.

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 one existing wire (CPT 33240) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33240-defibrillator-generator-placed-with-one-existing-wire