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

Removal of an implanted defibrillator generator

CPT 33241the billing code this page is about

Surgical removal of the defibrillator pulse generator (the battery unit under the skin), leaving any leads in place.

Hospitals typically charge $4,028 cash for this outpatient procedure — the median across 1,703 hospitals that filed a usable cash price; the average of the middle 60% is $4,239. Most fall between $1,852 and $7,929 (20th–80th percentile).

Hospitals
1,703
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 1,703 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
$1,178$2,207$4,028$6,874$13,063

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($1,178 vs $13,063).

How the prices are spread

$485 – $692: 40 hospitals$485$692 – $987: 25 hospitals$987 – $1,408: 59 hospitals$987$1,408 – $2,008: 162 hospitals$2,008 – $2,864: 215 hospitals$2,008$2,864 – $4,085: 286 hospitals$4,085 – $5,826: 296 hospitals$4,085$5,826 – $8,308: 224 hospitals$8,308 – $11,849: 125 hospitals$8,308$11,849 – $16,899: 102 hospitals$11,849median $4,028price bands are equal on a log scale
Hospitals per price band (1,534 of 1,703 — the bands cover the 5th to 95th percentile)
FromToHospitals
$485$69240
$692$98725
$987$1,40859
$1,408$2,008162
$2,008$2,864215
$2,864$4,085286
$4,085$5,826296
$5,826$8,308224
$8,308$11,849125
$11,849$16,899102

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,818
Median cash price$4,028
Cash as a multiple of Medicare1.06×

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 $4,028.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 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 $4,351 across 41 hospitalsWA$4,351Idaho: median $7,280 across 12 hospitalsID$7,280Montana: 9 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $3,697 across 41 hospitalsMN$3,697Illinois: median $3,721 across 76 hospitalsIL$3,721Wisconsin: median $2,474 across 48 hospitalsWI$2,474Michigan: median $3,080 across 65 hospitalsMI$3,080New York: median $4,436 across 54 hospitalsNY$4,436Massachusetts: median $4,628 across 22 hospitalsMA$4,628Oregon: median $4,427 across 32 hospitalsOR$4,427Nevada: median $2,197 across 11 hospitalsNV$2,197Wyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $3,315 across 22 hospitalsIA$3,315Indiana: median $2,383 across 45 hospitalsIN$2,383Ohio: median $4,914 across 91 hospitalsOH$4,914Pennsylvania: median $4,523 across 79 hospitalsPA$4,523New Jersey: median $4,835 across 43 hospitalsNJ$4,835Connecticut: median $5,372 across 15 hospitalsCT$5,372Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $6,435 across 131 hospitalsCA$6,435Utah: median $8,263 across 13 hospitalsUT$8,263Colorado: median $7,324 across 33 hospitalsCO$7,324Nebraska: median $2,089 across 15 hospitalsNE$2,089Missouri: median $3,374 across 46 hospitalsMO$3,374Kentucky: median $4,657 across 26 hospitalsKY$4,657West Virginia: median $3,268 across 11 hospitalsWV$3,268Virginia: median $2,665 across 39 hospitalsVA$2,665Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $2,936 across 29 hospitalsAZ$2,936New Mexico: 6 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $2,597 across 20 hospitalsKS$2,597Arkansas: median $2,400 across 15 hospitalsAR$2,400Tennessee: median $1,436 across 38 hospitalsTN$1,436North Carolina: median $2,595 across 43 hospitalsNC$2,595South Carolina: median $4,710 across 36 hospitalsSC$4,710Oklahoma: median $2,852 across 34 hospitalsOK$2,852Louisiana: median $2,600 across 38 hospitalsLA$2,600Mississippi: median $2,670 across 21 hospitalsMS$2,670Alabama: median $3,968 across 25 hospitalsAL$3,968Georgia: median $2,375 across 66 hospitalsGA$2,375Hawaii: median $3,308 across 10 hospitalsHI$3,308Texas: median $4,987 across 162 hospitalsTX$4,987Florida: median $6,924 across 88 hospitalsFL$6,924
Cash price by state, most expensive first. National median $4,028. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT13$8,263+105%$7,076 – $8,263
Colorado CO33$7,324+82%$2,017 – $17,662
Idaho ID12$7,280+81%$4,464 – $7,929
Florida FL88$6,924+72%$3,662 – $9,154
California CA131$6,435+60%$2,165 – $14,420
Connecticut CT15$5,372+33%$2,796 – $5,802
Texas TX162$4,987+24%$3,183 – $9,454
Ohio OH91$4,914+22%$2,308 – $13,554
New Jersey NJ43$4,835+20%$3,977 – $15,289
South Carolina SC36$4,710+17%$3,892 – $6,121
Kentucky KY26$4,657+16%$1,769 – $12,033
Massachusetts MA22$4,628+15%$2,344 – $6,488
Pennsylvania PA79$4,523+12%$3,290 – $8,877
New York NY54$4,436+10%$1,838 – $7,997
Oregon OR32$4,427+10%$483 – $9,631
Washington WA41$4,351+8%$1,898 – $5,948
Alabama AL25$3,968−1%$1,330 – $9,923
Illinois IL76$3,721−8%$1,558 – $8,042
Minnesota MN41$3,697−8%$3,198 – $5,376
Missouri MO46$3,374−16%$2,210 – $8,500
Iowa IA22$3,315−18%$1,585 – $4,558
Hawaii HI10$3,308−18%$221 – $4,003
West Virginia WV11$3,268−19%$621 – $3,904
Michigan MI65$3,080−24%$541 – $5,138
Arizona AZ29$2,936−27%$1,397 – $7,299
Oklahoma OK34$2,852−29%$969 – $4,837
Mississippi MS21$2,670−34%$1,468 – $3,122
Virginia VA39$2,665−34%$1,551 – $4,154
Louisiana LA38$2,600−35%$1,001 – $4,242
Kansas KS20$2,597−36%$1,586 – $8,394
North Carolina NC43$2,595−36%$1,587 – $5,110
Wisconsin WI48$2,474−39%$1,978 – $5,361
Arkansas AR15$2,400−40%$1,269 – $3,816
Indiana IN45$2,383−41%$1,676 – $3,910
Georgia GA66$2,375−41%$1,831 – $7,228
Nevada NV11$2,197−45%$895 – $6,805
Nebraska NE15$2,089−48%$440 – $2,604
Tennessee TN38$1,436−64%$1,434 – $1,925
Montana MT9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
New Mexico NM6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Maryland MD3not 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 $4,028.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,520$4,040$1,965 – $7,977
Children’s43$6,403$2,966 – $11,138
Critical access132$2,572$541 – $5,903
Ownership
For-profit201$5,700$2,375 – $13,980
Government205$3,144$1,397 – $5,705
Non-profit1,289$4,028$1,890 – $7,725
System affiliation
Part of a system1,479$4,039$1,925 – $7,965
Independent224$3,909$1,070 – $7,642

Cash price vs list price

Median list price (chargemaster)$7,087
Median cash price$4,028
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

1,285 hospitals filed a usable inpatient cash price for this code. The median is $3,863 and the average of the middle 60% is $4,064; most fall between $1,741 and $7,725.

Cash price percentiles, inpatient, across 1,285 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
$1,178$2,096$3,863$6,733$11,058

The most expensive tenth of hospitals charges at least 9.4× what the cheapest tenth charges ($1,178 vs $11,058).

Of the 1,377 hospitals that filed this code inpatient, 1,285 gave a usable cash price; 41 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

1,703 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 1,838 hospitals that filed this code at all gave us
Usable cash price — counted1,703
Cash price carrying a plausibility flag — shown on the compare tool, excluded here72
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 — excluded59
Hospitals that filed this code1,838

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 PR Rmv Pulse Generator,Sngl/Dual.

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 an implanted defibrillator generator (CPT 33241) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33241-removal-of-an-implanted-defibrillator-generator