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

Implanted defibrillator with placement of new wires

CPT 33249the billing code this page is about

Insertion or replacement of a defibrillator system including placement of one or more new leads into the heart through a vein, plus the pulse generator.

Hospitals typically charge $30,486 cash for this outpatient procedure — the median across 1,771 hospitals that filed a usable cash price; the average of the middle 60% is $30,911. Most fall between $12,183 and $55,296 (20th–80th percentile).

Hospitals
1,771
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 1,771 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
$6,092$15,613$30,486$47,850$81,896

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($6,092 vs $81,896).

How the prices are spread

$2,914 – $4,165: 46 hospitals$2,914$4,165 – $5,955: 49 hospitals$5,955 – $8,513: 64 hospitals$5,955$8,513 – $12,170: 117 hospitals$12,170 – $17,399: 153 hospitals$12,170$17,399 – $24,873: 185 hospitals$24,873 – $35,559: 370 hospitals$24,873$35,559 – $50,835: 300 hospitals$50,835 – $72,673: 186 hospitals$50,835$72,673 – $103,894: 135 hospitals$72,673median $30,486price bands are equal on a log scale
Hospitals per price band (1,605 of 1,771 — the bands cover the 5th to 95th percentile)
FromToHospitals
$2,914$4,16546
$4,165$5,95549
$5,955$8,51364
$8,513$12,170117
$12,170$17,399153
$17,399$24,873185
$24,873$35,559370
$35,559$50,835300
$50,835$72,673186
$72,673$103,894135

Against Medicare

Medicare pays (OPPS 2026, national rate)$32,069
Median cash price$30,486
Cash as a multiple of Medicare0.95×

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 $30,486.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $26,037 across 41 hospitalsWA$26,037Idaho: median $26,474 across 12 hospitalsID$26,474Montana: 6 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 $29,085 across 36 hospitalsMN$29,085Illinois: median $29,180 across 75 hospitalsIL$29,180Wisconsin: median $15,899 across 50 hospitalsWI$15,899Michigan: median $31,122 across 65 hospitalsMI$31,122New York: median $39,182 across 67 hospitalsNY$39,182Massachusetts: median $31,477 across 31 hospitalsMA$31,477Oregon: median $28,835 across 32 hospitalsOR$28,835Nevada: median $31,337 across 11 hospitalsNV$31,337Wyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $19,078 across 23 hospitalsIA$19,078Indiana: median $14,347 across 43 hospitalsIN$14,347Ohio: median $26,801 across 91 hospitalsOH$26,801Pennsylvania: median $37,085 across 80 hospitalsPA$37,085New Jersey: median $35,488 across 41 hospitalsNJ$35,488Connecticut: median $36,911 across 14 hospitalsCT$36,911Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $34,821 across 139 hospitalsCA$34,821Utah: median $89,058 across 16 hospitalsUT$89,058Colorado: median $33,120 across 35 hospitalsCO$33,120Nebraska: median $21,053 across 21 hospitalsNE$21,053Missouri: median $17,448 across 50 hospitalsMO$17,448Kentucky: median $59,525 across 26 hospitalsKY$59,525West Virginia: median $10,540 across 13 hospitalsWV$10,540Virginia: median $30,387 across 42 hospitalsVA$30,387Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $27,827 across 32 hospitalsAZ$27,827New Mexico: median $31,643 across 10 hospitalsNM$31,643Kansas: median $29,571 across 24 hospitalsKS$29,571Arkansas: median $19,772 across 17 hospitalsAR$19,772Tennessee: median $15,688 across 39 hospitalsTN$15,688North Carolina: median $18,316 across 47 hospitalsNC$18,316South Carolina: median $68,687 across 35 hospitalsSC$68,687Oklahoma: median $17,638 across 37 hospitalsOK$17,638Louisiana: median $28,734 across 38 hospitalsLA$28,734Mississippi: median $26,847 across 26 hospitalsMS$26,847Alabama: median $37,547 across 26 hospitalsAL$37,547Georgia: median $21,328 across 68 hospitalsGA$21,328Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $42,511 across 156 hospitalsTX$42,511Florida: median $34,453 across 91 hospitalsFL$34,453
Cash price by state, most expensive first. National median $30,486. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT16$89,058+192%$51,997 – $89,058
South Carolina SC35$68,687+125%$32,244 – $70,200
Kentucky KY26$59,525+95%$19,026 – $89,496
Texas TX156$42,511+39%$25,760 – $60,141
New York NY67$39,182+29%$18,052 – $100,000
Alabama AL26$37,547+23%$21,318 – $58,448
Pennsylvania PA80$37,085+22%$15,651 – $65,583
Connecticut CT14$36,911+21%$12,672 – $54,002
New Jersey NJ41$35,488+16%$5,419 – $42,782
California CA139$34,821+14%$22,412 – $72,028
Florida FL91$34,453+13%$24,444 – $82,457
Colorado CO35$33,120+9%$22,130 – $48,924
New Mexico NM10$31,643+4%$2,874 – $42,265
Massachusetts MA31$31,477+3%$15,934 – $56,481
Nevada NV11$31,337+3%$4,369 – $69,300
Michigan MI65$31,122+2%$6,092 – $56,557
Virginia VA42$30,3870%$21,348 – $39,766
Kansas KS24$29,571−3%$12,583 – $35,552
Illinois IL75$29,180−4%$11,875 – $61,870
Minnesota MN36$29,085−5%$10,461 – $41,929
Oregon OR32$28,835−5%$1,909 – $40,425
Louisiana LA38$28,734−6%$16,936 – $49,500
Arizona AZ32$27,827−9%$7,785 – $33,485
Mississippi MS26$26,847−12%$17,058 – $30,492
Ohio OH91$26,801−12%$15,613 – $38,186
Idaho ID12$26,474−13%$24,500 – $36,865
Washington WA41$26,037−15%$13,267 – $45,622
Georgia GA68$21,328−30%$8,774 – $59,092
Nebraska NE21$21,053−31%$17,810 – $34,565
Arkansas AR17$19,772−35%$12,050 – $49,953
Iowa IA23$19,078−37%$3,509 – $34,230
North Carolina NC47$18,316−40%$10,254 – $34,619
Oklahoma OK37$17,638−42%$5,647 – $39,516
Missouri MO50$17,448−43%$11,731 – $34,495
Wisconsin WI50$15,899−48%$6,092 – $39,337
Tennessee TN39$15,688−49%$9,508 – $33,480
Indiana IN43$14,347−53%$5,890 – $52,105
West Virginia WV13$10,540−65%$3,583 – $16,165
South Dakota SD9not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Delaware DE7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
Alaska AK3not 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 $30,486.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,602$31,285$12,672 – $55,865
Children’s40$35,324$14,815 – $60,353
Critical access121$23,100$5,192 – $40,571
Ownership
For-profit233$40,173$23,511 – $75,065
Government208$26,009$8,774 – $49,415
Non-profit1,322$29,412$11,875 – $53,206
System affiliation
Part of a system1,527$29,998$12,609 – $54,205
Independent244$32,183$7,397 – $60,070

Cash price vs list price

Median list price (chargemaster)$53,208
Median cash price$30,486
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

1,303 hospitals filed a usable inpatient cash price for this code. The median is $29,387 and the average of the middle 60% is $30,030; most fall between $12,609 and $53,206.

Cash price percentiles, inpatient, across 1,303 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
$6,721$15,613$29,387$46,570$76,394

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($6,721 vs $76,394).

Of the 1,445 hospitals that filed this code inpatient, 1,303 gave a usable cash price; 88 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 53 a list price only.

How complete is this

1,771 of the 3,956 hospitals with a price file in our corpus (45%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,972 hospitals that filed this code at all gave us
Usable cash price — counted1,771
Cash price carrying a plausibility flag — shown on the compare tool, excluded here132
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded63
Hospitals that filed this code1,972

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/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr.

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, “Implanted defibrillator with placement of new wires (CPT 33249) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33249-implanted-defibrillator-with-placement-of-new-wires