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

Replacement of defibrillator generator, single-lead

CPT 33262the billing code this page is about

Removal of an implanted defibrillator's battery-and-circuit unit and insertion of a new one, in a system that uses one lead wire; the existing lead stays in place.

Hospitals typically charge $26,424 cash for this outpatient procedure — the median across 1,635 hospitals that filed a usable cash price; the average of the middle 60% is $27,811. Most fall between $12,374 and $48,474 (20th–80th percentile).

Hospitals
1,635
States
50
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 1,635 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
$7,247$15,213$26,424$43,827$71,428

The most expensive tenth of hospitals charges at least 9.9× what the cheapest tenth charges ($7,247 vs $71,428).

How the prices are spread

$3,986 – $5,476: 37 hospitals$3,986$5,476 – $7,524: 51 hospitals$7,524 – $10,337: 102 hospitals$7,524$10,337 – $14,202: 109 hospitals$14,202 – $19,513: 159 hospitals$14,202$19,513 – $26,808: 294 hospitals$26,808 – $36,832: 288 hospitals$26,808$36,832 – $50,604: 216 hospitals$50,604 – $69,525: 126 hospitals$50,604$69,525 – $95,520: 91 hospitals$69,525median $26,424price bands are equal on a log scale
Hospitals per price band (1,473 of 1,635 — the bands cover the 5th to 95th percentile)
FromToHospitals
$3,986$5,47637
$5,476$7,52451
$7,524$10,337102
$10,337$14,202109
$14,202$19,513159
$19,513$26,808294
$26,808$36,832288
$36,832$50,604216
$50,604$69,525126
$69,525$95,52091

Against Medicare

Medicare pays (OPPS 2026, national rate)$22,725
Median cash price$26,424
Cash as a multiple of Medicare1.16×

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 $26,424.

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: median $5,472 across 10 hospitalsNH$5,472Washington: median $19,381 across 37 hospitalsWA$19,381Idaho: median $19,930 across 12 hospitalsID$19,930Montana: 5 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 $25,703 across 40 hospitalsMN$25,703Illinois: median $30,337 across 67 hospitalsIL$30,337Wisconsin: median $13,238 across 48 hospitalsWI$13,238Michigan: median $23,508 across 52 hospitalsMI$23,508New York: median $27,766 across 62 hospitalsNY$27,766Massachusetts: median $29,358 across 31 hospitalsMA$29,358Oregon: median $36,760 across 23 hospitalsOR$36,760Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 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 $23,384 across 17 hospitalsIA$23,384Indiana: median $17,527 across 41 hospitalsIN$17,527Ohio: median $21,320 across 96 hospitalsOH$21,320Pennsylvania: median $28,328 across 78 hospitalsPA$28,328New Jersey: median $24,845 across 42 hospitalsNJ$24,845Connecticut: median $26,258 across 13 hospitalsCT$26,258Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $35,563 across 128 hospitalsCA$35,563Utah: median $57,277 across 16 hospitalsUT$57,277Colorado: median $21,204 across 33 hospitalsCO$21,204Nebraska: median $12,940 across 14 hospitalsNE$12,940Missouri: median $22,170 across 42 hospitalsMO$22,170Kentucky: median $48,596 across 24 hospitalsKY$48,596West Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $24,750 across 41 hospitalsVA$24,750Maryland: 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 $27,296 across 30 hospitalsAZ$27,296New Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $25,830 across 15 hospitalsKS$25,830Arkansas: median $11,302 across 14 hospitalsAR$11,302Tennessee: median $11,220 across 36 hospitalsTN$11,220North Carolina: median $18,758 across 46 hospitalsNC$18,758South Carolina: median $35,567 across 34 hospitalsSC$35,567Oklahoma: median $14,207 across 30 hospitalsOK$14,207Louisiana: median $23,902 across 34 hospitalsLA$23,902Mississippi: median $21,608 across 23 hospitalsMS$21,608Alabama: median $36,453 across 26 hospitalsAL$36,453Georgia: median $19,910 across 66 hospitalsGA$19,910Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $36,435 across 150 hospitalsTX$36,435Florida: median $34,176 across 91 hospitalsFL$34,176
Cash price by state, most expensive first. National median $26,424. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT16$57,277+117%$28,541 – $57,277
Kentucky KY24$48,596+84%$15,342 – $88,121
Oregon OR23$36,760+39%$30,299 – $64,550
Alabama AL26$36,453+38%$24,296 – $81,856
Texas TX150$36,435+38%$21,395 – $64,073
South Carolina SC34$35,567+35%$23,475 – $48,220
California CA128$35,563+35%$24,153 – $60,710
Florida FL91$34,176+29%$20,298 – $81,789
Illinois IL67$30,337+15%$16,139 – $48,484
Massachusetts MA31$29,358+11%$12,148 – $58,473
Pennsylvania PA78$28,328+7%$18,508 – $51,822
New York NY62$27,766+5%$20,833 – $125,437
Arizona AZ30$27,296+3%$8,674 – $45,364
Connecticut CT13$26,258−1%$10,020 – $36,796
Kansas KS15$25,830−2%$7,563 – $32,148
Minnesota MN40$25,703−3%$12,794 – $30,375
New Jersey NJ42$24,845−6%$5,741 – $29,951
Virginia VA41$24,750−6%$17,661 – $40,872
Louisiana LA34$23,902−10%$14,192 – $50,506
Michigan MI52$23,508−11%$19,374 – $57,441
Iowa IA17$23,384−12%$12,940 – $44,097
Missouri MO42$22,170−16%$11,759 – $31,914
Mississippi MS23$21,608−18%$11,357 – $28,687
Ohio OH96$21,320−19%$14,312 – $33,950
Colorado CO33$21,204−20%$16,511 – $43,920
Idaho ID12$19,930−25%$18,599 – $24,500
Georgia GA66$19,910−25%$7,773 – $40,182
Washington WA37$19,381−27%$12,100 – $40,678
North Carolina NC46$18,758−29%$5,039 – $23,353
Indiana IN41$17,527−34%$4,269 – $38,123
Oklahoma OK30$14,207−46%$3,965 – $31,664
Wisconsin WI48$13,238−50%$2,317 – $33,262
Nebraska NE14$12,940−51%$12,781 – $29,717
Arkansas AR14$11,302−57%$7,066 – $22,940
Tennessee TN36$11,220−58%$9,270 – $17,495
New Hampshire NH10$5,472−79%$1,206 – $11,177
Nevada NV9not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
West Virginia WV7not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Montana MT5not 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
Maine ME3not enough hospitals filed a usable price
Wyoming WY2not 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 $26,424.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,492$26,808$12,818 – $48,559
Children’s32$24,712$12,148 – $44,021
Critical access103$19,930$2,317 – $37,502
Ownership
For-profit201$36,435$19,910 – $74,114
Government184$24,521$9,270 – $42,574
Non-profit1,242$25,900$12,082 – $48,220
System affiliation
Part of a system1,441$26,239$12,082 – $48,474
Independent194$30,390$14,085 – $54,750

Cash price vs list price

Median list price (chargemaster)$46,004
Median cash price$26,424
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

1,228 hospitals filed a usable inpatient cash price for this code. The median is $25,963 and the average of the middle 60% is $27,024; most fall between $12,794 and $46,872.

Cash price percentiles, inpatient, across 1,228 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
$7,893$15,020$25,963$41,200$63,225

The most expensive tenth of hospitals charges at least 8.0× what the cheapest tenth charges ($7,893 vs $63,225).

Of the 1,402 hospitals that filed this code inpatient, 1,228 gave a usable cash price; 121 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 52 a list price only.

How complete is this

1,635 of the 3,956 hospitals with a price file in our corpus (41%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,883 hospitals that filed this code at all gave us
Usable cash price — counted1,635
Cash price carrying a plausibility flag — shown on the compare tool, excluded here185
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 code1,883

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 Impltbl Dfb Plse Gen W/Repl Plse Gen 1 Lead.

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, “Replacement of defibrillator generator, single-lead (CPT 33262) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33262-replacement-of-defibrillator-generator-single-lead