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

Replacement of defibrillator generator, dual-lead

CPT 33263the 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 two lead wires; the existing leads stay in place.

Hospitals typically charge $27,073 cash for this outpatient procedure — the median across 1,641 hospitals that filed a usable cash price; the average of the middle 60% is $28,936. Most fall between $12,819 and $52,651 (20th–80th percentile).

Hospitals
1,641
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 1,641 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
$8,194$16,100$27,073$45,763$74,990

The most expensive tenth of hospitals charges at least 9.2× what the cheapest tenth charges ($8,194 vs $74,990).

How the prices are spread

$4,350 – $5,924: 35 hospitals$4,350$5,924 – $8,067: 46 hospitals$8,067 – $10,986: 95 hospitals$8,067$10,986 – $14,961: 123 hospitals$14,961 – $20,373: 164 hospitals$14,961$20,373 – $27,744: 301 hospitals$27,744 – $37,783: 266 hospitals$27,744$37,783 – $51,452: 187 hospitals$51,452 – $70,068: 150 hospitals$51,452$70,068 – $95,419: 110 hospitals$70,068median $27,073price bands are equal on a log scale
Hospitals per price band (1,477 of 1,641 — the bands cover the 5th to 95th percentile)
FromToHospitals
$4,350$5,92435
$5,924$8,06746
$8,067$10,98695
$10,986$14,961123
$14,961$20,373164
$20,373$27,744301
$27,744$37,783266
$37,783$51,452187
$51,452$70,068150
$70,068$95,419110

Against Medicare

Medicare pays (OPPS 2026, national rate)$22,725
Median cash price$27,073
Cash as a multiple of Medicare1.19×

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 $27,073.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 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 $19,381 across 38 hospitalsWA$19,381Idaho: median $19,930 across 12 hospitalsID$19,930Montana: 6 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 $25,963 across 34 hospitalsMN$25,963Illinois: median $31,820 across 69 hospitalsIL$31,820Wisconsin: median $13,907 across 47 hospitalsWI$13,907Michigan: median $28,468 across 54 hospitalsMI$28,468New York: median $27,766 across 60 hospitalsNY$27,766Massachusetts: median $29,434 across 31 hospitalsMA$29,434Oregon: median $42,116 across 25 hospitalsOR$42,116Nevada: 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: 8 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $30,668 across 18 hospitalsIA$30,668Indiana: median $15,329 across 42 hospitalsIN$15,329Ohio: median $22,198 across 83 hospitalsOH$22,198Pennsylvania: median $29,107 across 81 hospitalsPA$29,107New Jersey: median $24,845 across 42 hospitalsNJ$24,845Connecticut: median $27,763 across 13 hospitalsCT$27,763Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $36,159 across 134 hospitalsCA$36,159Utah: median $60,229 across 16 hospitalsUT$60,229Colorado: median $27,261 across 33 hospitalsCO$27,261Nebraska: median $22,183 across 14 hospitalsNE$22,183Missouri: median $19,197 across 42 hospitalsMO$19,197Kentucky: median $60,098 across 25 hospitalsKY$60,098West Virginia: median $7,896 across 10 hospitalsWV$7,896Virginia: median $28,980 across 40 hospitalsVA$28,980Maryland: 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 $26,206 across 29 hospitalsAZ$26,206New Mexico: 8 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $27,752 across 20 hospitalsKS$27,752Arkansas: median $15,391 across 16 hospitalsAR$15,391Tennessee: median $12,082 across 36 hospitalsTN$12,082North Carolina: median $18,758 across 48 hospitalsNC$18,758South Carolina: median $39,654 across 35 hospitalsSC$39,654Oklahoma: median $16,338 across 31 hospitalsOK$16,338Louisiana: median $23,355 across 36 hospitalsLA$23,355Mississippi: median $21,608 across 26 hospitalsMS$21,608Alabama: median $33,985 across 23 hospitalsAL$33,985Georgia: median $19,965 across 66 hospitalsGA$19,965Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $36,435 across 144 hospitalsTX$36,435Florida: median $33,571 across 91 hospitalsFL$33,571
Cash price by state, most expensive first. National median $27,073. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT16$60,229+122%$47,134 – $60,229
Kentucky KY25$60,098+122%$15,298 – $88,681
Oregon OR25$42,116+56%$23,248 – $62,486
South Carolina SC35$39,654+46%$27,073 – $73,704
Texas TX144$36,435+35%$21,395 – $53,512
California CA134$36,159+34%$25,098 – $74,990
Alabama AL23$33,985+26%$23,523 – $121,696
Florida FL91$33,571+24%$21,109 – $59,308
Illinois IL69$31,820+18%$12,735 – $54,762
Iowa IA18$30,668+13%$15,362 – $46,626
Massachusetts MA31$29,434+9%$12,649 – $58,473
Pennsylvania PA81$29,107+8%$18,648 – $51,008
Virginia VA40$28,980+7%$17,661 – $49,528
Michigan MI54$28,468+5%$20,630 – $57,421
New York NY60$27,766+3%$20,833 – $125,437
Connecticut CT13$27,763+3%$10,020 – $36,796
Kansas KS20$27,752+3%$13,260 – $46,797
Colorado CO33$27,261+1%$16,511 – $51,637
Arizona AZ29$26,206−3%$9,602 – $47,431
Minnesota MN34$25,963−4%$14,267 – $30,931
New Jersey NJ42$24,845−8%$5,741 – $29,951
Louisiana LA36$23,355−14%$14,514 – $50,506
Ohio OH83$22,198−18%$14,110 – $28,938
Nebraska NE14$22,183−18%$19,874 – $33,412
Mississippi MS26$21,608−20%$11,357 – $27,451
Georgia GA66$19,965−26%$12,079 – $40,182
Idaho ID12$19,930−26%$18,599 – $24,500
Washington WA38$19,381−28%$11,206 – $47,996
Missouri MO42$19,197−29%$13,310 – $30,278
North Carolina NC48$18,758−31%$5,236 – $21,942
Oklahoma OK31$16,338−40%$6,491 – $31,664
Arkansas AR16$15,391−43%$11,302 – $30,727
Indiana IN42$15,329−43%$3,812 – $38,656
Wisconsin WI47$13,907−49%$2,408 – $33,262
Tennessee TN36$12,082−55%$9,490 – $15,821
West Virginia WV10$7,896−71%$6,703 – $9,157
Nevada NV9not enough hospitals filed a usable price
New Mexico NM8not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Delaware DE7not enough hospitals filed a usable price
Hawaii HI7not 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
Maryland MD4not 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
Maine ME2not 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 $27,073.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,499$27,232$13,310 – $53,393
Children’s33$27,527$19,381 – $52,119
Critical access101$20,630$3,535 – $38,790
Ownership
For-profit215$33,784$19,541 – $73,993
Government185$26,239$10,231 – $43,882
Non-profit1,233$26,765$12,601 – $51,822
System affiliation
Part of a system1,443$26,775$12,768 – $51,831
Independent198$29,849$14,648 – $56,689

Cash price vs list price

Median list price (chargemaster)$47,431
Median cash price$27,073
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

1,220 hospitals filed a usable inpatient cash price for this code. The median is $27,527 and the average of the middle 60% is $29,329; most fall between $13,463 and $52,651.

Cash price percentiles, inpatient, across 1,220 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
$8,949$16,161$27,527$46,367$74,048

The most expensive tenth of hospitals charges at least 8.3× what the cheapest tenth charges ($8,949 vs $74,048).

Of the 1,404 hospitals that filed this code inpatient, 1,220 gave a usable cash price; 131 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

1,641 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 1,908 hospitals that filed this code at all gave us
Usable cash price — counted1,641
Cash price carrying a plausibility flag — shown on the compare tool, excluded here200
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded62
Hospitals that filed this code1,908

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/Rplcmt Plse Gen 2 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, “Replacement of defibrillator generator, dual-lead (CPT 33263) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33263-replacement-of-defibrillator-generator-dual-lead