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

Replacement of defibrillator generator, multiple leads

CPT 33264the 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 three or more lead wires; the existing leads stay in place.

Hospitals typically charge $33,490 cash for this outpatient procedure — the median across 1,649 hospitals that filed a usable cash price; the average of the middle 60% is $33,725. Most fall between $14,378 and $59,400 (20th–80th percentile).

Hospitals
1,649
States
50
Filings dated
Feb 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 1,649 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
$8,773$18,000$33,490$52,483$84,565

The most expensive tenth of hospitals charges at least 9.6× what the cheapest tenth charges ($8,773 vs $84,565).

How the prices are spread

$4,487 – $6,176: 39 hospitals$4,487$6,176 – $8,502: 38 hospitals$8,502 – $11,704: 76 hospitals$8,502$11,704 – $16,111: 133 hospitals$16,111 – $22,178: 158 hospitals$16,111$22,178 – $30,529: 221 hospitals$30,529 – $42,026: 340 hospitals$30,529$42,026 – $57,851: 212 hospitals$57,851 – $79,636: 145 hospitals$57,851$79,636 – $109,625: 123 hospitals$79,636median $33,490price bands are equal on a log scale
Hospitals per price band (1,485 of 1,649 — the bands cover the 5th to 95th percentile)
FromToHospitals
$4,487$6,17639
$6,176$8,50238
$8,502$11,70476
$11,704$16,111133
$16,111$22,178158
$22,178$30,529221
$30,529$42,026340
$42,026$57,851212
$57,851$79,636145
$79,636$109,625123

Against Medicare

Medicare pays (OPPS 2026, national rate)$32,069
Median cash price$33,490
Cash as a multiple of Medicare1.04×

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 $33,490.

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: 3 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 36 hospitalsWA$26,037Idaho: median $26,474 across 12 hospitalsID$26,474Montana: 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 $36,009 across 34 hospitalsMN$36,009Illinois: median $31,125 across 69 hospitalsIL$31,125Wisconsin: median $15,438 across 47 hospitalsWI$15,438Michigan: median $33,491 across 53 hospitalsMI$33,491New York: median $39,182 across 62 hospitalsNY$39,182Massachusetts: median $22,657 across 27 hospitalsMA$22,657Oregon: median $52,776 across 25 hospitalsOR$52,776Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 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 $38,490 across 19 hospitalsIA$38,490Indiana: median $14,634 across 42 hospitalsIN$14,634Ohio: median $28,690 across 94 hospitalsOH$28,690Pennsylvania: median $37,000 across 78 hospitalsPA$37,000New Jersey: median $35,518 across 45 hospitalsNJ$35,518Connecticut: median $36,796 across 15 hospitalsCT$36,796Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $40,173 across 129 hospitalsCA$40,173Utah: median $85,529 across 16 hospitalsUT$85,529Colorado: median $33,987 across 33 hospitalsCO$33,987Nebraska: median $28,345 across 15 hospitalsNE$28,345Missouri: median $18,627 across 46 hospitalsMO$18,627Kentucky: median $55,699 across 26 hospitalsKY$55,699West Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $31,350 across 42 hospitalsVA$31,350Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $33,137 across 30 hospitalsAZ$33,137New Mexico: 9 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $29,571 across 20 hospitalsKS$29,571Arkansas: median $16,099 across 15 hospitalsAR$16,099Tennessee: median $13,868 across 37 hospitalsTN$13,868North Carolina: median $18,758 across 45 hospitalsNC$18,758South Carolina: median $68,115 across 34 hospitalsSC$68,115Oklahoma: median $16,309 across 32 hospitalsOK$16,309Louisiana: median $26,870 across 35 hospitalsLA$26,870Mississippi: median $25,980 across 22 hospitalsMS$25,980Alabama: median $38,037 across 27 hospitalsAL$38,037Georgia: median $25,278 across 67 hospitalsGA$25,278Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $41,564 across 147 hospitalsTX$41,564Florida: median $40,789 across 88 hospitalsFL$40,789
Cash price by state, most expensive first. National median $33,490. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT16$85,529+155%$52,259 – $85,529
South Carolina SC34$68,115+103%$35,567 – $81,490
Kentucky KY26$55,699+66%$15,582 – $89,496
Oregon OR25$52,776+58%$31,863 – $62,486
Texas TX147$41,564+24%$25,984 – $64,073
Florida FL88$40,789+22%$25,844 – $82,457
California CA129$40,173+20%$29,633 – $76,462
New York NY62$39,182+17%$26,452 – $125,437
Iowa IA19$38,490+15%$15,654 – $64,940
Alabama AL27$38,037+14%$25,360 – $70,080
Pennsylvania PA78$37,000+10%$21,337 – $64,808
Connecticut CT15$36,796+10%$12,672 – $36,911
Minnesota MN34$36,009+8%$14,267 – $46,432
New Jersey NJ45$35,518+6%$5,741 – $43,752
Colorado CO33$33,987+1%$20,451 – $54,455
Michigan MI53$33,4910%$26,448 – $66,829
Arizona AZ30$33,137−1%$10,002 – $50,771
Virginia VA42$31,350−6%$20,540 – $51,098
Illinois IL69$31,125−7%$13,867 – $61,657
Kansas KS20$29,571−12%$12,583 – $70,691
Ohio OH94$28,690−14%$14,272 – $37,686
Nebraska NE15$28,345−15%$16,518 – $33,985
Louisiana LA35$26,870−20%$13,860 – $65,484
Idaho ID12$26,474−21%$18,599 – $26,474
Washington WA36$26,037−22%$12,601 – $51,754
Mississippi MS22$25,980−22%$17,328 – $37,456
Georgia GA67$25,278−25%$16,328 – $59,311
Massachusetts MA27$22,657−32%$9,767 – $41,444
North Carolina NC45$18,758−44%$5,448 – $28,261
Missouri MO46$18,627−44%$13,867 – $34,798
Oklahoma OK32$16,309−51%$6,491 – $39,886
Arkansas AR15$16,099−52%$9,811 – $20,586
Wisconsin WI47$15,438−54%$2,499 – $39,325
Indiana IN42$14,634−56%$4,073 – $55,004
Tennessee TN37$13,868−59%$9,508 – $26,931
New Mexico NM9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
New Hampshire NH7not 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
Maryland MD4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Wyoming WY3not 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 $33,490.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,508$33,985$15,475 – $60,695
Children’s30$26,289$9,745 – $52,364
Critical access103$26,474$3,400 – $52,776
Ownership
For-profit215$40,173$23,458 – $84,302
Government187$32,335$13,868 – $51,917
Non-profit1,239$32,534$13,867 – $58,355
System affiliation
Part of a system1,451$33,467$14,267 – $59,147
Independent198$35,430$16,295 – $66,656

Cash price vs list price

Median list price (chargemaster)$54,493
Median cash price$33,490
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

1,218 hospitals filed a usable inpatient cash price for this code. The median is $33,467 and the average of the middle 60% is $33,310; most fall between $15,030 and $59,126.

Cash price percentiles, inpatient, across 1,218 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
$9,821$18,510$33,467$51,754$81,490

The most expensive tenth of hospitals charges at least 8.3× what the cheapest tenth charges ($9,821 vs $81,490).

Of the 1,411 hospitals that filed this code inpatient, 1,218 gave a usable cash price; 136 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 56 a list price only.

How complete is this

1,649 of the 3,956 hospitals with a price file in our corpus (42%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,922 hospitals that filed this code at all gave us
Usable cash price — counted1,649
Cash price carrying a plausibility flag — shown on the compare tool, excluded here202
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 — excluded65
Hospitals that filed this code1,922

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 Pls Gen W/Rplcmt Pls Gen Mlt 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, multiple leads (CPT 33264) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33264-replacement-of-defibrillator-generator-multiple-leads