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Procedure price report · Other OR heart procedures

Open closure of the left atrial appendage

CPT 33267the billing code this page is about

Open chest surgery to seal off the small pouch on the heart's left upper chamber, by any technique such as stapling, clipping, stitching or removal.

Hospitals typically charge $2,592 cash for this outpatient procedure — the median across 193 hospitals that filed a usable cash price; the average of the middle 60% is $2,977. Most fall between $1,503 and $5,339 (20th–80th percentile).

Hospitals
193
States
31
Filings dated
Sep 2025 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 193 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
$933$1,697$2,592$5,315$8,500

The most expensive tenth of hospitals charges at least 9.1× what the cheapest tenth charges ($933 vs $8,500).

How the prices are spread

$138 – $228: 11 hospitals$138$228 – $377: 1 hospitals$377 – $623: 3 hospitals$377$623 – $1,030: 6 hospitals$1,030 – $1,703: 28 hospitals$1,030$1,703 – $2,815: 64 hospitals$2,815 – $4,654: 15 hospitals$2,815$4,654 – $7,693: 45 hospitals$7,693 – $12,716: 6 hospitals$7,693$12,716 – $21,020: 10 hospitals$12,716median $2,592price bands are equal on a log scale
Hospitals per price band (189 of 193 — the bands cover the 5th to 95th percentile)
FromToHospitals
$138$22811
$228$3771
$377$6233
$623$1,0306
$1,030$1,70328
$1,703$2,81564
$2,815$4,65415
$4,654$7,69345
$7,693$12,7166
$12,716$21,02010

By state

The median cash price in each state, against the national median of $2,592.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 1 hospital filed a usable price — fewer than 10, so no figureMNIllinois: 6 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: median $5,315 across 12 hospitalsWI$5,315Michigan: median $1,750 across 33 hospitalsMI$1,750New York: 6 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $2,592 across 14 hospitalsIA$2,592Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: 5 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: 8 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: median $5,419 across 15 hospitalsNJ$5,419Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $2,279 across 22 hospitalsCA$2,279Utah: no hospital in the corpus filed a usable priceUTColorado: no hospital in the corpus filed a usable priceCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: 5 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: no hospital in the corpus filed a usable priceTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,987 across 14 hospitalsOK$1,987Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: 6 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,592. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ15$5,419+109%$4,350 – $6,689
Wisconsin WI12$5,315+105%$5,315 – $5,315
Iowa IA14$2,5920%$2,592 – $2,592
California CA22$2,279−12%$2,279 – $2,279
Oklahoma OK14$1,987−23%$1,987 – $3,490
Michigan MI33$1,750−32%$138 – $21,020
Florida FL9not enough hospitals filed a usable price
Pennsylvania PA8not enough hospitals filed a usable price
Illinois IL6not enough hospitals filed a usable price
New York NY6not enough hospitals filed a usable price
Texas TX6not enough hospitals filed a usable price
Ohio OH5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
South Carolina SC2not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Minnesota MN1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
Washington WA1not enough hospitals filed a usable price
West Virginia WV1not enough hospitals filed a usable price
Wyoming WY1not 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 $2,592.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care167$2,279$1,503 – $5,660
Children’s4fewer than 20 hospitals
Critical access22$5,315$1,503 – $5,315
Ownership
For-profit11fewer than 20 hospitals
Government10fewer than 20 hospitals
Non-profit172$2,592$1,503 – $5,741
System affiliation
Part of a system176$2,592$1,503 – $5,339
Independent17fewer than 20 hospitals

Cash price vs list price

Median list price (chargemaster)$3,494
Median cash price$2,592
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

155 hospitals filed a usable inpatient cash price for this code. The median is $2,279 and the average of the middle 60% is $2,852; most fall between $1,598 and $5,315.

Cash price percentiles, inpatient, across 155 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
$1,474$1,750$2,279$5,315$11,538

The most expensive tenth of hospitals charges at least 7.8× what the cheapest tenth charges ($1,474 vs $11,538).

Of the 181 hospitals that filed this code inpatient, 155 gave a usable cash price; 20 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 6 a list price only.

How complete is this

193 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 234 hospitals that filed this code at all gave us
Usable cash price — counted193
Cash price carrying a plausibility flag — shown on the compare tool, excluded here23
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded17
Hospitals that filed this code234

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other OR heart procedures family.

Hospitals file this code under descriptions such as Exclusion Left Atrial Appendage Open Any Method.

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, “Open closure of the left atrial appendage (CPT 33267) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33267-open-closure-of-the-left-atrial-appendage