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Procedure price report · Other OR heart procedures

Closure of left atrial appendage during open heart surgery

CPT 33268the billing code this page is about

Surgical sealing off of the small pouch on the left upper heart chamber, by any method, performed as an add-on while the chest is already open for another heart operation.

Hospitals typically charge $293 cash for this outpatient procedure — the median across 253 hospitals that filed a usable cash price; the average of the middle 60% is $376. Most fall between $185 and $937 (20th–80th percentile).

Hospitals
253
States
39
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 253 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
$138$199$293$714$4,350

The most expensive tenth of hospitals charges at least 32× what the cheapest tenth charges ($138 vs $4,350).

How the prices are spread

$79 – $121: 7 hospitals$79$121 – $185: 32 hospitals$185 – $283: 70 hospitals$185$283 – $434: 39 hospitals$434 – $664: 28 hospitals$434$664 – $1,017: 15 hospitals$1,017 – $1,557: 18 hospitals$1,017$1,557 – $2,383: 3 hospitals$2,383 – $3,649: 1 hospitals$2,383$3,649 – $5,586: 16 hospitals$3,649median $293price bands are equal on a log scale
Hospitals per price band (229 of 253 — the bands cover the 5th to 95th percentile)
FromToHospitals
$79$1217
$121$18532
$185$28370
$283$43439
$434$66428
$664$1,01715
$1,017$1,55718
$1,557$2,3833
$2,383$3,6491
$3,649$5,58616

By state

The median cash price in each state, against the national median of $293.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $188 across 10 hospitalsIL$188Wisconsin: median $726 across 24 hospitalsWI$726Michigan: median $180 across 25 hospitalsMI$180New York: median $254 across 12 hospitalsNY$254Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $231 across 10 hospitalsOR$231Nevada: 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 $324 across 15 hospitalsIA$324Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: 8 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $82 across 17 hospitalsPA$82New Jersey: median $4,881 across 14 hospitalsNJ$4,881Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $278 across 38 hospitalsCA$278Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals 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: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 1 hospital filed a usable price — fewer than 10, so no figureTNNorth 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 $271 across 10 hospitalsOK$271Louisiana: no hospital in the corpus filed a usable priceLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 5 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: 2 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 $293. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ14$4,881+1569%$3,786 – $5,855
Wisconsin WI24$726+148%$714 – $1,133
Iowa IA15$324+11%$324 – $324
California CA38$278−5%$278 – $577
Oklahoma OK10$271−7%$271 – $271
New York NY12$254−13%$152 – $342
Oregon OR10$231−21%$231 – $302
Illinois IL10$188−36%$188 – $237
Michigan MI25$180−39%$138 – $241
Pennsylvania PA17$82−72%$61 – $6,226
Florida FL9not enough hospitals filed a usable price
Ohio OH8not enough hospitals filed a usable price
Georgia GA5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Arkansas AR2not 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
Texas TX2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Tennessee TN1not enough hospitals filed a usable price
Vermont VT1not enough hospitals filed a usable price
Washington WA1not 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 $293.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care216$278$182 – $726
Children’s5fewer than 20 hospitals
Critical access32$714$188 – $1,133
Ownership
For-profit12fewer than 20 hospitals
Government14fewer than 20 hospitals
Non-profit227$302$184 – $1,133
System affiliation
Part of a system228$302$188 – $1,133
Independent25$242$133 – $601

Cash price vs list price

Median list price (chargemaster)$428
Median cash price$293
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

190 hospitals filed a usable inpatient cash price for this code. The median is $278 and the average of the middle 60% is $313; most fall between $188 and $577.

Cash price percentiles, inpatient, across 190 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
$133$213$278$577$1,200

The most expensive tenth of hospitals charges at least 9.0× what the cheapest tenth charges ($133 vs $1,200).

Of the 212 hospitals that filed this code inpatient, 190 gave a usable cash price; 11 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 11 a list price only.

How complete is this

253 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 290 hospitals that filed this code at all gave us
Usable cash price — counted253
Cash price carrying a plausibility flag — shown on the compare tool, excluded here17
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 — excluded19
Hospitals that filed this code290

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 Laa Open Tm Strnt/Thrcm 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, “Closure of left atrial appendage during open heart surgery (CPT 33268) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33268-closure-of-left-atrial-appendage-during-open-heart-surgery