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Procedure price report · Other OR heart procedures

Closure of the left atrial appendage through a chest scope

CPT 33269the billing code this page is about

Sealing off the small pouch on the heart's left upper chamber through small chest incisions using a scope, by any technique such as stapling, clipping or stitching.

Hospitals typically charge $2,050 cash for this outpatient procedure — the median across 170 hospitals that filed a usable cash price; the average of the middle 60% is $3,144. Most fall between $1,214 and $6,730 (20th–80th percentile).

Hospitals
170
States
30
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 170 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
$796$1,232$2,050$6,730$17,688

The most expensive tenth of hospitals charges at least 22× what the cheapest tenth charges ($796 vs $17,688).

How the prices are spread

$416 – $633: 6 hospitals$416$633 – $964: 8 hospitals$964 – $1,468: 27 hospitals$964$1,468 – $2,236: 44 hospitals$2,236 – $3,405: 7 hospitals$2,236$3,405 – $5,185: 16 hospitals$5,185 – $7,896: 28 hospitals$5,185$7,896 – $12,025: 5 hospitals$12,025 – $18,313: 4 hospitals$12,025$18,313 – $27,888: 9 hospitals$18,313median $2,050price bands are equal on a log scale
Hospitals per price band (154 of 170 — the bands cover the 5th to 95th percentile)
FromToHospitals
$416$6336
$633$9648
$964$1,46827
$1,468$2,23644
$2,236$3,4057
$3,405$5,18516
$5,185$7,89628
$7,896$12,0255
$12,025$18,3134
$18,313$27,8889

By state

The median cash price in each state, against the national median of $2,050.

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: 3 hospitals 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: 8 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: median $6,730 across 12 hospitalsWI$6,730Michigan: median $1,434 across 10 hospitalsMI$1,434New York: median $1,519 across 10 hospitalsNY$1,519Massachusetts: 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 $2,050 across 15 hospitalsIA$2,050Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $26,161 across 18 hospitalsOH$26,161Pennsylvania: median $530 across 15 hospitalsPA$530New Jersey: median $5,110 across 13 hospitalsNJ$5,110Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 4 hospitals filed a usable price — fewer than 10, so no figureCAUtah: 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: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 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: no hospital in the corpus filed a usable priceAZNew 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 $1,569 across 10 hospitalsOK$1,569Louisiana: 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: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: 2 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,050. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH18$26,161+1176%$3,721 – $27,888
Wisconsin WI12$6,730+228%$6,730 – $6,730
New Jersey NJ13$5,110+149%$3,986 – $5,855
Iowa IA15$2,0500%$2,050 – $2,050
Oklahoma OK10$1,569−23%$1,569 – $1,569
New York NY10$1,519−26%$980 – $1,519
Michigan MI10$1,434−30%$1,198 – $6,730
Pennsylvania PA15$530−74%$117 – $6,426
Florida FL8not enough hospitals filed a usable price
Illinois IL8not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
California CA4not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Washington WA3not 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
Kansas KS1not enough hospitals filed a usable price
Minnesota MN1not enough hospitals filed a usable price
North Carolina NC1not 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 $2,050.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care146$2,050$1,198 – $6,730
Children’s4fewer than 20 hospitals
Critical access18fewer than 20 hospitals
Ownership
For-profit11fewer than 20 hospitals
Government12fewer than 20 hospitals
Non-profit145$2,050$1,214 – $6,730
System affiliation
Part of a system152$2,050$1,214 – $6,730
Independent18fewer than 20 hospitals

Cash price vs list price

Median list price (chargemaster)$2,784
Median cash price$2,050
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

140 hospitals filed a usable inpatient cash price for this code. The median is $2,050 and the average of the middle 60% is $2,841; most fall between $1,214 and $6,730.

Cash price percentiles, inpatient, across 140 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
$796$1,249$2,050$6,730$19,149

The most expensive tenth of hospitals charges at least 24× what the cheapest tenth charges ($796 vs $19,149).

Of the 155 hospitals that filed this code inpatient, 140 gave a usable cash price; 6 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 9 a list price only.

How complete is this

170 of the 3,956 hospitals with a price file in our corpus (4%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 200 hospitals that filed this code at all gave us
Usable cash price — counted170
Cash price carrying a plausibility flag — shown on the compare tool, excluded here10
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 code200

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 L Atr Appendage Thoracoscopic Any Meth.

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 the left atrial appendage through a chest scope (CPT 33269) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33269-closure-of-the-left-atrial-appendage-through-a-chest-scope