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

Under-skin defibrillator implant or replacement

CPT 33270the billing code this page is about

Placement or replacement of a permanent defibrillator whose generator and electrode sit under the skin outside the chest, with no wire inside the heart, including testing of the system.

Hospitals typically charge $35,009 cash for this outpatient procedure — the median across 1,423 hospitals that filed a usable cash price; the average of the middle 60% is $36,585. Most fall between $15,726 and $65,328 (20th–80th percentile).

Hospitals
1,423
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 1,423 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
$9,144$20,718$35,009$57,112$89,252

The most expensive tenth of hospitals charges at least 9.8× what the cheapest tenth charges ($9,144 vs $89,252).

How the prices are spread

$5,277 – $7,176: 34 hospitals$5,277$7,176 – $9,759: 47 hospitals$9,759 – $13,271: 77 hospitals$9,759$13,271 – $18,048: 93 hospitals$18,048 – $24,544: 107 hospitals$18,048$24,544 – $33,378: 221 hospitals$33,378 – $45,391: 295 hospitals$33,378$45,391 – $61,728: 172 hospitals$61,728 – $83,945: 141 hospitals$61,728$83,945 – $114,158: 94 hospitals$83,945median $35,009price bands are equal on a log scale
Hospitals per price band (1,281 of 1,423 — the bands cover the 5th to 95th percentile)
FromToHospitals
$5,277$7,17634
$7,176$9,75947
$9,759$13,27177
$13,271$18,04893
$18,048$24,544107
$24,544$33,378221
$33,378$45,391295
$45,391$61,728172
$61,728$83,945141
$83,945$114,15894

Against Medicare

Medicare pays (OPPS 2026, national rate)$32,069
Median cash price$35,009
Cash as a multiple of Medicare1.09×

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 $35,009.

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: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $22,531 across 34 hospitalsWA$22,531Idaho: median $26,474 across 11 hospitalsID$26,474Montana: 3 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 $34,160 across 32 hospitalsMN$34,160Illinois: median $39,785 across 59 hospitalsIL$39,785Wisconsin: median $20,744 across 47 hospitalsWI$20,744Michigan: median $51,010 across 50 hospitalsMI$51,010New York: median $37,940 across 47 hospitalsNY$37,940Massachusetts: median $45,338 across 26 hospitalsMA$45,338Oregon: median $43,080 across 21 hospitalsOR$43,080Nevada: 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: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $34,303 across 15 hospitalsIA$34,303Indiana: median $26,195 across 34 hospitalsIN$26,195Ohio: median $33,920 across 75 hospitalsOH$33,920Pennsylvania: median $37,085 across 76 hospitalsPA$37,085New Jersey: median $35,488 across 42 hospitalsNJ$35,488Connecticut: median $36,911 across 14 hospitalsCT$36,911Rhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $44,303 across 113 hospitalsCA$44,303Utah: median $73,510 across 15 hospitalsUT$73,510Colorado: median $48,821 across 28 hospitalsCO$48,821Nebraska: median $10,584 across 10 hospitalsNE$10,584Missouri: median $28,016 across 29 hospitalsMO$28,016Kentucky: median $89,252 across 21 hospitalsKY$89,252West Virginia: median $10,482 across 19 hospitalsWV$10,482Virginia: median $55,228 across 37 hospitalsVA$55,228Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $33,137 across 27 hospitalsAZ$33,137New Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $51,049 across 13 hospitalsKS$51,049Arkansas: median $28,462 across 10 hospitalsAR$28,462Tennessee: median $14,695 across 30 hospitalsTN$14,695North Carolina: median $18,561 across 33 hospitalsNC$18,561South Carolina: median $34,853 across 30 hospitalsSC$34,853Oklahoma: median $9,144 across 24 hospitalsOK$9,144Louisiana: median $36,073 across 31 hospitalsLA$36,073Mississippi: median $25,980 across 15 hospitalsMS$25,980Alabama: median $42,228 across 22 hospitalsAL$42,228Georgia: median $28,895 across 59 hospitalsGA$28,895Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $43,760 across 144 hospitalsTX$43,760Florida: median $49,478 across 78 hospitalsFL$49,478
Cash price by state, most expensive first. National median $35,009. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Kentucky KY21$89,252+155%$26,038 – $89,252
Utah UT15$73,510+110%$21,119 – $73,510
Virginia VA37$55,228+58%$35,655 – $65,328
Kansas KS13$51,049+46%$21,957 – $72,927
Michigan MI50$51,010+46%$29,387 – $84,791
Florida FL78$49,478+41%$29,780 – $82,457
Colorado CO28$48,821+39%$26,335 – $75,126
Massachusetts MA26$45,338+30%$14,475 – $94,128
California CA113$44,303+27%$34,579 – $80,231
Texas TX144$43,760+25%$22,983 – $114,330
Oregon OR21$43,080+23%$31,854 – $90,739
Alabama AL22$42,228+21%$29,619 – $109,736
Illinois IL59$39,785+14%$20,497 – $74,400
New York NY47$37,940+8%$20,803 – $67,325
Pennsylvania PA76$37,085+6%$18,844 – $59,696
Connecticut CT14$36,911+5%$11,865 – $59,087
Louisiana LA31$36,073+3%$16,509 – $61,981
New Jersey NJ42$35,488+1%$5,623 – $42,782
South Carolina SC30$34,8530%$33,032 – $60,248
Iowa IA15$34,303−2%$16,100 – $46,329
Minnesota MN32$34,160−2%$22,583 – $36,610
Ohio OH75$33,920−3%$15,726 – $42,768
Arizona AZ27$33,137−5%$5,277 – $40,715
Georgia GA59$28,895−17%$16,587 – $59,194
Arkansas AR10$28,462−19%$10,457 – $35,677
Missouri MO29$28,016−20%$21,957 – $38,098
Idaho ID11$26,474−24%$26,474 – $48,000
Indiana IN34$26,195−25%$3,598 – $33,775
Mississippi MS15$25,980−26%$11,331 – $25,980
Washington WA34$22,531−36%$7,787 – $41,302
Wisconsin WI47$20,744−41%$3,713 – $38,536
North Carolina NC33$18,561−47%$17,855 – $44,566
Tennessee TN30$14,695−58%$11,340 – $18,160
Nebraska NE10$10,584−70%$6,565 – $24,298
West Virginia WV19$10,482−70%$9,020 – $11,647
Oklahoma OK24$9,144−74%$7,428 – $34,580
Nevada NV9not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Vermont VT1not 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 $35,009.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,294$35,447$16,587 – $65,811
Children’s28$48,031$25,770 – $72,994
Critical access96$27,079$4,746 – $43,760
Ownership
For-profit161$47,747$26,474 – $116,980
Government158$34,496$14,630 – $67,012
Non-profit1,099$34,519$15,129 – $60,415
System affiliation
Part of a system1,270$34,929$15,613 – $64,739
Independent153$38,408$19,705 – $74,366

Cash price vs list price

Median list price (chargemaster)$58,268
Median cash price$35,009
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

1,074 hospitals filed a usable inpatient cash price for this code. The median is $34,579 and the average of the middle 60% is $36,487; most fall between $16,587 and $61,891.

Cash price percentiles, inpatient, across 1,074 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
$9,992$20,744$34,579$56,075$83,826

The most expensive tenth of hospitals charges at least 8.4× what the cheapest tenth charges ($9,992 vs $83,826).

Of the 1,213 hospitals that filed this code inpatient, 1,074 gave a usable cash price; 92 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 46 a list price only.

How complete is this

1,423 of the 3,956 hospitals with a price file in our corpus (36%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,614 hospitals that filed this code at all gave us
Usable cash price — counted1,423
Cash price carrying a plausibility flag — shown on the compare tool, excluded here143
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded45
Hospitals that filed this code1,614

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 Hp 33270 Ins/Rplcmnt Perm Subq Impltbl Dfb W/Subq Eltrd.

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, “Under-skin defibrillator implant or replacement (CPT 33270) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33270-under-skin-defibrillator-implant-or-replacement