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

Catheter placement or replacement of a leadless pacemaker

CPT 33274the billing code this page is about

Placement or replacement of a wireless pacemaker directly inside the right lower heart chamber through a catheter in a vein, including x-ray guidance and device checking.

Hospitals typically charge $22,166 cash for this outpatient procedure — the median across 1,520 hospitals that filed a usable cash price; the average of the middle 60% is $22,543. Most fall between $10,865 and $37,943 (20th–80th percentile).

Hospitals
1,520
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 1,520 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
$6,946$12,619$22,166$33,660$58,914

The most expensive tenth of hospitals charges at least 8.5× what the cheapest tenth charges ($6,946 vs $58,914).

How the prices are spread

$3,786 – $5,100: 19 hospitals$3,786$5,100 – $6,870: 56 hospitals$6,870 – $9,255: 97 hospitals$6,870$9,255 – $12,467: 128 hospitals$12,467 – $16,794: 149 hospitals$12,467$16,794 – $22,623: 259 hospitals$22,623 – $30,474: 296 hospitals$22,623$30,474 – $41,052: 170 hospitals$41,052 – $55,300: 95 hospitals$41,052$55,300 – $74,493: 100 hospitals$55,300median $22,166price bands are equal on a log scale
Hospitals per price band (1,369 of 1,520 — the bands cover the 5th to 95th percentile)
FromToHospitals
$3,786$5,10019
$5,100$6,87056
$6,870$9,25597
$9,255$12,467128
$12,467$16,794149
$16,794$22,623259
$22,623$30,474296
$30,474$41,052170
$41,052$55,30095
$55,300$74,493100

Against Medicare

Medicare pays (OPPS 2026, national rate)$19,679
Median cash price$22,166
Cash as a multiple of Medicare1.13×

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 $22,166.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 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 $24,432 across 35 hospitalsWA$24,432Idaho: median $20,158 across 12 hospitalsID$20,158Montana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $20,545 across 29 hospitalsMN$20,545Illinois: median $19,229 across 67 hospitalsIL$19,229Wisconsin: median $11,541 across 47 hospitalsWI$11,541Michigan: median $25,966 across 47 hospitalsMI$25,966New York: median $26,041 across 54 hospitalsNY$26,041Massachusetts: median $25,304 across 28 hospitalsMA$25,304Oregon: median $29,008 across 22 hospitalsOR$29,008Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $17,209 across 20 hospitalsIA$17,209Indiana: median $14,268 across 37 hospitalsIN$14,268Ohio: median $20,155 across 94 hospitalsOH$20,155Pennsylvania: median $22,542 across 68 hospitalsPA$22,542New Jersey: median $21,109 across 46 hospitalsNJ$21,109Connecticut: median $14,636 across 12 hospitalsCT$14,636Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $25,140 across 125 hospitalsCA$25,140Utah: median $27,935 across 15 hospitalsUT$27,935Colorado: median $19,000 across 29 hospitalsCO$19,000Nebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $17,201 across 42 hospitalsMO$17,201Kentucky: median $68,616 across 22 hospitalsKY$68,616West Virginia: median $7,941 across 10 hospitalsWV$7,941Virginia: median $21,890 across 39 hospitalsVA$21,890Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $20,600 across 24 hospitalsAZ$20,600New Mexico: 8 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $18,146 across 20 hospitalsKS$18,146Arkansas: median $7,724 across 17 hospitalsAR$7,724Tennessee: median $7,883 across 33 hospitalsTN$7,883North Carolina: median $21,646 across 42 hospitalsNC$21,646South Carolina: median $21,950 across 31 hospitalsSC$21,950Oklahoma: median $14,414 across 20 hospitalsOK$14,414Louisiana: median $13,680 across 30 hospitalsLA$13,680Mississippi: median $13,983 across 18 hospitalsMS$13,983Alabama: median $22,865 across 24 hospitalsAL$22,865Georgia: median $18,377 across 61 hospitalsGA$18,377Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $29,328 across 141 hospitalsTX$29,328Florida: median $30,736 across 87 hospitalsFL$30,736
Cash price by state, most expensive first. National median $22,166. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Kentucky KY22$68,616+210%$14,306 – $89,252
Florida FL87$30,736+39%$17,078 – $55,019
Texas TX141$29,328+32%$17,154 – $59,656
Oregon OR22$29,008+31%$22,624 – $52,224
Utah UT15$27,935+26%$24,031 – $27,935
New York NY54$26,041+17%$21,158 – $74,642
Michigan MI47$25,966+17%$17,931 – $36,517
Massachusetts MA28$25,304+14%$13,620 – $59,215
California CA125$25,140+13%$18,171 – $38,968
Washington WA35$24,432+10%$9,138 – $32,654
Alabama AL24$22,865+3%$15,141 – $74,479
Pennsylvania PA68$22,542+2%$12,619 – $35,937
South Carolina SC31$21,950−1%$17,554 – $32,930
Virginia VA39$21,890−1%$7,094 – $26,484
North Carolina NC42$21,646−2%$4,638 – $37,943
New Jersey NJ46$21,109−5%$5,271 – $25,448
Arizona AZ24$20,600−7%$7,657 – $58,914
Minnesota MN29$20,545−7%$8,933 – $33,660
Idaho ID12$20,158−9%$20,030 – $22,380
Ohio OH94$20,155−9%$14,353 – $28,813
Illinois IL67$19,229−13%$10,648 – $40,638
Colorado CO29$19,000−14%$10,853 – $24,263
Georgia GA61$18,377−17%$11,727 – $32,408
Kansas KS20$18,146−18%$10,095 – $38,403
Iowa IA20$17,209−22%$1,194 – $33,357
Missouri MO42$17,201−22%$9,673 – $26,812
Connecticut CT12$14,636−34%$9,365 – $34,627
Oklahoma OK20$14,414−35%$9,622 – $23,286
Indiana IN37$14,268−36%$6,376 – $20,683
Mississippi MS18$13,983−37%$8,633 – $21,781
Louisiana LA30$13,680−38%$8,731 – $29,220
Wisconsin WI47$11,541−48%$3,366 – $26,784
West Virginia WV10$7,941−64%$5,117 – $26,465
Tennessee TN33$7,883−64%$6,987 – $12,893
Arkansas AR17$7,724−65%$6,534 – $16,338
Nebraska NE9not enough hospitals filed a usable price
New Mexico NM8not enough hospitals filed a usable price
Nevada NV8not 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
North Dakota ND6not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Maryland MD1not 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 $22,166.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,389$22,380$11,104 – $38,675
Children’s28$17,497$8,333 – $58,155
Critical access95$20,158$3,366 – $30,485
Ownership
For-profit178$29,328$16,000 – $66,780
Government168$21,117$9,411 – $33,600
Non-profit1,166$21,781$10,661 – $35,218
System affiliation
Part of a system1,347$22,129$10,853 – $37,943
Independent173$22,761$11,669 – $38,914

Cash price vs list price

Median list price (chargemaster)$39,089
Median cash price$22,166
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

1,149 hospitals filed a usable inpatient cash price for this code. The median is $22,757 and the average of the middle 60% is $22,539; most fall between $10,957 and $36,697.

Cash price percentiles, inpatient, across 1,149 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
$6,987$12,619$22,757$33,357$55,042

The most expensive tenth of hospitals charges at least 7.9× what the cheapest tenth charges ($6,987 vs $55,042).

Of the 1,288 hospitals that filed this code inpatient, 1,149 gave a usable cash price; 90 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 48 a list price only.

How complete is this

1,520 of the 3,956 hospitals with a price file in our corpus (38%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,721 hospitals that filed this code at all gave us
Usable cash price — counted1,520
Cash price carrying a plausibility flag — shown on the compare tool, excluded here146
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 — excluded52
Hospitals that filed this code1,721

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 Tcat Insj/Rpl Perm Leadless Pacemaker Rv W/Img.

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, “Catheter placement or replacement of a leadless pacemaker (CPT 33274) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33274-catheter-placement-or-replacement-of-a-leadless-pacemaker