Procedure price report · Other OR therapeutic nervous system procedures

Implant of phrenic nerve stimulator system

CPT code CPT 33276the billing code this page is about

Placement of a complete breathing-nerve stimulator system, including the generator under the skin and the sensing and stimulation leads, with programming and testing.

Hospitals typically charge $49,895 cash for this outpatient procedure — the median across 363 hospitals that filed a usable cash price; the average of the middle 60% is $46,468. Most fall between $20,461 and $73,126 (20th–80th percentile).

Hospitals
363
States
35
Filings dated
Sep 2025 – 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 363 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
$13,975$24,346$49,895$64,270$124,622

The most expensive tenth of hospitals charges at least 8.9× what the cheapest tenth charges ($13,975 vs $124,622).

How the prices are spread

$6,311 – $8,504: 3 hospitals$6,311$8,504 – $11,460: 1 hospitals$11,460 – $15,444: 27 hospitals$11,460$15,444 – $20,811: 27 hospitals$20,811 – $28,044: 37 hospitals$20,811$28,044 – $37,792: 32 hospitals$37,792 – $50,927: 37 hospitals$37,792$50,927 – $68,627: 99 hospitals$68,627 – $92,480: 29 hospitals$68,627$92,480 – $124,622: 35 hospitals$92,480median $49,895price bands are equal on a log scale
Hospitals per price band (327 of 363 — the bands cover the 5th to 95th percentile)
FromToHospitals
$6,311$8,5043
$8,504$11,4601
$11,460$15,44427
$15,444$20,81127
$20,811$28,04437
$28,044$37,79232
$37,792$50,92737
$50,927$68,62799
$68,627$92,48029
$92,480$124,62235

Against Medicare

Medicare pays (OPPS 2026, national rate)$45,001
Median cash price$49,895
Cash as a multiple of Medicare1.11×

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 $49,895.

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: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 5 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: median $39,954 across 12 hospitalsMN$39,954Illinois: 3 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 7 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 5 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $53,252 across 19 hospitalsNY$53,252Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 4 hospitals filed a usable price — fewer than 10, so no figureORNevada: 1 hospital 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: 4 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: median $14,839 across 13 hospitalsIN$14,839Ohio: median $34,437 across 21 hospitalsOH$34,437Pennsylvania: median $71,397 across 15 hospitalsPA$71,397New Jersey: median $49,180 across 27 hospitalsNJ$49,180Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $124,622 across 28 hospitalsCA$124,622Utah: no hospital in the corpus filed a usable priceUTColorado: median $31,657 across 28 hospitalsCO$31,657Nebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: 9 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $60,818 across 12 hospitalsAZ$60,818New Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: median $13,975 across 15 hospitalsTN$13,975North Carolina: median $19,579 across 11 hospitalsNC$19,579South Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: 7 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 9 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: median $58,927 across 18 hospitalsGA$58,927Hawaii: no hospital in the corpus filed a usable priceHITexas: median $56,158 across 31 hospitalsTX$56,158Florida: median $49,260 across 25 hospitalsFL$49,260
Cash price by state, most expensive first. National median $49,895. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA28$124,622+150%$44,688 – $124,622
Pennsylvania PA15$71,397+43%$16,084 – $84,797
Arizona AZ12$60,818+22%$37,721 – $60,818
Georgia GA18$58,927+18%$58,927 – $108,001
Texas TX31$56,158+13%$31,342 – $56,158
New York NY19$53,252+7%$52,200 – $53,252
Florida FL25$49,260−1%$39,376 – $130,222
New Jersey NJ27$49,180−1%$5,110 – $52,995
Minnesota MN12$39,954−20%$16,335 – $39,954
Ohio OH21$34,437−31%$20,860 – $54,757
Colorado CO28$31,657−37%$27,142 – $68,500
North Carolina NC11$19,579−61%$19,579 – $19,579
Indiana IN13$14,839−70%$12,989 – $20,988
Tennessee TN15$13,975−72%$13,975 – $27,120
Louisiana LA9not enough hospitals filed a usable price
South Carolina SC9not enough hospitals filed a usable price
Virginia VA9not enough hospitals filed a usable price
Oklahoma OK7not enough hospitals filed a usable price
Wisconsin WI7not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Idaho ID5not enough hospitals filed a usable price
Michigan MI5not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
Iowa IA4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Oregon OR4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Illinois IL3not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Nevada NV1not 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 $49,895.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care330$51,998$20,860 – $73,126
Children’s3fewer than 20 hospitals
Critical access27$27,142$13,714 – $85,210
Ownership
For-profit30$56,158$31,342 – $60,818
Government37$40,702$19,579 – $53,252
Non-profit293$49,852$20,461 – $84,797
System affiliation
Part of a system341$49,809$19,979 – $73,126
Independent22$56,989$44,688 – $107,728

Cash price vs list price

Median list price (chargemaster)$88,002
Median cash price$49,895
Cash as a share of list, median hospital55%

At the typical hospital, asking for the cash price cuts the list price by about 45%. 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

278 hospitals filed a usable inpatient cash price for this code. The median is $51,998 and the average of the middle 60% is $48,564; most fall between $20,860 and $85,210.

Cash price percentiles, inpatient, across 278 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
$16,084$27,135$51,998$71,397$124,622

The most expensive tenth of hospitals charges at least 7.7× what the cheapest tenth charges ($16,084 vs $124,622).

Of the 336 hospitals that filed this code inpatient, 278 gave a usable cash price; 47 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

363 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 431 hospitals that filed this code at all gave us
Usable cash price — counted363
Cash price carrying a plausibility flag — shown on the compare tool, excluded here50
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded16
Hospitals that filed this code431

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 5, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Hospitals file this code under descriptions such as PR Insertion Phrenic Nerve Stimulator System.

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, “Implant of phrenic nerve stimulator system (CPT 33276) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33276-implant-of-phrenic-nerve-stimulator-system