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Procedure price report · Other OR therapeutic nervous system procedures

Removal of a complete phrenic nerve stimulator system

CPT 33278the billing code this page is about

Taking out the whole breathing-nerve stimulator, both generator and leads, including vein access, imaging guidance, and any device checking or programming.

Hospitals typically charge $5,340 cash for this outpatient procedure — the median across 322 hospitals that filed a usable cash price; the average of the middle 60% is $5,438. Most fall between $2,321 and $9,391 (20th–80th percentile).

Hospitals
322
States
33
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 322 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
$1,430$3,353$5,340$8,114$12,744

The most expensive tenth of hospitals charges at least 8.9× what the cheapest tenth charges ($1,430 vs $12,744).

How the prices are spread

$1,002 – $1,338: 8 hospitals$1,002$1,338 – $1,785: 33 hospitals$1,785 – $2,383: 10 hospitals$1,785$2,383 – $3,181: 14 hospitals$3,181 – $4,247: 55 hospitals$3,181$4,247 – $5,669: 28 hospitals$5,669 – $7,567: 71 hospitals$5,669$7,567 – $10,102: 43 hospitals$10,102 – $13,484: 24 hospitals$10,102$13,484 – $18,000: 6 hospitals$13,484median $5,340price bands are equal on a log scale
Hospitals per price band (292 of 322 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,002$1,3388
$1,338$1,78533
$1,785$2,38310
$2,383$3,18114
$3,181$4,24755
$4,247$5,66928
$5,669$7,56771
$7,567$10,10243
$10,102$13,48424
$13,484$18,0006

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,572
Median cash price$5,340
Cash as a multiple of Medicare1.50×

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 $5,340.

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: 5 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: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 4 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 1 hospital filed a usable price — fewer than 10, so no figureWIMichigan: 5 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $4,070 across 20 hospitalsNY$4,070Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 3 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 $1,430 across 13 hospitalsIA$1,430Indiana: median $5,705 across 14 hospitalsIN$5,705Ohio: median $4,024 across 22 hospitalsOH$4,024Pennsylvania: median $3,975 across 30 hospitalsPA$3,975New Jersey: median $4,523 across 25 hospitalsNJ$4,523Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $6,014 across 28 hospitalsCA$6,014Utah: 4 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $6,041 across 21 hospitalsCO$6,041Nebraska: 1 hospital 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: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: 6 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: 9 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: median $1,555 across 13 hospitalsTN$1,555North Carolina: median $20,012 across 10 hospitalsNC$20,012South Carolina: no hospital in the corpus filed a usable priceSCOklahoma: 2 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 7 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: median $7,148 across 17 hospitalsGA$7,148Hawaii: no hospital in the corpus filed a usable priceHITexas: median $12,744 across 23 hospitalsTX$12,744Florida: median $9,391 across 15 hospitalsFL$9,391
Cash price by state, most expensive first. National median $5,340. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
North Carolina NC10$20,012+275%$20,012 – $20,012
Texas TX23$12,744+139%$12,744 – $21,663
Florida FL15$9,391+76%$5,956 – $12,137
Georgia GA17$7,148+34%$7,148 – $7,789
Colorado CO21$6,041+13%$3,067 – $6,041
California CA28$6,014+13%$3,586 – $6,014
Indiana IN14$5,705+7%$4,450 – $7,710
New Jersey NJ25$4,523−15%$3,807 – $5,419
New York NY20$4,070−24%$3,572 – $4,150
Ohio OH22$4,024−25%$3,353 – $6,961
Pennsylvania PA30$3,975−26%$368 – $6,480
Tennessee TN13$1,555−71%$1,555 – $1,916
Iowa IA13$1,430−73%$1,430 – $1,430
Arizona AZ9not enough hospitals filed a usable price
Louisiana LA7not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
Idaho ID5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Michigan MI5not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Illinois IL4not enough hospitals filed a usable price
Utah UT4not enough hospitals filed a usable price
Oregon OR3not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Oklahoma OK2not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Nebraska NE1not enough hospitals filed a usable price
Wisconsin WI1not enough hospitals filed a usable price
West Virginia WV1not 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 $5,340.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care290$5,110$2,593 – $9,551
Children’s4fewer than 20 hospitals
Critical access25$6,041$1,526 – $8,735
Ownership
For-profit27$9,551$5,044 – $12,744
Government36$5,875$3,452 – $20,012
Non-profit256$4,807$2,113 – $8,114
System affiliation
Part of a system301$5,728$2,499 – $9,551
Independent21$4,290$1,212 – $7,003

Cash price vs list price

Median list price (chargemaster)$10,709
Median cash price$5,340
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

243 hospitals filed a usable inpatient cash price for this code. The median is $6,014 and the average of the middle 60% is $5,853; most fall between $2,113 and $9,656.

Cash price percentiles, inpatient, across 243 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
$1,526$2,883$6,014$9,391$12,744

The most expensive tenth of hospitals charges at least 8.4× what the cheapest tenth charges ($1,526 vs $12,744).

Of the 255 hospitals that filed this code inpatient, 243 gave a usable cash price; 9 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 3 a list price only.

How complete is this

322 of the 3,956 hospitals with a price file in our corpus (8%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 341 hospitals that filed this code at all gave us
Usable cash price — counted322
Cash price carrying a plausibility flag — shown on the compare tool, excluded here9
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded8
Hospitals that filed this code341

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 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other OR therapeutic nervous system procedures family.

Hospitals file this code under descriptions such as PR Removal 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, “Removal of a complete phrenic nerve stimulator system (CPT 33278) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33278-removal-of-a-complete-phrenic-nerve-stimulator-system