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Procedure price report · Extracorporeal circulation auxiliary to open heart procedures

Heart pump placed through the skin, artery access only

CPT 33990the billing code this page is about

Insertion of a temporary heart-assist pump through a needle puncture using artery access only, including the X-ray guidance used during placement.

Hospitals typically charge $4,550 cash for this outpatient procedure — the median across 1,502 hospitals that filed a usable cash price; the average of the middle 60% is $4,995. Most fall between $1,468 and $11,790 (20th–80th percentile).

Hospitals
1,502
States
50
Filings dated
Feb 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 1,502 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
$877$2,007$4,550$9,532$17,639

The most expensive tenth of hospitals charges at least 20× what the cheapest tenth charges ($877 vs $17,639).

How the prices are spread

$622 – $918: 95 hospitals$622$918 – $1,355: 119 hospitals$1,355 – $1,998: 81 hospitals$1,355$1,998 – $2,948: 213 hospitals$2,948 – $4,350: 145 hospitals$2,948$4,350 – $6,417: 236 hospitals$6,417 – $9,468: 161 hospitals$6,417$9,468 – $13,968: 160 hospitals$13,968 – $20,608: 100 hospitals$13,968$20,608 – $30,404: 47 hospitals$20,608median $4,550price bands are equal on a log scale
Hospitals per price band (1,357 of 1,502 — the bands cover the 5th to 95th percentile)
FromToHospitals
$622$91895
$918$1,355119
$1,355$1,99881
$1,998$2,948213
$2,948$4,350145
$4,350$6,417236
$6,417$9,468161
$9,468$13,968160
$13,968$20,608100
$20,608$30,40447

By state

The median cash price in each state, against the national median of $4,550.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $4,386 across 38 hospitalsWA$4,386Idaho: median $3,190 across 12 hospitalsID$3,190Montana: 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 $2,255 across 30 hospitalsMN$2,255Illinois: median $3,602 across 66 hospitalsIL$3,602Wisconsin: median $2,710 across 44 hospitalsWI$2,710Michigan: median $2,630 across 61 hospitalsMI$2,630New York: median $4,023 across 31 hospitalsNY$4,023Massachusetts: median $2,244 across 18 hospitalsMA$2,244Oregon: median $3,444 across 28 hospitalsOR$3,444Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $11,180 across 21 hospitalsIA$11,180Indiana: median $3,024 across 41 hospitalsIN$3,024Ohio: median $4,265 across 93 hospitalsOH$4,265Pennsylvania: median $3,282 across 66 hospitalsPA$3,282New Jersey: median $5,419 across 34 hospitalsNJ$5,419Connecticut: median $6,784 across 11 hospitalsCT$6,784Rhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $5,320 across 120 hospitalsCA$5,320Utah: median $14,228 across 16 hospitalsUT$14,228Colorado: median $7,589 across 33 hospitalsCO$7,589Nebraska: median $2,634 across 16 hospitalsNE$2,634Missouri: median $5,148 across 41 hospitalsMO$5,148Kentucky: median $1,602 across 20 hospitalsKY$1,602West Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $5,990 across 38 hospitalsVA$5,990Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $3,057 across 29 hospitalsAZ$3,057New Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $3,194 across 17 hospitalsKS$3,194Arkansas: median $3,449 across 16 hospitalsAR$3,449Tennessee: median $2,878 across 33 hospitalsTN$2,878North Carolina: median $2,592 across 38 hospitalsNC$2,592South Carolina: median $12,392 across 31 hospitalsSC$12,392Oklahoma: median $1,302 across 29 hospitalsOK$1,302Louisiana: median $3,183 across 31 hospitalsLA$3,183Mississippi: median $3,072 across 23 hospitalsMS$3,072Alabama: median $4,071 across 18 hospitalsAL$4,071Georgia: median $4,276 across 62 hospitalsGA$4,276Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $5,440 across 141 hospitalsTX$5,440Florida: median $5,571 across 82 hospitalsFL$5,571
Cash price by state, most expensive first. National median $4,550. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT16$14,228+213%$9,327 – $14,228
South Carolina SC31$12,392+172%$4,552 – $13,185
Iowa IA21$11,180+146%$1,041 – $14,296
Colorado CO33$7,589+67%$2,215 – $14,995
Connecticut CT11$6,784+49%$2,734 – $8,128
Virginia VA38$5,990+32%$3,102 – $10,000
Florida FL82$5,571+22%$3,000 – $18,745
Texas TX141$5,440+20%$1,712 – $16,775
New Jersey NJ34$5,419+19%$1,195 – $13,094
California CA120$5,320+17%$2,442 – $15,453
Missouri MO41$5,148+13%$2,114 – $6,686
Washington WA38$4,386−4%$1,826 – $7,083
Georgia GA62$4,276−6%$1,924 – $15,164
Ohio OH93$4,265−6%$1,271 – $7,163
Alabama AL18$4,071−11%$2,618 – $15,083
New York NY31$4,023−12%$657 – $16,200
Illinois IL66$3,602−21%$1,740 – $10,921
Arkansas AR16$3,449−24%$1,100 – $5,738
Oregon OR28$3,444−24%$1,020 – $11,616
Pennsylvania PA66$3,282−28%$2,444 – $11,880
Kansas KS17$3,194−30%$819 – $6,150
Idaho ID12$3,190−30%$3,190 – $7,856
Louisiana LA31$3,183−30%$1,937 – $9,436
Mississippi MS23$3,072−32%$752 – $10,222
Arizona AZ29$3,057−33%$932 – $8,993
Indiana IN41$3,024−34%$1,200 – $4,766
Tennessee TN33$2,878−37%$1,654 – $5,365
Wisconsin WI44$2,710−40%$1,242 – $12,987
Nebraska NE16$2,634−42%$591 – $5,034
Michigan MI61$2,630−42%$669 – $16,537
North Carolina NC38$2,592−43%$1,629 – $11,977
Minnesota MN30$2,255−50%$1,110 – $11,942
Massachusetts MA18$2,244−51%$760 – $22,073
Kentucky KY20$1,602−65%$729 – $8,801
Oklahoma OK29$1,302−71%$749 – $4,048
Hawaii HI9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Maryland MD1not 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 $4,550.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,354$4,740$1,602 – $11,897
Children’s29$4,909$1,354 – $10,530
Critical access112$3,041$1,105 – $11,616
Ownership
For-profit169$7,636$2,166 – $26,047
Government170$3,209$1,326 – $7,856
Non-profit1,156$4,552$1,367 – $11,375
System affiliation
Part of a system1,333$4,697$1,706 – $11,942
Independent169$3,561$1,040 – $9,327

Cash price vs list price

Median list price (chargemaster)$8,400
Median cash price$4,550
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

1,208 hospitals filed a usable inpatient cash price for this code. The median is $4,542 and the average of the middle 60% is $4,873; most fall between $1,378 and $11,189.

Cash price percentiles, inpatient, across 1,208 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
$905$1,990$4,542$9,060$15,872

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($905 vs $15,872).

Of the 1,305 hospitals that filed this code inpatient, 1,208 gave a usable cash price; 34 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 62 a list price only.

How complete is this

1,502 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 1,668 hospitals that filed this code at all gave us
Usable cash price — counted1,502
Cash price carrying a plausibility flag — shown on the compare tool, excluded here63
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 — excluded102
Hospitals that filed this code1,668

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 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 Extracorporeal circulation auxiliary to open heart procedures family.

Hospitals file this code under descriptions such as Insj Perq Vad W/Rs&I L Hrt Arterial Access Only.

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, “Heart pump placed through the skin, artery access only (CPT 33990) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33990-heart-pump-placed-through-the-skin-artery-access-only