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Procedure price report · Extracorporeal circulation auxiliary to open heart procedures

Heart pump placed through the skin, artery and vein access

CPT 33991the billing code this page is about

Insertion of a temporary heart-assist pump through a needle puncture using both artery and vein access, including crossing the wall between the heart's upper chambers and imaging guidance.

Hospitals typically charge $3,677 cash for this outpatient procedure — the median across 616 hospitals that filed a usable cash price; the average of the middle 60% is $4,448. Most fall between $1,149 and $12,485 (20th–80th percentile).

Hospitals
616
States
45
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 616 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
$876$1,460$3,677$9,671$21,832

The most expensive tenth of hospitals charges at least 25× what the cheapest tenth charges ($876 vs $21,832).

How the prices are spread

$636 – $977: 68 hospitals$636$977 – $1,502: 59 hospitals$1,502 – $2,307: 48 hospitals$1,502$2,307 – $3,544: 96 hospitals$3,544 – $5,445: 74 hospitals$3,544$5,445 – $8,366: 74 hospitals$8,366 – $12,853: 44 hospitals$8,366$12,853 – $19,747: 55 hospitals$19,747 – $30,339: 22 hospitals$19,747$30,339 – $46,612: 19 hospitals$30,339median $3,677price bands are equal on a log scale
Hospitals per price band (559 of 616 — the bands cover the 5th to 95th percentile)
FromToHospitals
$636$97768
$977$1,50259
$1,502$2,30748
$2,307$3,54496
$3,544$5,44574
$5,445$8,36674
$8,366$12,85344
$12,853$19,74755
$19,747$30,33922
$30,339$46,61219

By state

The median cash price in each state, against the national median of $3,677.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $4,484 across 14 hospitalsWA$4,484Idaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 7 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $2,189 across 20 hospitalsIL$2,189Wisconsin: median $2,517 across 11 hospitalsWI$2,517Michigan: median $974 across 29 hospitalsMI$974New York: median $1,304 across 17 hospitalsNY$1,304Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,645 across 12 hospitalsOR$1,645Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: 3 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: median $3,059 across 29 hospitalsIN$3,059Ohio: median $3,323 across 51 hospitalsOH$3,323Pennsylvania: median $4,609 across 33 hospitalsPA$4,609New Jersey: median $5,339 across 22 hospitalsNJ$5,339Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $2,890 across 55 hospitalsCA$2,890Utah: median $18,356 across 10 hospitalsUT$18,356Colorado: median $46,612 across 17 hospitalsCO$46,612Nebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $6,686 across 12 hospitalsMO$6,686Kentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $5,990 across 23 hospitalsVA$5,990Maryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: median $1,511 across 10 hospitalsAZ$1,511New Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $2,746 across 14 hospitalsTN$2,746North Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $973 across 15 hospitalsOK$973Louisiana: median $2,137 across 10 hospitalsLA$2,137Mississippi: 4 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $4,218 across 32 hospitalsGA$4,218Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $7,331 across 60 hospitalsTX$7,331Florida: median $25,879 across 29 hospitalsFL$25,879
Cash price by state, most expensive first. National median $3,677. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Colorado CO17$46,612+1168%$4,606 – $104,201
Florida FL29$25,879+604%$2,529 – $53,305
Utah UT10$18,356+399%$18,356 – $18,356
Texas TX60$7,331+99%$1,938 – $30,597
Missouri MO12$6,686+82%$1,315 – $6,741
Virginia VA23$5,990+63%$2,746 – $7,851
New Jersey NJ22$5,339+45%$4,816 – $13,853
Pennsylvania PA33$4,609+25%$299 – $19,520
Washington WA14$4,484+22%$1,230 – $6,507
Georgia GA32$4,218+15%$2,663 – $10,052
Ohio OH51$3,323−10%$905 – $11,189
Indiana IN29$3,059−17%$1,166 – $5,017
California CA55$2,890−21%$1,149 – $6,646
Tennessee TN14$2,746−25%$2,746 – $5,706
Wisconsin WI11$2,517−32%$2,517 – $7,279
Illinois IL20$2,189−40%$876 – $10,935
Louisiana LA10$2,137−42%$605 – $9,590
Oregon OR12$1,645−55%$807 – $13,224
Arizona AZ10$1,511−59%$1,208 – $4,168
New York NY17$1,304−65%$621 – $16,838
Michigan MI29$974−74%$974 – $3,399
Oklahoma OK15$973−74%$973 – $2,516
North Carolina NC9not enough hospitals filed a usable price
South Carolina SC9not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
Minnesota MN7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Mississippi MS4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Iowa IA3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Rhode Island RI1not 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 $3,677.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care560$3,677$1,149 – $12,991
Children’s13fewer than 20 hospitals
Critical access40$2,785$974 – $8,596
Ownership
For-profit67$7,331$1,100 – $39,891
Government52$2,746$1,140 – $7,242
Non-profit494$3,677$1,149 – $11,189
System affiliation
Part of a system574$3,874$1,189 – $13,224
Independent42$1,413$911 – $8,306

Cash price vs list price

Median list price (chargemaster)$8,468
Median cash price$3,677
Cash as a share of list, median hospital56%

At the typical hospital, asking for the cash price cuts the list price by about 44%. 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

488 hospitals filed a usable inpatient cash price for this code. The median is $3,677 and the average of the middle 60% is $4,762; most fall between $1,232 and $12,485.

Cash price percentiles, inpatient, across 488 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
$894$1,580$3,677$10,052$19,520

The most expensive tenth of hospitals charges at least 22× what the cheapest tenth charges ($894 vs $19,520).

Of the 541 hospitals that filed this code inpatient, 488 gave a usable cash price; 18 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 35 a list price only.

How complete is this

616 of the 3,956 hospitals with a price file in our corpus (16%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 704 hospitals that filed this code at all gave us
Usable cash price — counted616
Cash price carrying a plausibility flag — shown on the compare tool, excluded here31
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded57
Hospitals that filed this code704

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&Ven Access.

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 and vein access (CPT 33991) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33991-heart-pump-placed-through-the-skin-artery-and-vein-access