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Procedure price report · Extracorporeal circulation auxiliary to open heart procedures

Repositioning a skin-puncture heart pump at a later visit

CPT 33993the billing code this page is about

Moving a temporary heart-assist pump placed through the skin into a better position with imaging guidance, performed at a session separate from the insertion.

Hospitals typically charge $1,905 cash for this outpatient procedure — the median across 1,090 hospitals that filed a usable cash price; the average of the middle 60% is $2,222. Most fall between $568 and $5,400 (20th–80th percentile).

Hospitals
1,090
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 1,090 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
$348$705$1,905$4,541$10,151

The most expensive tenth of hospitals charges at least 29× what the cheapest tenth charges ($348 vs $10,151).

How the prices are spread

$241 – $365: 76 hospitals$241$365 – $555: 80 hospitals$555 – $843: 97 hospitals$555$843 – $1,281: 130 hospitals$1,281 – $1,946: 114 hospitals$1,281$1,946 – $2,956: 147 hospitals$2,956 – $4,491: 115 hospitals$2,956$4,491 – $6,821: 120 hospitals$6,821 – $10,362: 53 hospitals$6,821$10,362 – $15,740: 51 hospitals$10,362median $1,905price bands are equal on a log scale
Hospitals per price band (983 of 1,090 — the bands cover the 5th to 95th percentile)
FromToHospitals
$241$36576
$365$55580
$555$84397
$843$1,281130
$1,281$1,946114
$1,946$2,956147
$2,956$4,491115
$4,491$6,821120
$6,821$10,36253
$10,362$15,74051

By state

The median cash price in each state, against the national median of $1,905.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,457 across 33 hospitalsWA$2,457Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 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: 9 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,998 across 48 hospitalsIL$1,998Wisconsin: median $930 across 35 hospitalsWI$930Michigan: median $358 across 52 hospitalsMI$358New York: median $553 across 24 hospitalsNY$553Massachusetts: 8 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,710 across 29 hospitalsOR$1,710Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $429 across 17 hospitalsIA$429Indiana: median $918 across 32 hospitalsIN$918Ohio: median $1,630 across 64 hospitalsOH$1,630Pennsylvania: median $3,223 across 42 hospitalsPA$3,223New Jersey: median $4,366 across 32 hospitalsNJ$4,366Connecticut: 7 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,338 across 83 hospitalsCA$1,338Utah: median $6,437 across 12 hospitalsUT$6,437Colorado: median $4,541 across 26 hospitalsCO$4,541Nebraska: median $591 across 14 hospitalsNE$591Missouri: median $1,863 across 27 hospitalsMO$1,863Kentucky: median $1,504 across 18 hospitalsKY$1,504West Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $694 across 18 hospitalsVA$694Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,129 across 22 hospitalsAZ$1,129New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 8 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: median $1,462 across 13 hospitalsAR$1,462Tennessee: median $708 across 30 hospitalsTN$708North Carolina: median $4,133 across 31 hospitalsNC$4,133South Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $381 across 23 hospitalsOK$381Louisiana: median $2,111 across 21 hospitalsLA$2,111Mississippi: median $2,268 across 10 hospitalsMS$2,268Alabama: 8 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $2,335 across 52 hospitalsGA$2,335Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,095 across 116 hospitalsTX$3,095Florida: median $3,499 across 56 hospitalsFL$3,499
Cash price by state, most expensive first. National median $1,905. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT12$6,437+238%$6,437 – $6,437
Colorado CO26$4,541+138%$2,173 – $7,297
New Jersey NJ32$4,366+129%$591 – $5,855
North Carolina NC31$4,133+117%$1,962 – $6,597
Florida FL56$3,499+84%$1,858 – $15,740
Pennsylvania PA42$3,223+69%$123 – $5,615
Texas TX116$3,095+62%$705 – $7,500
Washington WA33$2,457+29%$996 – $4,386
Georgia GA52$2,335+23%$849 – $11,010
Mississippi MS10$2,268+19%$1,942 – $2,268
Louisiana LA21$2,111+11%$692 – $4,044
Illinois IL48$1,998+5%$555 – $4,694
Missouri MO27$1,863−2%$286 – $3,456
Oregon OR29$1,710−10%$1,111 – $6,014
Ohio OH64$1,630−14%$647 – $2,416
Kentucky KY18$1,504−21%$453 – $2,822
Arkansas AR13$1,462−23%$567 – $3,477
California CA83$1,338−30%$913 – $8,249
Arizona AZ22$1,129−41%$392 – $11,489
Wisconsin WI35$930−51%$885 – $5,402
Indiana IN32$918−52%$459 – $1,654
Tennessee TN30$708−63%$557 – $1,592
Virginia VA18$694−64%$609 – $3,111
Nebraska NE14$591−69%$374 – $1,121
New York NY24$553−71%$345 – $5,400
Iowa IA17$429−77%$429 – $1,320
Oklahoma OK23$381−80%$101 – $2,907
Michigan MI52$358−81%$279 – $1,905
Minnesota MN9not enough hospitals filed a usable price
South Carolina SC9not enough hospitals filed a usable price
Alabama AL8not enough hospitals filed a usable price
Kansas KS8not enough hospitals filed a usable price
Massachusetts MA8not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
West Virginia WV7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
South Dakota SD2not 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 $1,905.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care987$1,964$591 – $5,464
Children’s19fewer than 20 hospitals
Critical access79$930$348 – $5,014
Ownership
For-profit111$3,000$804 – $19,800
Government117$2,243$654 – $4,133
Non-profit857$1,877$529 – $5,150
System affiliation
Part of a system966$1,877$591 – $5,400
Independent124$2,395$480 – $5,447

Cash price vs list price

Median list price (chargemaster)$3,490
Median cash price$1,905
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

869 hospitals filed a usable inpatient cash price for this code. The median is $1,877 and the average of the middle 60% is $2,146; most fall between $591 and $5,150.

Cash price percentiles, inpatient, across 869 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
$353$694$1,877$4,386$8,215

The most expensive tenth of hospitals charges at least 23× what the cheapest tenth charges ($353 vs $8,215).

Of the 958 hospitals that filed this code inpatient, 869 gave a usable cash price; 38 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 50 a list price only.

How complete is this

1,090 of the 3,956 hospitals with a price file in our corpus (28%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,241 hospitals that filed this code at all gave us
Usable cash price — counted1,090
Cash price carrying a plausibility flag — shown on the compare tool, excluded here66
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 — excluded83
Hospitals that filed this code1,241

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 Repositioning Perq R/L Vad W/Img Gdn Sep Insj.

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, “Repositioning a skin-puncture heart pump at a later visit (CPT 33993) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-33993-repositioning-a-skin-puncture-heart-pump-at-a-later-visit