Insertion of left lower heart electrode for pacemaker or defibrillator
Medicare pricing data for 3,283 providers across 52 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Insertion of left lower heart electrode for pacemaker or defibrillator (HCPCS code 33225) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $453.92, but hospitals typically charge $1,541 — a 3.4x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $453.92, your out-of-pocket cost would be approximately $90.78. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.4x more than what Medicare allows for this procedure. Medicare actually pays $361.98 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $573 | $4,489 | 4 | 143 | +26.3% |
| New York | $523 | $2,246 | 175 | 1,225 | +15.3% |
| District of Columbia | $520 | $1,240 | 9 | 60 | +14.5% |
| Illinois | $492 | $1,771 | 140 | 1,075 | +8.4% |
| New Jersey | $488 | $1,627 | 87 | 729 | +7.5% |
| Florida | $486 | $1,285 | 255 | 1,921 | +7.2% |
| Maryland | $484 | $1,281 | 56 | 469 | +6.6% |
| Connecticut | $480 | $2,016 | 40 | 225 | +5.7% |
| Massachusetts | $469 | $1,648 | 93 | 561 | +3.4% |
| Michigan | $468 | $1,122 | 102 | 673 | +3.2% |
| California | $466 | $1,442 | 282 | 1,587 | +2.7% |
| Delaware | $463 | $1,009 | 11 | 139 | +2.0% |
| Nevada | $463 | $1,259 | 22 | 127 | +2.0% |
| Hawaii | $458 | $1,191 | 2 | 27 | +0.9% |
| Pennsylvania | $457 | $1,393 | 180 | 1,017 | +0.8% |
| New Mexico | $457 | $1,111 | 8 | 46 | +0.7% |
| New Hampshire | $456 | $3,028 | 14 | 117 | +0.4% |
| Puerto Rico | $455 | $463 | 8 | 18 | +0.3% |
| Montana | $454 | $1,517 | 12 | 195 | +0.1% |
| Washington | $451 | $1,260 | 50 | 425 | -0.6% |
| Louisiana | $451 | $1,281 | 55 | 304 | -0.7% |
| Rhode Island | $450 | $1,262 | 10 | 74 | -0.9% |
| Virginia | $450 | $1,205 | 90 | 853 | -0.9% |
| Georgia | $449 | $1,689 | 81 | 816 | -1.0% |
| Colorado | $449 | $1,503 | 53 | 225 | -1.1% |
| West Virginia | $448 | $1,229 | 20 | 200 | -1.3% |
| Ohio | $447 | $1,391 | 133 | 910 | -1.4% |
| Wyoming | $446 | $5,148 | 5 | 21 | -1.6% |
| Arizona | $445 | $1,333 | 77 | 656 | -2.0% |
| Texas | $444 | $1,496 | 263 | 2,097 | -2.3% |
| Missouri | $441 | $1,365 | 69 | 606 | -2.8% |
| Oregon | $440 | $1,442 | 38 | 259 | -3.1% |
| Utah | $435 | $1,339 | 20 | 129 | -4.2% |
| Maine | $434 | $1,120 | 14 | 63 | -4.4% |
| North Carolina | $433 | $1,618 | 93 | 769 | -4.6% |
| Oklahoma | $432 | $1,261 | 42 | 340 | -4.7% |
| Kentucky | $432 | $1,114 | 55 | 330 | -4.8% |
| South Carolina | $428 | $1,482 | 48 | 736 | -5.7% |
| North Dakota | $426 | $1,751 | 9 | 80 | -6.0% |
| Alabama | $424 | $1,140 | 53 | 343 | -6.7% |
| Mississippi | $423 | $1,552 | 32 | 247 | -6.8% |
| Indiana | $420 | $1,366 | 87 | 682 | -7.6% |
| Minnesota | $417 | $2,048 | 66 | 572 | -8.1% |
| Kansas | $416 | $1,127 | 43 | 399 | -8.3% |
| South Dakota | $415 | $1,072 | 6 | 75 | -8.5% |
| Wisconsin | $413 | $3,933 | 67 | 446 | -8.9% |
| Idaho | $412 | $1,315 | 15 | 159 | -9.2% |
| Iowa | $412 | $1,982 | 33 | 322 | -9.2% |
| Vermont | $411 | $1,642 | 6 | 28 | -9.5% |
| Tennessee | $409 | $1,320 | 82 | 772 | -9.8% |
| Arkansas | $409 | $1,084 | 35 | 333 | -9.9% |
| Nebraska | $400 | $1,182 | 26 | 310 | -11.9% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber