Removal and replacement of dual lead permanent pacemaker
Medicare pricing data for 5,118 providers across 52 states
Prices vary significantly by location — from $310 in Idaho to $3,115 in Alaska. Where you get this procedure matters more than almost any other factor. 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
Removal and replacement of dual lead permanent pacemaker (HCPCS code 33228) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $779.35, but hospitals typically charge $3,195 — a 4.1x 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 $779.35, your out-of-pocket cost would be approximately $155.87. 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 4.1x more than what Medicare allows for this procedure. Medicare actually pays $614.62 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $3,115 | $14,819 | 9 | 73 | +299.6% |
| Arizona | $2,152 | $8,433 | 140 | 1,020 | +176.1% |
| Kansas | $1,401 | $10,797 | 65 | 556 | +79.8% |
| Nevada | $1,352 | $5,950 | 43 | 258 | +73.5% |
| Florida | $1,326 | $4,557 | 402 | 3,135 | +70.2% |
| California | $1,324 | $4,734 | 568 | 2,952 | +69.9% |
| Texas | $1,309 | $8,551 | 455 | 2,429 | +68.0% |
| Louisiana | $1,285 | $6,358 | 120 | 481 | +64.9% |
| Oregon | $807 | $2,058 | 60 | 315 | +3.6% |
| Oklahoma | $709 | $2,228 | 94 | 470 | -9.0% |
| Missouri | $679 | $1,907 | 121 | 749 | -12.8% |
| New Jersey | $666 | $2,259 | 117 | 901 | -14.6% |
| Virginia | $638 | $1,568 | 118 | 976 | -18.1% |
| Delaware | $637 | $1,707 | 16 | 126 | -18.3% |
| Minnesota | $600 | $2,872 | 66 | 349 | -23.1% |
| Illinois | $598 | $2,194 | 181 | 1,326 | -23.2% |
| Nebraska | $593 | $2,132 | 31 | 367 | -24.0% |
| South Carolina | $584 | $2,744 | 96 | 618 | -25.0% |
| Maryland | $565 | $1,384 | 67 | 577 | -27.5% |
| Mississippi | $482 | $1,516 | 56 | 371 | -38.1% |
| Massachusetts | $447 | $1,606 | 116 | 783 | -42.6% |
| Pennsylvania | $443 | $1,393 | 210 | 1,292 | -43.2% |
| Colorado | $433 | $1,269 | 67 | 334 | -44.4% |
| New York | $400 | $1,917 | 230 | 1,686 | -48.6% |
| Arkansas | $398 | $1,038 | 62 | 586 | -48.9% |
| District of Columbia | $391 | $1,031 | 10 | 63 | -49.9% |
| North Carolina | $380 | $1,425 | 137 | 824 | -51.2% |
| Michigan | $373 | $943 | 155 | 842 | -52.1% |
| Connecticut | $371 | $1,543 | 56 | 296 | -52.3% |
| Ohio | $367 | $1,216 | 188 | 1,054 | -52.9% |
| Hawaii | $358 | $873 | 7 | 38 | -54.1% |
| Washington | $354 | $958 | 84 | 553 | -54.6% |
| New Mexico | $348 | $949 | 22 | 102 | -55.3% |
| New Hampshire | $348 | $3,278 | 22 | 146 | -55.3% |
| Montana | $347 | $1,017 | 21 | 162 | -55.4% |
| Puerto Rico | $346 | $355 | 13 | 26 | -55.6% |
| Rhode Island | $344 | $940 | 12 | 71 | -55.8% |
| West Virginia | $344 | $940 | 35 | 215 | -55.8% |
| Wyoming | $341 | $3,140 | 7 | 47 | -56.3% |
| Georgia | $339 | $1,261 | 127 | 800 | -56.5% |
| Maine | $335 | $1,158 | 21 | 96 | -57.1% |
| Utah | $330 | $967 | 30 | 195 | -57.6% |
| Vermont | $329 | $1,324 | 9 | 90 | -57.8% |
| North Dakota | $329 | $1,231 | 16 | 121 | -57.8% |
| Kentucky | $328 | $831 | 86 | 470 | -58.0% |
| Alabama | $327 | $931 | 84 | 509 | -58.1% |
| South Dakota | $325 | $958 | 10 | 141 | -58.2% |
| Tennessee | $325 | $1,039 | 126 | 880 | -58.2% |
| Wisconsin | $319 | $2,915 | 87 | 431 | -59.1% |
| Indiana | $318 | $1,256 | 119 | 794 | -59.2% |
| Iowa | $313 | $1,122 | 51 | 354 | -59.8% |
| Idaho | $310 | $926 | 22 | 172 | -60.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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