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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 33208
  4. Cost Analysis

How Much Does Insertion of pacemaker and upper and lower heart chamber electrode Cost on Medicare?

Cost analysis for CPT 33208 — Insertion of pacemaker and upper and lower heart chamber electrode

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Average Medicare Payment

$536.91

2023 data

Total Payments (2023)

$45.6M

Services (2023)

79.4K

Price Change (2014–2023)

+26.3%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$425.08$37.6M89.7K—
2015$430.51$37.9M88.7K+1.3%
2016$437.40$39.4M87.9K+1.6%
2017$450.13$41.9M90.2K+2.9%
2018$479.17$45.0M89.7K+6.5%
2019$492.59$48.2M91.5K+2.8%
2020$507.05$43.2M77.6K+2.9%
2021$514.38$44.3M80.7K+1.4%
2022$518.97$44.1M78.5K+0.9%
2023$536.91$45.6M79.4K+3.5%

🗺️ State-by-State Cost Variation

The most expensive state pays 4.1x more than the cheapest for this procedure. AK averages $1457.49 vs IA at $352.14.

StateAvg PaymentTotal PaymentsServicesProviders
AK$1457.49$348.3K2395
AZ$1392.43$3.6M2.6K91
LA$1167.76$941.2K80635
CA$869.07$5.1M5.9K255
KS$806.26$1.1M1.3K46
OK$794.57$833.5K1.0K41
TX$790.11$5.1M6.5K246
NE$694.10$571.9K82427
FL$691.50$4.9M7.1K244
OR$630.52$576.3K91439
IL$623.84$1.9M3.0K117
MO$614.72$968.8K1.6K67
NV$611.11$352.6K57727
VA$528.85$1.5M2.9K89
MN$515.56$695.0K1.3K53
MS$502.16$518.7K1.0K36
NY$456.80$1.7M3.7K146
DC$439.30$73.8K1689
NJ$430.98$989.1K2.3K83
PA$429.51$1.5M3.4K124
MI$425.77$829.4K1.9K84
MD$425.02$763.8K1.8K53
CT$411.97$305.3K74138
MA$410.86$849.7K2.1K88
HI$403.92$43.6K1084
DE$401.72$158.7K39513
NH$398.82$165.1K41416
WA$396.66$588.6K1.5K59
CO$395.58$309.3K78237
RI$392.13$80.4K20510
OH$390.00$1.0M2.6K111
MT$387.55$183.3K47315
GA$385.15$835.8K2.2K80
WV$383.33$209.7K54718
UT$380.18$201.5K53021
NC$377.93$977.7K2.6K96
NM$377.81$108.8K28812
ME$375.31$116.3K31015
AL$374.54$443.5K1.2K48
SC$372.98$723.2K1.9K63
SD$372.74$123.8K3327
KY$372.44$316.6K85042
ND$369.72$92.4K2507
VT$368.58$71.9K1957
TN$361.53$799.3K2.2K88
IN$360.42$689.5K1.9K73
WI$358.13$394.3K1.1K52
AR$355.28$432.0K1.2K35
ID$353.34$190.8K54016
IA$352.14$319.0K90633

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
The Cardiovascular Surgical Center, Inc.Ambulatory Surgical CenterCA$712.7K98$7272.37
Premier Cardiac Surgery Center, PllcAmbulatory Surgical CenterIL$673.7K118$5709.52
Wichita Asc LpAmbulatory Surgical CenterKS$629.9K114$5525.30
Lakewood Asc, LlcAmbulatory Surgical CenterFL$570.9K108$5286.05
Pima Heart Asc LlcAmbulatory Surgical CenterAZ$524.5K94$5580.17
Advanced Surgical & Research Solutions LlcAmbulatory Surgical CenterOK$474.0K84$5642.84
Virginia Cardiovascular SpecialistsAmbulatory Surgical CenterVA$410.2K70$5859.45
Cardiac And Vascular Institute Ambulatory Surgery Center, LlcAmbulatory Surgical CenterFL$376.9K67$5625.46
Waco Ambulatory Surgery Center, LpAmbulatory Surgical CenterTX$358.1K62$5775.86
Tri-City Surgical Centers, LlcAmbulatory Surgical CenterAZ$346.9K58$5980.21
Northern Louisiana Cardiac Services LlcAmbulatory Surgical CenterLA$341.4K61$5596.98
Advanced Medical Imaging Surgery Center, LlcAmbulatory Surgical CenterNE$303.0K51$5940.27
Sacramento Heart Ambulatory Surgery Center, IncAmbulatory Surgical CenterCA$294.3K36$8176.39
Collin County Asc, LpAmbulatory Surgical CenterTX$285.6K48$5950.75
Phoenix Asc, LpAmbulatory Surgical CenterAZ$274.9K46$5975.48
Premier Surgical Center LlcAmbulatory Surgical CenterMO$259.9K44$5906.98
Bcc West Valley LlcAmbulatory Surgical CenterAZ$257.1K43$5980.21
Alaska Heart InstituteAmbulatory Surgical CenterAK$256.4K39$6574.31
Cca Asc, LlcAmbulatory Surgical CenterTX$242.8K44$5518.62
Pacific Cardiovascular Center, LlcAmbulatory Surgical CenterOR$240.1K37$6488.48

🤔 Is Insertion of pacemaker and upper and lower heart chamber electrode Overpriced?

The data suggests significant pricing inconsistencies for CPT 33208. With a 4.1x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.

Costs have risen 26.3% since 2014, outpacing inflation and raising questions about whether reimbursement rates reflect actual costs.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.