Cost analysis for CPT 33208 — Insertion of pacemaker and upper and lower heart chamber electrode
Average Medicare Payment
$536.91
2023 data
Total Payments (2023)
$45.6M
Services (2023)
79.4K
Price Change (2014–2023)
+26.3%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $425.08 | $37.6M | 89.7K | — |
| 2015 | $430.51 | $37.9M | 88.7K | +1.3% |
| 2016 | $437.40 | $39.4M | 87.9K | +1.6% |
| 2017 | $450.13 | $41.9M | 90.2K | +2.9% |
| 2018 | $479.17 | $45.0M | 89.7K | +6.5% |
| 2019 | $492.59 | $48.2M | 91.5K | +2.8% |
| 2020 | $507.05 | $43.2M | 77.6K | +2.9% |
| 2021 | $514.38 | $44.3M | 80.7K | +1.4% |
| 2022 | $518.97 | $44.1M | 78.5K | +0.9% |
| 2023 | $536.91 | $45.6M | 79.4K | +3.5% |
The most expensive state pays 4.1x more than the cheapest for this procedure. AK averages $1457.49 vs IA at $352.14.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $1457.49 | $348.3K | 239 | 5 |
| AZ | $1392.43 | $3.6M | 2.6K | 91 |
| LA | $1167.76 | $941.2K | 806 | 35 |
| CA | $869.07 | $5.1M | 5.9K | 255 |
| KS | $806.26 | $1.1M | 1.3K | 46 |
| OK | $794.57 | $833.5K | 1.0K | 41 |
| TX | $790.11 | $5.1M | 6.5K | 246 |
| NE | $694.10 | $571.9K | 824 | 27 |
| FL | $691.50 | $4.9M | 7.1K | 244 |
| OR | $630.52 | $576.3K | 914 | 39 |
| IL | $623.84 | $1.9M | 3.0K | 117 |
| MO | $614.72 | $968.8K | 1.6K | 67 |
| NV | $611.11 | $352.6K | 577 | 27 |
| VA | $528.85 | $1.5M | 2.9K | 89 |
| MN | $515.56 | $695.0K | 1.3K | 53 |
| MS | $502.16 | $518.7K | 1.0K | 36 |
| NY | $456.80 | $1.7M | 3.7K | 146 |
| DC | $439.30 | $73.8K | 168 | 9 |
| NJ | $430.98 | $989.1K | 2.3K | 83 |
| PA | $429.51 | $1.5M | 3.4K | 124 |
| MI | $425.77 | $829.4K | 1.9K | 84 |
| MD | $425.02 | $763.8K | 1.8K | 53 |
| CT | $411.97 | $305.3K | 741 | 38 |
| MA | $410.86 | $849.7K | 2.1K | 88 |
| HI | $403.92 | $43.6K | 108 | 4 |
| DE | $401.72 | $158.7K | 395 | 13 |
| NH | $398.82 | $165.1K | 414 | 16 |
| WA | $396.66 | $588.6K | 1.5K | 59 |
| CO | $395.58 | $309.3K | 782 | 37 |
| RI | $392.13 | $80.4K | 205 | 10 |
| OH | $390.00 | $1.0M | 2.6K | 111 |
| MT | $387.55 | $183.3K | 473 | 15 |
| GA | $385.15 | $835.8K | 2.2K | 80 |
| WV | $383.33 | $209.7K | 547 | 18 |
| UT | $380.18 | $201.5K | 530 | 21 |
| NC | $377.93 | $977.7K | 2.6K | 96 |
| NM | $377.81 | $108.8K | 288 | 12 |
| ME | $375.31 | $116.3K | 310 | 15 |
| AL | $374.54 | $443.5K | 1.2K | 48 |
| SC | $372.98 | $723.2K | 1.9K | 63 |
| SD | $372.74 | $123.8K | 332 | 7 |
| KY | $372.44 | $316.6K | 850 | 42 |
| ND | $369.72 | $92.4K | 250 | 7 |
| VT | $368.58 | $71.9K | 195 | 7 |
| TN | $361.53 | $799.3K | 2.2K | 88 |
| IN | $360.42 | $689.5K | 1.9K | 73 |
| WI | $358.13 | $394.3K | 1.1K | 52 |
| AR | $355.28 | $432.0K | 1.2K | 35 |
| ID | $353.34 | $190.8K | 540 | 16 |
| IA | $352.14 | $319.0K | 906 | 33 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| The Cardiovascular Surgical Center, Inc. | Ambulatory Surgical Center | CA | $712.7K | 98 | $7272.37 |
| Premier Cardiac Surgery Center, Pllc | Ambulatory Surgical Center | IL | $673.7K | 118 | $5709.52 |
| Wichita Asc Lp | Ambulatory Surgical Center | KS | $629.9K | 114 | $5525.30 |
| Lakewood Asc, Llc | Ambulatory Surgical Center | FL | $570.9K | 108 | $5286.05 |
| Pima Heart Asc Llc | Ambulatory Surgical Center | AZ | $524.5K | 94 | $5580.17 |
| Advanced Surgical & Research Solutions Llc | Ambulatory Surgical Center | OK | $474.0K | 84 | $5642.84 |
| Virginia Cardiovascular Specialists | Ambulatory Surgical Center | VA | $410.2K | 70 | $5859.45 |
| Cardiac And Vascular Institute Ambulatory Surgery Center, Llc | Ambulatory Surgical Center | FL | $376.9K | 67 | $5625.46 |
| Waco Ambulatory Surgery Center, Lp | Ambulatory Surgical Center | TX | $358.1K | 62 | $5775.86 |
| Tri-City Surgical Centers, Llc | Ambulatory Surgical Center | AZ | $346.9K | 58 | $5980.21 |
| Northern Louisiana Cardiac Services Llc | Ambulatory Surgical Center | LA | $341.4K | 61 | $5596.98 |
| Advanced Medical Imaging Surgery Center, Llc | Ambulatory Surgical Center | NE | $303.0K | 51 | $5940.27 |
| Sacramento Heart Ambulatory Surgery Center, Inc | Ambulatory Surgical Center | CA | $294.3K | 36 | $8176.39 |
| Collin County Asc, Lp | Ambulatory Surgical Center | TX | $285.6K | 48 | $5950.75 |
| Phoenix Asc, Lp | Ambulatory Surgical Center | AZ | $274.9K | 46 | $5975.48 |
| Premier Surgical Center Llc | Ambulatory Surgical Center | MO | $259.9K | 44 | $5906.98 |
| Bcc West Valley Llc | Ambulatory Surgical Center | AZ | $257.1K | 43 | $5980.21 |
| Alaska Heart Institute | Ambulatory Surgical Center | AK | $256.4K | 39 | $6574.31 |
| Cca Asc, Llc | Ambulatory Surgical Center | TX | $242.8K | 44 | $5518.62 |
| Pacific Cardiovascular Center, Llc | Ambulatory Surgical Center | OR | $240.1K | 37 | $6488.48 |
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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.