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Keyhole Placement of Heart Surface Pacing Wires

Delaware rates for HCPCS 33203

Placement of pacing wires directly onto the outer surface of the heart, done with a camera and slim instruments passed through small incisions between the ribs rather than by opening the chest. The wires are then connected to a pacemaker or defibrillator unit. This route is used when wires cannot be threaded to the heart through a vein.

Rates data updated October 2026.

How much does Keyhole Placement of Heart Surface Pacing Wires cost?

$1,728

Typical total for the visit. In Delaware, October 2026.

Insurers have agreed to pay about $1,728 for this procedure. That total is two separate charges: $933 to the doctor who performs it, and $794 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$933$794 to $955
Facility feeThe hospital or surgery center$794$389 to $1,148

How much rates vary

Facilitymedian $794 · 10th to 90th $302 to $4,266Professionalmedian $933 · 10th to 90th $776 to $1,175
$100$200$500$1K$2K$5Kfacility $794professional $933

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$954.99
Typical High
$954.99
Cigna
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$794.33
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$794.33
Typical High
$2,511.89
United
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$446.68
Typical High
$4,265.80
United
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$851.14
Typical High
$1,862.09

Where Delaware sits

The same service costs 10.7 times more in Colorado than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Delaware· 48th of 51

$1,728

$933 physician + $794 facility

CO $15,603MD $1,454

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.