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Keyhole Placement of Heart Surface Pacing Wires

Hawaii 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?

$977

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $977 for this service. Most negotiated rates run $955 to $1,230.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,202 · 10th to 90th $1,148 to $2,818Professionalmedian $955 · 10th to 90th $132 to $1,288
$50$100$200$500$1K$2Kfacility $1,202professional $955

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
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$954.99
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
HMSA
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,230.27
Typical High
$1,412.54
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$549.54
Median
$616.60
Typical High
$707.95
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$891.25
Typical High
$1,479.11
United
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$1,202.26
Typical High
$2,511.89
United
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$1,174.90
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$131.83
Typical High
$977.24

Where Hawaii sits

The same service costs 4.9 times more in Alaska than in Texas. 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.

Hawaii· 38th of 51

$977

AK $3,236TX $661

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.