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Keyhole Placement of Heart Surface Pacing Wires

Iowa 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 July 2026.

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

$6,573

Typical total for the visit. In Iowa, July 2026.

Insurers have agreed to pay about $6,573 for this procedure. That total is two separate charges: $1,202 to the doctor who performs it, and $5,370 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,202$955 to $2,188
Facility feeThe hospital or surgery center$5,370$1,905 to $6,918

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,202 to $8,128Professionalmedian $1,202 · 10th to 90th $794 to $4,571
$1K$2K$5K$10Kfacility $5,370professional $1,202

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$6,456.54
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,202.26
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,862.09
Typical High
$2,187.76
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,174.90
Typical High
$2,884.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,137.96
Typical High
$7,943.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,584.89
Typical High
$2,691.53
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,905.46
Typical High
$2,754.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$2,454.71
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,445.44
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$5,623.41
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,288.25
Typical High
$2,511.89
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,621.81
Typical High
$1,905.46

Where Iowa sits

The same service costs 22.5 times more in Indiana 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

Iowa· 15th of 49

$6,573

$1,202 physician + $5,370 facility

IN $36,393MD $1,616

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.