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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 October 2026.

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

$3,733

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

Insurers have agreed to pay about $3,733 for this procedure. That total is two separate charges: $1,738 to the doctor who performs it, and $1,995 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$1,738$1,202 to $2,138
Facility feeThe hospital or surgery center$1,995$1,175 to $3,162

How much rates vary

Facilitymedian $1,995 · 10th to 90th $603 to $6,918Professionalmedian $1,738 · 10th to 90th $891 to $2,512
$500$1K$2K$5K$10Kfacility $1,995professional $1,738

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$5,888.44
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,905.46
Typical High
$2,187.76
Hally Health
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$1,047.13
Typical High
$2,630.27
Medica
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$1,819.70
Typical High
$6,606.93
Medica
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$1,819.70
Typical High
$8,511.38
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,949.84
Typical High
$2,187.76
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$2,454.71
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$1,513.56
Typical High
$1,949.84
United
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$2,344.23
Typical High
$6,918.31
United
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,479.11
Typical High
$2,511.89
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,621.81
Typical High
$1,905.46

Where Iowa 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

Iowa· 15th of 51

$3,733

$1,738 physician + $1,995 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.