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Keyhole Placement of Heart Surface Pacing Wires

Michigan 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?

$5,898

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

Insurers have agreed to pay about $5,898 for this procedure. That total is two separate charges: $1,000 to the doctor who performs it, and $4,898 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,000$891 to $1,122
Facility feeThe hospital or surgery center$4,898$2,570 to $4,898

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,072 to $6,918Professionalmedian $1,000 · 10th to 90th $741 to $1,202
$500$1K$2K$5K$10Kfacility $4,898professional $1,000

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
$1,071.52
Median
$4,897.79
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$954.99
Typical High
$1,122.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,071.52
Typical High
$1,318.26
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,570.40
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,000.00
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$3,890.45
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,096.48
Typical High
$1,445.44

Where Michigan 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

Michigan· 20th of 49

$5,898

$1,000 physician + $4,898 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.