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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 October 2026.

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

$4,142

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

Insurers have agreed to pay about $4,142 for this procedure. That total is two separate charges: $1,122 to the doctor who performs it, and $3,020 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,122$891 to $1,202
Facility feeThe hospital or surgery center$3,020$1,000 to $3,981

How much rates vary

Facilitymedian $3,020 · 10th to 90th $490 to $4,898Professionalmedian $1,122 · 10th to 90th $245 to $1,318
$500$1K$2K$5Kfacility $3,020professional $1,122

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
$1,122.02
Median
$1,148.15
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,148.15
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$676.08
Median
$870.96
Typical High
$891.25
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$630.96
Median
$812.83
Typical High
$831.76
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$3,090.30
Typical High
$5,248.07
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$1,122.02
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$1,071.52
Typical High
$1,318.26
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$2,570.40
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,071.52
Typical High
$1,348.96
Health Alliance Plan
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$812.83
Median
$831.76
Typical High
$831.76
Health Alliance Plan
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$758.58
Median
$776.25
Typical High
$776.25
Priority Health
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$794.33
Typical High
$1,318.26
United
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$549.54
Typical High
$3,311.31
United
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$1,230.27
Typical High
$1,445.44

Where Michigan 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

Michigan· 10th of 51

$4,142

$1,122 physician + $3,020 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.