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Keyhole Placement of Heart Surface Pacing Wires

Montana 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?

$2,466

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

Insurers have agreed to pay about $2,466 for this procedure. That total is two separate charges: $1,148 to the doctor who performs it, and $1,318 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$1,148$832 to $1,288
Facility feeThe hospital or surgery center$1,318$1,230 to $1,349

How much rates vary

Facilitymedian $1,318 · 10th to 90th $912 to $1,514Professionalmedian $1,148 · 10th to 90th $79 to $1,413
$100$200$500$1K$2Kfacility $1,318professional $1,148

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
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$2,398.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,318.26
Typical High
$1,513.56
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$1,412.54
Providence
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,096.48
Typical High
$1,288.25
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$954.99
Typical High
$1,862.09
United
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,380.38
Typical High
$1,995.26

Where Montana 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

Montana· 29th of 51

$2,466

$1,148 physician + $1,318 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.