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Keyhole Placement of Heart Surface Pacing Wires

Nebraska 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?

$4,896

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

Insurers have agreed to pay about $4,896 for this procedure. That total is two separate charges: $1,660 to the doctor who performs it, and $3,236 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$1,660$1,318 to $1,820
Facility feeThe hospital or surgery center$3,236$676 to $12,023

How much rates vary

Facilitymedian $3,236 · 10th to 90th $537 to $18,621Professionalmedian $1,660 · 10th to 90th $955 to $2,188
$500$1K$2K$5K$10K$20Kfacility $3,236professional $1,660

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
$758.58
Median
$7,943.28
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$1,445.44
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$13,182.57
Median
$17,378.01
Typical High
$35,481.34
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,819.70
Typical High
$2,398.83
Medica
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$1,000.00
Typical High
$7,943.28
Medica
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,584.89
Typical High
$8,511.38
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,819.70
Typical High
$2,398.83
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,513.56
Typical High
$1,659.59
United
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$891.25
Typical High
$3,801.89
United
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,621.81
Typical High
$2,187.76

Where Nebraska 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

Nebraska· 9th of 51

$4,896

$1,660 physician + $3,236 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.