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Keyhole Placement of Heart Surface Pacing Wires

Pennsylvania 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?

$1,731

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

Insurers have agreed to pay about $1,731 for this procedure. That total is two separate charges: $955 to the doctor who performs it, and $776 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$955$832 to $1,175
Facility feeThe hospital or surgery center$776$479 to $2,291

How much rates vary

Facilitymedian $776 · 10th to 90th $240 to $6,310Professionalmedian $955 · 10th to 90th $759 to $1,585
$100$500$2K$10Kfacility $776professional $955

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
$831.76
Median
$4,897.79
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$954.99
Typical High
$954.99
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$645.65
Median
$724.44
Typical High
$724.44
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$602.56
Median
$676.08
Typical High
$676.08
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$28,183.83
Typical High
$56,234.13
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,258.93
Typical High
$1,621.81
Capital Blue Cross
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$676.08
Median
$1,071.52
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$676.08
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$891.25
Typical High
$1,621.81
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,348.96
Geisinger
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,096.48
Typical High
$1,737.80
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$3,801.89
Typical High
$8,709.64
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$954.99
Typical High
$954.99
Martin's Point
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$645.65
Median
$724.44
Typical High
$724.44
Martin's Point
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$602.56
Median
$676.08
Typical High
$676.08
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$1,698.24
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$776.25
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$776.25
United
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$562.34
Typical High
$4,265.80
United
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$1,000.00
Typical High
$1,698.24

Where Pennsylvania 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

Pennsylvania· 47th of 51

$1,731

$955 physician + $776 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.