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Keyhole Placement of Heart Surface Pacing Wires

South Dakota 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?

$3,376

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $3,376 for this procedure. That total is two separate charges: $1,380 to the doctor who performs it, and $1,995 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,380$832 to $1,738
Facility feeThe hospital or surgery center$1,995$1,096 to $4,365

How much rates vary

Facilitymedian $1,995 · 10th to 90th $776 to $4,365Professionalmedian $1,380 · 10th to 90th $759 to $2,188
$1K$2Kfacility $1,995professional $1,380

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,187.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,288.25
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,380.38
Typical High
$8,511.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,819.70
Typical High
$1,819.70
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,380.38
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,548.82
Typical High
$2,137.96
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,905.46
Typical High
$1,949.84

Where South Dakota 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

South Dakota· 36th of 49

$3,376

$1,380 physician + $1,995 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.