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Keyhole Placement of Heart Surface Pacing Wires

Virginia 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?

$4,631

Typical total for the visit. In Virginia, July 2026.

Insurers have agreed to pay about $4,631 for this procedure. That total is two separate charges: $1,000 to the doctor who performs it, and $3,631 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,000$912 to $1,230
Facility feeThe hospital or surgery center$3,631$1,096 to $8,318

How much rates vary

Facilitymedian $3,631 · 10th to 90th $912 to $14,791Professionalmedian $1,000 · 10th to 90th $759 to $2,138
$1K$2K$5K$10K$20Kfacility $3,631professional $1,000

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$5,888.44
Typical High
$15,135.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$954.99
Typical High
$3,235.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$14,791.08
Typical High
$15,848.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,000.00
Typical High
$1,412.54
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,000.00
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,047.13
Typical High
$1,584.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$870.96
Typical High
$1,096.48
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,412.54
Typical High
$1,862.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,122.02
Typical High
$1,659.59
Sentara
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,071.52
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,071.52
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,388.44
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,047.13
Typical High
$1,778.28

Where Virginia 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

Virginia· 27th of 49

$4,631

$1,000 physician + $3,631 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.