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Keyhole Placement of Heart Surface Pacing Wires

West 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?

$1,744

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

Insurers have agreed to pay about $1,744 for this procedure. That total is two separate charges: $912 to the doctor who performs it, and $832 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$912$832 to $1,000
Facility feeThe hospital or surgery center$832$832 to $1,072

How much rates vary

Facilitymedian $832 · 10th to 90th $832 to $1,413Professionalmedian $912 · 10th to 90th $832 to $1,148
$50$100$200$500$1K$2Kfacility $832professional $912

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
$831.76
Median
$831.76
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$912.01
Typical High
$1,000.00
CareSource
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,071.52
CareSource
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,258.93
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$891.25
Typical High
$1,348.96

Where West 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

West Virginia· 48th of 49

$1,744

$912 physician + $832 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.