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Keyhole Placement of Heart Surface Pacing Wires

Wyoming 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?

$3,378

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

Insurers have agreed to pay about $3,378 for this procedure. That total is two separate charges: $2,089 to the doctor who performs it, and $1,288 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$2,089$1,862 to $2,512
Facility feeThe hospital or surgery center$1,288$1,072 to $3,090

How much rates vary

Facilitymedian $1,288 · 10th to 90th $813 to $19,055Professionalmedian $2,089 · 10th to 90th $1,349 to $2,512
$1K$2K$5K$10K$20Kfacility $1,288professional $2,089

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$2,089.30
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$22,908.68
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,348.96
Typical High
$1,905.46
United
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$1,258.93
Typical High
$19,054.61
United
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,548.82
Typical High
$3,235.94

Where Wyoming 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

Wyoming· 17th of 51

$3,378

$2,089 physician + $1,288 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.