Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber cost at US hospitals
HC Insertion/Replacement Implantable Defibrillator W/Lead(S) Single/Dual Chamber · CPT 33249
$551.98
lowest cash price
$29,180.00
national median
$277,297.16
highest cash price
612
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $551.98–$277,297.16 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($38,045.24) → Sep 1, 2026 ($45,320.87)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | $32,299.02 | $32,299.02 | $32,299.02 |
| Arizona | 18 | $6,091.51 | $7,872.78 | $58,582.39 |
| Arkansas | 5 | $12,793.80 | $24,814.50 | $51,148.00 |
| California | 82 | $1,976.70 | $22,412.00 | $72,027.81 |
| Colorado | 15 | $11,620.24 | $74,039.29 | $74,039.29 |
| Florida | 74 | $27,737.00 | $39,623.44 | $265,311.24 |
| Georgia | 25 | $16,328.00 | $29,042.52 | $168,935.96 |
| Hawaii | 2 | $21,708.80 | $21,708.80 | $25,472.25 |
| Illinois | 44 | $11,875.00 | $29,180.00 | $214,614.19 |
| Indiana | 25 | $18,933.50 | $26,412.00 | $89,496.45 |
| Iowa | 19 | $2,250.40 | $32,074.99 | $88,295.28 |
| Kansas | 11 | $15,939.95 | $32,025.10 | $45,637.22 |
| Kentucky | 11 | $3,686.17 | $89,496.45 | $89,496.45 |
| Louisiana | 3 | $8,501.22 | $8,501.22 | $8,501.22 |
| Maine | 7 | not published by hospital | not published by hospital | not published by hospital |
| Michigan | 27 | $23,654.40 | $43,160.87 | $114,158.00 |
| Minnesota | 13 | $10,461.12 | $10,461.12 | $32,608.80 |
| Mississippi | 6 | $15,759.04 | $19,617.16 | $28,652.80 |
| Missouri | 16 | $17,333.80 | $17,333.80 | $68,271.52 |
| Montana | 2 | $66,288.80 | $66,288.80 | $66,288.80 |
| Nebraska | 9 | $19,033.99 | $23,644.32 | $23,644.32 |
| Nevada | 3 | $19,486.89 | $19,486.89 | $21,578.17 |
| New Hampshire | 1 | $60,906.50 | $60,906.50 | $60,906.50 |
| New Jersey | 21 | $3,786.00 | $6,311.00 | $37,757.64 |
| New Mexico | 1 | not published by hospital | not published by hospital | not published by hospital |
| New York | 22 | $551.98 | $37,940.39 | $44,592.25 |
| North Carolina | 13 | $17,855.15 | $17,855.15 | $58,730.50 |
| North Dakota | 2 | $21,900.00 | $21,900.00 | $23,950.40 |
| Ohio | 46 | $9,902.75 | $29,412.40 | $131,581.03 |
| Oklahoma | 11 | $9,232.06 | $23,188.00 | $79,233.05 |
| Oregon | 9 | $1,908.75 | $59,146.50 | $80,687.95 |
| Pennsylvania | 19 | $652.34 | $48,933.60 | $107,872.80 |
| South Carolina | 10 | $4,499.00 | $6,721.00 | $187,881.47 |
| South Dakota | 2 | $55,776.80 | $55,776.80 | $55,776.80 |
| Tennessee | 28 | $8,355.77 | $15,687.75 | $37,935.07 |
| Texas | 109 | $6,562.08 | $43,324.90 | $277,297.16 |
| Virginia | 26 | $15,687.75 | $30,737.00 | $173,081.24 |
| Washington | 30 | $12,688.14 | $26,037.20 | $76,075.20 |
| West Virginia | 7 | $10,728.00 | $11,646.50 | $50,545.50 |
| Wisconsin | 20 | $15,899.40 | $28,989.41 | $101,115.28 |
| Wyoming | 1 | $28,060.62 | $28,060.62 | $28,060.62 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | $70,294.90 | $21,852.74 – $66,502.24 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | $70,629.00 | $29,743.00 – $33,552.74 |
| UPMC Presbyterian | Pittsburgh, PA | $70,716.00 | $931.20 – $33,623.56 |
| WellSpan Good Samaritan Hospital | Lebanon, PA | $71,448.80 | $6,420.00 – $32,061.58 |
| Queen of The Valley Medical Center | Napa, CA | $72,027.81 | $9,256.00 – $126,547.00 |
| St Mary's Hospital | Richmond, VA | $72,649.80 | not published |
| Northwestern Medicine Palos Hospital | Palos Heights, IL | $72,746.40 | not published |
| HCA HOUSTON NORTHWEST | SPRING, TX | $72,938.01 | $22,945.38 – $112,541.61 |
| UPMC East | Monroeville, PA | $73,004.40 | $1,602.70 – $97,339.20 |
| AdventHealth Parker | Parker, CO | $74,039.29 | $1,546.00 – $61,256.47 |
| AdventHealth Littleton | Littleton, CO | $74,039.29 | $1,546.00 – $61,256.47 |
| AdventHealth Porter | Denver, CO | $74,039.29 | $1,546.00 – $61,256.47 |
| AdventHealth Avista | Louisville, CO | $74,039.29 | $1,546.00 – $61,936.36 |
| AdventHealth Castle Rock | Castle Rock, CO | $74,039.29 | $1,546.00 – $61,256.47 |
| MultiCare Capital Medical Center | Olympia, WA | $76,075.20 | $18,580.20 – $162,397.60 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $78,651.03 | $2.28 – $60,938.73 |
| Mercy Hospital Ardmore | Northwest Ardmore, OK | $79,233.05 | $763.34 – $71,367.02 |
| OSF Little Company of Mary Medical Center | Evergreen Park, IL | $79,635.00 | $3,274.00 – $62,564.62 |
| Sunnyside Medical Center | CLACKAMAS, OR | $80,687.95 | not published |
| Westside Medical Center | HILLSBORO, OR | $80,687.95 | not published |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton, WI | $80,740.50 | $902.55 – $66,765.00 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | $80,740.50 | $902.55 – $66,765.00 |
| MercyOne North Iowa Medical Center | Mason City, IA | $88,295.28 | $2.88 – $68,003.30 |
| Baptist Health Floyd | New Albany, IN | $89,496.45 | $869.34 – $178,992.90 |
| Baptist Health Hardin | Elizabethtown, KY | $89,496.45 | $119,328.60 – $238,657.20 |
| Baptist Health Corbin | Corbin, KY | $89,496.45 | $119,328.60 – $238,657.20 |
| Baptist Health La Grange | La Grange, KY | $89,496.45 | $15,795.00 – $238,657.20 |
| Baptist Health Lexington | Lexington, KY | $89,496.45 | $14,838.00 – $242,595.04 |
| Baptist Health Louisville | Louisville, KY | $89,496.45 | $11,082.00 – $238,657.20 |
| Baptist Health Paducah | Paducah, KY | $89,496.45 | $119,328.60 – $238,657.20 |
| Northwestern Medicine McHenry Hospital | McHenry, IL | $96,189.91 | not published |
| AdventHealth Deland | Deland, FL | $98,946.50 | not published |
| UnityPoint Health - Meriter Hospital | Madison, WI | $101,115.28 | $786.04 – $17,903.57 |
| Adventhealth Waterman | Tavares, FL | $103,439.67 | $32,778.73 – $66,140.92 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD, TX | $103,441.73 | $21,415.69 – $112,541.61 |
| Adventhealth Daytona Beach | Daytona Beach, FL | $103,893.83 | $31,139.80 – $54,707.70 |
| WellSpan Chambersburg Hospital | Chambersburg, PA | $107,872.80 | $1,049.63 – $147,454.34 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | $114,158.00 | $826.37 – $42,240.77 |
| Corewell Health Taylor | Taylor, MI | $114,158.00 | $826.37 – $42,240.77 |
| Corewell Health Trenton | Trenton, MI | $114,158.00 | $826.37 – $42,240.77 |
| Corewell Health Troy | Troy, MI | $114,158.00 | $826.37 – $42,222.59 |
| Corewell Health Wayne | Wayne, MI | $114,158.00 | $826.37 – $42,240.77 |
| St Anne Hospital | Toledo, OH | $118,589.81 | $30,492.87 – $30,492.87 |
| Adventhealth Fish Memorial | Orange City, FL | $124,672.58 | not published |
| Adventhealth Dade City | Dade City, FL | $125,917.02 | not published |
| Fairfield Hospital | Fairfield, OH | $131,581.03 | $31,120.14 – $31,742.54 |
| Northwestern Medicine Kishwaukee Hospital | DeKalb, IL | $133,439.10 | not published |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest, IL | $152,888.27 | not published |
| HCA HOUSTON SOUTHEAST | PASADENA, TX | $154,344.48 | $21,415.69 – $112,541.61 |
| St Francis Medical Center | Midlothian, VA | $155,353.73 | $30,625.64 – $30,625.64 |