Price Checker / CPT 33214
How much does Upgrade Of Pacemaker System cost?
CPT 33214 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 46x the fair price — among the most extreme markups. Dispute this.
Fair price
$640–$1,300
What this should cost
With insurance
~$151,400
Typical out-of-pocket
Overcharged if over
$1,650
Push back above this
The average hospital charge of $44,274 is $43,304 over the fair price (about 46x the fair rate).
What hospitals charge for Upgrade Of Pacemaker System
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| LEWISGALE BLUE HILLS ER ROANOKE, VA | — | — | 33247% |
| Dignity Health Arizona General Hospital - Laveen Phoenix, AZ | — | — | 32116% |
| Dignity Health Arizona General Hospital - Mesa Mesa, AZ | — | — | 32116% |
| North Strand ER Myrtle Beach, SC | — | — | 31201% |
| VBMC – Harlingen Harlingen, TX | — | — | 28075% |
| VBMC – Weslaco Pharr, TX | — | — | 28075% |
| The University of Kansas Health System St. Francis Campus Topeka, KS | $30,645 | — | 20226% |
| Missouri Baptist Sullivan Hospital SULLIVAN, MO | $82,128 | $49,277 | 19200% |
| Parkland Health Center FARMINGTON, MO | $82,128 | $49,277 | 19200% |
| St. Catherine Hospital - Garden City Garden City, KS | $83,647 | — | 18967% |
| Parkland Health Center - Bonne Terre BONNE TERRE, MO | $76,386 | $45,832 | 17851% |
| Inspira Health Center Bridgeton , NJ | $69,261 | — | 16176% |
| Inspira Health Center Woodbury , NJ | $69,261 | — | 16176% |
| Inspira Medical Center Elmer , NJ | $69,261 | — | 16176% |
| Inspira Medical Center Mannington , NJ | $69,261 | — | 16176% |
Were you billed for this procedure?
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About Upgrade Of Pacemaker System
CPT code 33214 refers to upgrade of pacemaker system (billing description: "Upgrade of pacemaker system"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $426 in a facility (hospital or surgery center) and $426 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.