Price Checker / CPT 33230
How much does Insrt Pulse Gen W/dual Leads cost?
CPT 33230 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 94x the fair price — among the most extreme markups. Dispute this.
Fair price
$500–$1,000
What this should cost
With insurance
~$94,200
Typical out-of-pocket
Overcharged if over
$1,250
Push back above this
The average hospital charge of $70,467 is $69,717 over the fair price (about 94x the fair rate).
What hospitals charge for Insrt Pulse Gen W/dual Leads
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| MidHudson Hospital Poughkeepsie, NY | $495,795 | — | 111562% |
| Westchester Medical Center Valhalla, NY | $495,795 | — | 111562% |
| Bon Secours Community Hospital Port Jervis, NY | $495,795 | — | 104118% |
| Good Samaritan Hospital Suffern, NY | $495,795 | — | 104118% |
| St. Anthony's Community Hospital Warwick, NY | $495,795 | — | 104118% |
| Longmont United Hospital Longmont, CO | $54,432 | — | 50171% |
| Mercy Regional Medical Center Durango, CO | $30,984 | — | 50171% |
| St. Francis Medical Center Colorado Springs, CO | $54,432 | — | 50171% |
| UVA Health Medical Center , VA | — | — | 49348% |
| Merit Health River Region Vicksburg, MS | $204,500 | — | 49028% |
| MEDICAL CITY ALLIANCE HOSPITAL Fort Worth, TX | $162,796 | — | 48786% |
| MEDICAL CITY ER HASLET HASLET, TX | $162,796 | — | 48786% |
| MEDICAL CITY ER SAGINAW SAGINAW, TX | $162,796 | — | 48786% |
| LEWISGALE HOSPITAL-PULASKI PULASKI, VA | — | — | 48713% |
| LEWISGALE HOSPITAL-MONTGOMERY BLACKSBURG, VA | — | — | 48547% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Insrt Pulse Gen W/dual Leads
CPT code 33230 refers to insrt pulse gen w/dual leads (billing description: "Insrt pulse gen w/dual leads"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $333 in a facility (hospital or surgery center) and $333 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.