Price Checker / CPT 33249
How much does Insj/rplcmt Defib W/lead(s) cost?
CPT 33249 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 47x the fair price — among the most extreme markups. Dispute this.
Fair price
$1,200–$2,400
What this should cost
With insurance
~$134,000
Typical out-of-pocket
Overcharged if over
$3,000
Push back above this
The average hospital charge of $83,818 is $82,018 over the fair price (about 47x the fair rate).
What hospitals charge for Insj/rplcmt Defib W/lead(s)
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Moses Taylor Hospital Scranton, PA | $389,181 | — | 48673% |
| Regional Hospital of Scranton Scranton, PA | $389,181 | — | 48673% |
| Western Arizona Regional Medical Center Bullhead City, AZ | $380,794 | — | 45235% |
| Longview Regional Medical Center Longview, TX | $396,351 | — | 42120% |
| Detar Healthcare System Navarro Victoria, TX | $350,056 | — | 39382% |
| Detar Healthcare System North Victoria, TX | $350,056 | — | 39382% |
| Physicians Regional Healthcare System - Pine Ridge Naples, FL | $378,699 | — | 35494% |
| Glenwood Regional Medical Center WEST MONROE, LA | $278,911 | — | 34854% |
| Palm Bay Hospital Palm Bay, FL | $245,902 | — | 34415% |
| Baldwin Health Foley, AL | $285,471 | — | 32456% |
| Northwest Medical Center Springdale Springdale, AR | $322,235 | — | 32206% |
| HCA HOUSTON ER 24/7 - FORT BEND PARKWAY HOUSTON, TX | $256,757 | — | 32077% |
| HCA HOUSTON PEARLAND Pearland, TX | $256,757 | — | 32077% |
| PeaceHealth St. Joseph Medical Center , WA | $46,453 | — | 30988% |
| Northwest Medical Center Bentonville Bentonville, AR | $290,568 | — | 30852% |
Were you billed for this procedure?
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About Insj/rplcmt Defib W/lead(s)
CPT code 33249 refers to insj/rplcmt defib w/lead(s) (billing description: "Insj/rplcmt defib w/lead(s)"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $798 in a facility (hospital or surgery center) and $798 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.