# CPT 33208: Insertion of permanent pacemaker, atrial and ventricular

Medicare CPT 33208 pays $455.92 in a non-facility setting and $455.92 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $406.10 in Wisconsin to $572.82 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/33208-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $455.92 |
| National facility | $455.92 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $572.82 | $572.82 |
| Florida | $517.96 | $517.96 |
| Illinois | $512.41 | $512.41 |
| New York | $505.59 | $505.59 |
| District of Columbia | $498.43 | $498.43 |
| New Jersey | $489.86 | $489.86 |
| Connecticut | $483.87 | $483.87 |
| Michigan | $475.56 | $475.56 |
| Maryland | $469.40 | $469.40 |
| West Virginia | $469.16 | $469.16 |
| Massachusetts | $467.62 | $467.62 |
| Washington | $466.78 | $466.78 |
| Georgia | $463.93 | $463.93 |
| Pennsylvania | $460.60 | $460.60 |
| New Mexico | $459.62 | $459.62 |
| Rhode Island | $457.90 | $457.90 |
| California | $456.81 | $456.81 |
| Puerto Rico | $456.19 | $456.19 |
| Virgin Islands | $456.19 | $456.19 |
| Montana | $455.79 | $455.79 |
| New Hampshire | $452.42 | $452.42 |
| Colorado | $452.24 | $452.24 |
| Texas | $451.06 | $451.06 |
| Delaware | $449.37 | $449.37 |
| Louisiana | $449.14 | $449.14 |
| Ohio | $446.59 | $446.59 |
| Oregon | $446.20 | $446.20 |
| Missouri | $445.58 | $445.58 |
| Nevada | $445.16 | $445.16 |
| Hawaii | $444.01 | $444.01 |
| Arizona | $443.03 | $443.03 |
| Utah | $442.49 | $442.49 |
| Wyoming | $438.99 | $438.99 |
| Kentucky | $437.82 | $437.82 |
| South Carolina | $437.55 | $437.55 |
| Virginia | $434.85 | $434.85 |
| Oklahoma | $429.28 | $429.28 |
| Maine | $426.56 | $426.56 |
| North Carolina | $424.82 | $424.82 |
| Mississippi | $423.18 | $423.18 |
| Vermont | $422.61 | $422.61 |
| North Dakota | $417.23 | $417.23 |
| Tennessee | $415.46 | $415.46 |
| Indiana | $414.18 | $414.18 |
| Alabama | $413.50 | $413.50 |
| Minnesota | $413.35 | $413.35 |
| Kansas | $412.75 | $412.75 |
| South Dakota | $412.67 | $412.67 |
| Idaho | $412.54 | $412.54 |
| Arkansas | $408.37 | $408.37 |
| Iowa | $407.02 | $407.02 |
| Nebraska | $406.69 | $406.69 |
| Wisconsin | $406.10 | $406.10 |

## Related codes

- 33016: Pericardiocentesis — https://www.med-reveal.com/rates/33016-cpt-fee-schedule
- 33017: Pericardial drainage with insertion of indwelling catheter — https://www.med-reveal.com/rates/33017-cpt-fee-schedule
- 33206: Insertion of permanent pacemaker, atrial — https://www.med-reveal.com/rates/33206-cpt-fee-schedule
- 33207: Insertion of permanent pacemaker, ventricular — https://www.med-reveal.com/rates/33207-cpt-fee-schedule
- 33210: Insertion of temporary transvenous pacemaker — https://www.med-reveal.com/rates/33210-cpt-fee-schedule
- 33240: Insertion of implantable defibrillator pulse generator only — https://www.med-reveal.com/rates/33240-cpt-fee-schedule
- 33249: Insertion of implantable defibrillator with lead(s), dual chamber — https://www.med-reveal.com/rates/33249-cpt-fee-schedule
- 33262: Removal of implantable defibrillator pulse generator only — https://www.med-reveal.com/rates/33262-cpt-fee-schedule

Commercial negotiated rates for 33208 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules