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See a sample rate comparisonCPT 33228 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Removal Of Permanent Pacemaker, Removal Of Permanent Pacemaker Pulse Generator With Replacement Of Pacemaker Pulse Generator Dual Lead System
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | KX - Requirements specified in the medical policy have been met SC - Medically necessary service or supply |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $315.30 national non-facility rate (2026) · View Medicare rates for 33228 |
| Medicaid Fee Schedule | $245.85 median of the 8 states in the free preview · View Medicaid rates for 33228 |
National average reimbursement for CPT 33228 by major payers:
$479.29
$502.75
$521.48
$594.57
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CPT 33228
5 of 25 sample ratesHigher to lower in this preview
Advanced Surgery Center Of Orlando LLC
$25,520.00Published rateBaptist Health Surgery Center, LLC
Baptist Health Surgery Center LLC
$7,368.00Published rateMass General Brigham Amsurg Inc.
Mass General Brigham Incorporated
$3,885.00Published rateWinter Haven Sebring Fl Ophthalmology Asc LLC, Eye Surgery & Laser Center
$915.00Published rateKenneth Watson
Deaconess Hospital Inc
$281.52Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 33228 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33228 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 33228 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 33221-CPT | Moderate | Insrt Of Pacemker Pulse Generator Only; W/ Exist Multi Le, Insertion Of Pacemaker Pulse Generator Only; With Existing Multiple Le |
| 33222-CPT | Moderate | Revise Skin Sac Heart Device, Surgery To Relocate Pocket Of Skin That Holds Heart-Assist Device. The Device Emits Electrical Pulses To Train The Heart Improving Its Function. |
| 33227-CPT | Moderate | Removal Of Permanent Pacemaker, Removal Of Permanent Pacemaker Pulse Generator With Replacement Of Pacemaker Pulse Generator Singlelead System |
| 33228-CPT | Moderate | Removal Of Permanent Pacemaker, Removal Of Permanent Pacemaker Pulse Generator With Replacement Of Pacemaker Pulse Generator Dual Lead System |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33228. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33228 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
To get an estimate for the cost of a medical procedure before you have it, you should typically start by contacting your insurance provider and the healthcare facility directly. For specific pricing information based on CPT codes and your location, you can utilize tools like Payerprice. Their fee schedule lookup tool allows users to search for pricing data, which can help you anticipate potential out-of-pocket expenses.
CPT stands for Current Procedural Terminology. CPT codes are a standardized set of medical codes used by physicians, healthcare providers, and payers to describe medical, surgical, and diagnostic services. Each service you receive typically has a corresponding CPT code, which is crucial for accurate billing and insurance claim processing. Healthcare costs are directly linked to these codes, as they represent the specific service being provided. Knowing the CPT code for a service can help you research its typical cost.
Medical procedure costs can vary significantly due to numerous factors. These include the type of healthcare facility (e.g., hospital vs. outpatient clinic), geographic location, the specific insurance negotiated rates, the provider's experience or specialization, and the differing operational costs of each facility. Insurance networks also negotiate distinct rates with various providers, which can lead to different out-of-pocket costs for patients receiving the exact same service.
For specific pricing information on medical services, particularly by CPT code and location, a valuable resource is Payerprice. They offer a comprehensive fee schedule lookup tool that enables users to search for pricing data for a wide range of procedures. Additionally, you can always contact your healthcare provider's billing department or your insurance company directly for estimates tailored to your specific plan and their negotiated rates.