How much does Medicare pay for CPT 33207?

Medicare allowed an average of $592.59 per service and paid $469.29 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $2560.39, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 33207?

Insertion of pacemaker and lower heart chamber electrode. It was billed 1,156 times to 1,155 Medicare beneficiaries by 79 providers in 2024.

Which specialty bills 33207 most?

Clinical Cardiac Electrophysiology, with 882 services from 60 clinicians. Next are Cardiology, Ambulatory Surgical Center, Internal Medicine.

CPT 33207

Insertion of pacemaker and lower heart chamber electrode

$592.59Medicare-allowed amount per service, averaged across 1,156 services

Providers submitted

$2560.39

Asking price, not received

Medicare allowed

$592.59

The fee schedule figure

Medicare paid

$469.29

Balance is patient coinsurance

Providers submitted an average of $2560.39 for this code and Medicare allowed $592.59 — 4.3× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $469.29 (79%); the rest is the patient’s coinsurance and deductible.

Services: 1,156
Beneficiaries: 1,155
Providers billing it: 79
Total allowed: $685,034

What Medicare pays for CPT 33207

Across 1,156 services billed by 79 providers to 1,155 beneficiaries, Medicare allowed an average of $592.59 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 33207

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Cardiac Electrophysiology	882	881	$396.07	60
Cardiology	216	216	$408.17	16
Ambulatory Surgical Center	46	46	$5269.35	2
Internal Medicine	12	12	$428.59	1

33207 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Virginia	116	$1249.30	$1027.61	8
Pennsylvania	102	$362.18	$287.66	7
Illinois	89	$1782.01	$1375.79	4
Maryland	71	$455.24	$336.03	5
Washington	62	$450.68	$345.78	5
South Dakota	62	$426.55	$360.09	2
Massachusetts	54	$402.28	$329.16	4
Montana	46	$378.73	$298.44	2
Nebraska	43	$332.82	$289.45	3
Georgia	41	$384.78	$304.21	3
Kentucky	40	$367.65	$283.29	3
New Jersey	39	$440.98	$305.57	3
Maine	33	$402.25	$316.48	3
South Carolina	30	$440.26	$360.59	2
West Virginia	29	$424.30	$343.95	2
Michigan	29	$398.84	$311.81	2
Alaska	28	$466.50	$291.89	2
Minnesota	25	$313.14	$263.50	2
Missouri	24	$429.08	$354.98	2
Ohio	24	$455.36	$351.19	2
Oklahoma	24	$332.71	$282.45	2
North Carolina	23	$371.49	$322.13	2
Arkansas	19	$410.92	$356.32	1
Indiana	16	$322.10	$263.92	1
Arizona	14	$374.48	$313.08	1
Louisiana	13	$251.44	$224.90	1
Colorado	13	$321.81	$252.95	1
New York	12	$517.61	$354.30	1
Mississippi	12	$351.52	$269.88	1
Florida	12	$588.83	$367.72	1
Idaho	11	$415.81	$353.52	1

Related codes

33208Insertion of pacemaker and upper and lower heart chamber electrode$734.65
33285Insertion of heart rhythm monitor under skin$1927.21
33228Removal and replacement of dual lead permanent pacemaker$1057.50
33249Insertion of implantable defibrillator system$1981.50
33225Insertion of left lower heart electrode for pacemaker or defibrillator$440.17
33286Removal of heart rhythm monitor from under the skin$112.40
33268Exclusion of appendage of left upper chamber of heart performed during$92.67
33274Insertion of permanent leadless pacemaker$421.36
33264Removal and replacement of multiple lead defibrillator$4811.78

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.