How much does Medicare pay for CPT 33264?

Medicare allowed an average of $4811.78 per service and paid $3828.06 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $14,608, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 33264?

Removal and replacement of multiple lead defibrillator. It was billed 2,351 times to 2,348 Medicare beneficiaries by 165 providers in 2024.

Which specialty bills 33264 most?

Clinical Cardiac Electrophysiology, with 1,584 services from 115 clinicians. Next are Ambulatory Surgical Center, Cardiology, Undefined Physician type.

CPT 33264

Removal and replacement of multiple lead defibrillator

$4811.78Medicare-allowed amount per service, averaged across 2,351 services

Providers submitted

$14,608

Asking price, not received

Medicare allowed

$4811.78

The fee schedule figure

Medicare paid

$3828.06

Balance is patient coinsurance

Providers submitted an average of $14,608 for this code and Medicare allowed $4811.78 — 3.0× 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 $3828.06 (80%); the rest is the patient’s coinsurance and deductible.

Services: 2,351
Beneficiaries: 2,348
Providers billing it: 165
Total allowed: $11,312,495

What Medicare pays for CPT 33264

Across 2,351 services billed by 165 providers to 2,348 beneficiaries, Medicare allowed an average of $4811.78 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 33264

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Cardiac Electrophysiology	1,584	1,584	$376.74	115
Ambulatory Surgical Center	438	435	$24,188	26
Cardiology	270	270	$368.42	19
Undefined Physician type	26	26	$363.94	2
Cardiac Surgery	11	11	$446.84	1
Internal Medicine	11	11	$353.96	1
Interventional Cardiology	11	11	$344.75	1

33264 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
Florida	301	$6620.89	$5685.83	20
Texas	181	$7746.73	$6618.32	13
Arizona	178	$12,306	$10,058	12
California	169	$12,742	$8857.95	13
South Carolina	118	$362.87	$288.10	8
New Jersey	103	$414.72	$299.42	7
Maryland	98	$354.55	$248.05	7
Georgia	98	$385.10	$293.48	7
Kansas	90	$8224.18	$7429.72	5
Arkansas	88	$337.40	$298.97	5
Virginia	87	$8102.97	$6729.88	6
New York	75	$406.41	$290.65	6
Illinois	74	$7088.75	$5521.33	5
Tennessee	73	$355.00	$297.66	6
Ohio	71	$371.45	$300.36	5
Louisiana	55	$7105.30	$6263.00	4
Nebraska	50	$335.10	$308.63	4
North Carolina	40	$357.69	$282.13	3
Oklahoma	38	$364.00	$297.20	2
Missouri	35	$369.12	$301.15	2
Minnesota	34	$14,353	$11,075	2
Delaware	32	$387.80	$304.30	2
Mississippi	28	$360.09	$299.79	2
Pennsylvania	28	$384.96	$300.16	2
Massachusetts	26	$391.36	$293.29	2
Alabama	25	$352.06	$273.66	2
Colorado	24	$358.59	$280.89	2
South Dakota	15	$360.63	$310.14	1
Oregon	15	$354.82	$276.88	1
Wisconsin	13	$337.81	$315.63	1
Idaho	12	$336.60	$297.24	1
West Virginia	11	$343.72	$282.33	1
Indiana	11	$353.96	$309.89	1
Alaska	11	$26,560	$19,604	1
Utah	11	$377.21	$310.36	1
Connecticut	11	$401.62	$278.66	1
Washington	11	$385.22	$308.97	1
Kentucky	11	$374.81	$288.95	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
33207Insertion of pacemaker and lower heart chamber electrode$592.59

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.