How much does Medicare pay for CPT 33274?

Medicare allowed an average of $421.36 per service and paid $335.17 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1611.25, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 33274?

Insertion of permanent leadless pacemaker using imaging guidance. It was billed 7,325 times to 7,296 Medicare beneficiaries by 383 providers in 2024.

Which specialty bills 33274 most?

Clinical Cardiac Electrophysiology, with 4,695 services from 237 clinicians. Next are Cardiology, Interventional Cardiology, Internal Medicine.

CPT 33274

Insertion of permanent leadless pacemaker using imaging guidance

$421.36Medicare-allowed amount per service, averaged across 7,325 services

Providers submitted

$1611.25

Asking price, not received

Medicare allowed

$421.36

The fee schedule figure

Medicare paid

$335.17

Balance is patient coinsurance

Providers submitted an average of $1611.25 for this code and Medicare allowed $421.36 — 3.8× 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 $335.17 (80%); the rest is the patient’s coinsurance and deductible.

Services: 7,325
Beneficiaries: 7,296
Providers billing it: 383
Total allowed: $3,086,462

What Medicare pays for CPT 33274

Across 7,325 services billed by 383 providers to 7,296 beneficiaries, Medicare allowed an average of $421.36 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 33274

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Cardiac Electrophysiology	4,695	4,675	$416.04	237
Cardiology	1,906	1,901	$428.41	106
Interventional Cardiology	339	337	$423.25	19
Internal Medicine	279	278	$446.90	15
Hospitalist	34	34	$457.06	1
Critical Care (Intensivists)	16	16	$449.85	1
Intensive Cardiac Rehabilitation	15	15	$424.93	1
Cardiac Surgery	15	15	$422.01	1
Undefined Physician type	13	13	$465.65	1
Thoracic Surgery	13	12	$531.97	1

33274 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	822	$427.28	$334.61	40
New York	630	$476.79	$337.53	37
California	586	$411.84	$322.73	32
Tennessee	463	$394.46	$336.88	16
Texas	375	$418.70	$330.07	20
Illinois	347	$441.99	$331.54	20
Missouri	337	$405.50	$338.43	14
Michigan	305	$445.70	$345.32	15
Massachusetts	271	$446.13	$342.71	13
Indiana	250	$381.32	$345.00	12
Colorado	239	$409.58	$321.31	12
New Jersey	210	$479.32	$347.96	12
Arkansas	178	$405.14	$356.21	7
Oklahoma	172	$365.02	$305.79	6
Georgia	149	$406.21	$322.09	9
Wisconsin	132	$394.06	$345.46	7
Arizona	124	$396.69	$351.25	8
Pennsylvania	118	$448.70	$348.69	9
Washington	113	$425.41	$346.89	7
Kentucky	108	$399.36	$329.31	6
Kansas	107	$386.31	$345.58	7
South Carolina	106	$333.46	$271.70	7
Virginia	99	$426.40	$348.08	6
Mississippi	94	$412.29	$337.86	6
Maryland	91	$446.30	$330.03	6
North Carolina	91	$423.05	$350.13	5
Louisiana	79	$418.75	$348.82	4
New Mexico	73	$359.32	$292.03	3
New Hampshire	63	$423.11	$329.71	3
Ohio	62	$433.74	$345.10	4
Alabama	58	$422.73	$338.63	2
Idaho	57	$411.74	$356.95	1
Connecticut	52	$463.55	$341.29	4
Nevada	50	$423.63	$346.31	3
Oregon	49	$417.36	$351.29	4
Iowa	46	$402.10	$350.07	2
Maine	39	$416.18	$357.26	2
Nebraska	38	$361.12	$319.02	2
West Virginia	36	$406.39	$326.54	3
Delaware	29	$452.89	$360.09	2
District of Columbia	21	$426.29	$358.42	1
North Dakota	16	$413.22	$343.55	1
Rhode Island	14	$462.42	$365.74	1
Vermont	13	$425.01	$358.10	1
Minnesota	13	$401.98	$332.23	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
33264Removal and replacement of multiple lead defibrillator$4811.78
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.