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Reviewed by John Caruso, FSA, MAAA • Data last updated

Pacemaker Surgery Cost (2026): $6,853–$11,638

Typical cost

$6,853–$11,638

Sticker price is almost never what patients actually pay.

Your actual cost depends on your deductible, coinsurance, and where you are in your plan.

👉 The same Pacemaker Surgery could cost you $0 or $11,638.

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Pacemaker surgery places a small device under the skin to control a slow or irregular heartbeat. The prices here are for the procedure, and the device is usually billed separately.

CostKits Data - Pacemaker Surgery

$6,850–$11,640
National typical range
Median across all 50 states
11×
National price spread
Cheapest vs. most expensive market
3,736
Facilities in our database
98% have observed negotiated rates
49
States with cost data
Updated 2026

CostKits Market Intelligence - Pacemaker Surgery

Confidence: High
Sources Used
  • CMS Medicare fee schedules (MPFS, OPPS, ASC)
  • Hospital price transparency files
  • Commercial rate relativity model
Estimate Composition
Observed negotiated rates
100%
Medicare baseline
0%
Estimated relativity
0%
295 geographic markets analyzed
3,736 facilities in dataset
49 states + 246 metros

Where people are getting Pacemaker Surgery done

A sample of real facilities across major U.S. metros - click a pin to save one, or enter your ZIP to find facilities near you.

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Facility locations from CMS hospital price-transparency filings. Get a personalized cost estimate →
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How to Use This Data

These prices come from hospital price transparency files that hospitals are required by law to publish. They represent the range of what hospitals declare as their charges - actual negotiated rates with insurers are typically 40–60% lower.

If you have insurance: Your out-of-pocket cost is determined by your deductible, coinsurance, and your insurer's negotiated rate with the specific facility. Call your insurer for a pre-service cost estimate before scheduling.

If you are uninsured: Call 2–3 facilities directly and ask for their self-pay or cash-pay rate. Most facilities offer 20–50% discounts off list prices for upfront payment.

If you received a bill: Upload it to CostKits to compare what you were charged against what other facilities in your state reported.

What you pay for a pacemaker surgery depends on where you go and what is billed separately. Most patients find out after.

Your personalized cost report includes:

  • ✓ The device: The pacemaker is often billed as a separate supply, and the model chosen changes the total.
  • ✓ Single, dual or biventricular: The number of wires (leads) changes the procedure and the bill.
  • ✓ Which bills usually arrive separately, and which providers to check are in-network
  • ✓ The questions to ask before you schedule, so the estimate covers everything
  • ✓ A real patient billing breakdown, line by line

Free for patients - takes 30 seconds to get.

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What's Actually on a Pacemaker Surgery Bill?

A single pacemaker surgery can generate multiple separate bills. Each provider bills independently and they often arrive weeks apart. Here's what to expect at a Hospital Outpatient:

Billing Component Always? Typical Amount Separate Bill? Notes
Facility Fee Always - Often
Physician Fee Always - Usually
Supplies And Devices Always Varies Sometimes

Common Pacemaker Surgery Billing Surprises

The sticker price is rarely the whole story. These are the charges that most often surprise people after a pacemaker surgery - knowing them in advance is how you catch errors and avoid out-of-network bills.

You May Receive Two Bills

Most pacemaker surgery episodes produce a facility charge and a separate professional (physician) charge. Even when the facility is in-network, the physician can be out-of-network.

The Physician Bills Separately

The physician bills independently from the facility and may arrive later as its own statement.

Implant or Device Charges

The implant or device is often the single largest line item and varies widely by manufacturer.

Facility Fees

Hospital facility fees are typically far higher than ambulatory or independent settings for the identical service.

Out-of-Network Physician

Confirm the physician - not just the facility - is in your network before the procedure.

Explore Pacemaker Surgery Costs

How Insurance Affects the Cost of This Procedure

Understanding these insurance concepts can help you estimate what you may actually pay for this procedure.

Cheapest States for Pacemaker Surgery

The 10 lowest-cost states for pacemaker surgery, by typical facility price range. Use these as a benchmark.

  1. 1. Tennessee $3,439–$6,246
  2. 2. Hawaii $4,975–$7,100
  3. 3. Rhode Island $4,929–$7,218
  4. 4. Maryland $5,234–$7,173
  5. 5. Georgia $3,626–$9,000
  6. 6. Virginia $3,987–$10,074
  7. 7. North Carolina $4,420–$10,156
  8. 8. Arizona $3,691–$11,638
  9. 9. Louisiana $5,064–$10,400
  10. 10. West Virginia $4,896–$10,676

Most Expensive States for Pacemaker Surgery

The 10 highest-cost states for pacemaker surgery. If you're in one of these, shopping facilities and asking for the cash-pay rate matters most.

  1. 1. Maine $10,248–$37,581
  2. 2. Nevada $11,227–$33,136
  3. 3. Delaware $12,346–$28,047
  4. 4. New York $7,367–$25,389
  5. 5. South Carolina $9,721–$21,721
  6. 6. Idaho $12,726–$16,715
  7. 7. Iowa $9,811–$17,859
  8. 8. South Dakota $9,553–$16,651
  9. 9. Oregon $11,617–$14,260
  10. 10. Massachusetts $9,946–$15,165

Pacemaker Surgery Cost by State

Data source: CMS Hospital Price Transparency Machine-Readable Files. Prices represent hospital-declared charges and do not include physician fees, anesthesia, or other separately-billed services.

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About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

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Published October 29, 2026 · Updated October 29, 2026

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