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

Pacemaker Surgery Cost in Alabama (2026): Average Prices & What You'll Pay

What does a pacemaker surgery cost in Alabama?

You could pay $6,228 or $9,391 for the same pacemaker surgery in Alabama - depending entirely on which facility you choose. The median cash price across 41 reporting hospitals is $8,268. This data comes directly from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.

Once you have a bill or an appointment on the calendar, CostKits can help you keep it all organized.

Where pacemaker surgery costs vary in Alabama

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby outpatient clinics and other facilities (colored by type). Click any pin for facility name and estimated cost range.

Hospital (below avg) Hospital (above avg) Click a pin for details.

26+ people checked prices near them this month.

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

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  • ✓ 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.
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Cheapest Pacemaker Surgery Providers in Alabama

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs median ($8,268)
1 HELEN KELLER HOSPITAL Sheffield, AL $3,256 $5,012 below
2 RED BAY HOSPITAL Red Bay, AL $3,256 $5,012 below
3 Marshall Medical Center North AL $3,256 $5,012 below
4 HH Health System - Marshall LLC - Marshall Medical Centers South Campus Boaz, AL $3,256 $5,012 below
5 HUNTSVILLE HOSPITAL Madison, AL $3,256 $5,012 below
6 Baptist Health Brookwood Hospital Birmingham, AL $3,955 $4,313 below
7 HH HEALTH SYSTEM DEKALB REGIONAL AL $4,515 $3,753 below
8 HH HEALTH SYSTEM ATHENS LIMESTONE Athens, AL $4,515 $3,753 below

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

Before you book: three questions that change the price

  1. Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
  2. Can you give me the price in writing, with the billing codes it covers?
  3. What happens to the price if something extra is needed during the procedure?

Estimate your out-of-pocket cost →  ·  When the bills arrive, we check them for errors →

Quick take

  • HELEN KELLER HOSPITAL is the lowest-cost option at $3,256 - $5,012 below the median posted price ($8,268), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $8,050, and it's often lower than what insurance pays before your deductible is satisfied.
  • Doctor offices and independent clinics may charge differently from hospitals for the same service and may not appear in this hospital-only dataset. Ask your doctor whether another site is an option.
Pacemaker surgery prices by coverage in Alabama, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$10,678 to $10,678$10,678
With insurance (commercial, average)30$2,196 to $12,903$10,285
Without insurance (cash price)42$3,256 to $11,802$8,050
Blue Cross and Blue Shield of Alabama16$1,718 to $13,320$9,530
UnitedHealthcare21$3,256 to $8,378$6,210
Aetna15$816 to $10,919$8,490
Cigna15$172 to $9,428$4,070

Rates are negotiated allowed amounts and cash prices from hospital price-transparency files (October 2026), shown at each hospital’s lowest-priced typical billing code for this procedure. Facility fees only. The typical range is the middle 80% of hospitals, not a quote for your visit.

How much does a pacemaker surgery cost with Medicare in Alabama?

Medicare's national hospital outpatient payment for pacemaker surgery is about $10,678 to $10,678 (typically near $10,678). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $2,136 on a $10,678 payment, with no out-of-pocket cap unless you have supplemental coverage or a Medicare Advantage plan.

Doctor, anesthesia and pathology fees are billed separately. Medicare rates are national CMS amounts, adjusted slightly by local wage levels.

How much does a pacemaker surgery cost with insurance in Alabama?

Across 30 Alabama hospitals, the negotiated rates commercial insurers pay for pacemaker surgery average $2,196 to $12,903 per hospital, with a median near $10,285. That is the amount your plan and you pay the hospital together; you owe your deductible, then coinsurance, up to your out-of-pocket maximum.

Each hospital’s figure is the average of the commercial insurers it lists. Medicare, Medicare Advantage and Medicaid rates are excluded.

How much does a pacemaker surgery cost without insurance in Alabama?

Cash (self-pay) prices for pacemaker surgery at 42 Alabama hospitals range from $3,256 to $11,802, with a median of $8,050. Ask for the cash or self-pay price and for any financial-assistance discount before you book; both can be lower than the posted price.

Cash prices are the hospital’s published discounted rate for patients paying without insurance.

How much does a pacemaker surgery cost with Blue Cross and Blue Shield of Alabama?

Blue Cross and Blue Shield of Alabama negotiated rates for pacemaker surgery at 16 Alabama hospitals range from $1,718 to $13,320, with a median near $9,530. Your own cost depends on your plan’s deductible and coinsurance, and on whether the hospital is in your network.

Includes Blue Cross and Blue Shield and Anthem plans listed by each hospital.

How much does a pacemaker surgery cost with UnitedHealthcare in Alabama?

UnitedHealthcare negotiated rates for pacemaker surgery at 21 Alabama hospitals range from $3,256 to $8,378, with a median near $6,210. If a hospital is out of network for your UnitedHealthcare plan, you may owe more than the negotiated rate, so check the network first.

How much does a pacemaker surgery cost with Aetna in Alabama?

Aetna negotiated rates for pacemaker surgery at 15 Alabama hospitals range from $816 to $10,919, with a median near $8,490. If a hospital is out of network for your Aetna plan, you may owe more than the negotiated rate, so check the network first.

How much does a pacemaker surgery cost with Cigna in Alabama?

Cigna negotiated rates for pacemaker surgery at 15 Alabama hospitals range from $172 to $9,428, with a median near $4,070. If a hospital is out of network for your Cigna plan, you may owe more than the negotiated rate, so check the network first.

How where you go changes what you pay for pacemaker surgery

The same pacemaker surgery bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.

Hospital Outpatient
$3,915–$78,752
  • Facility fee $3,256–$76,760
  • Professional fee $659–$1,992

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$3,915–$11,072
  • Facility fee $3,256–$9,080
  • Professional fee $659–$1,992

Estimated from CMS fee schedules + commercial rate multipliers

Alabama's hospital market is concentrated around UAB Health System in Birmingham and Baptist Health statewide, limiting competitive pricing pressure outside the major metros. Rural facilities operate with thinner margins and fewer negotiated-rate contracts, which typically produces higher list prices alongside steeper cash discounts.

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Why prices vary - and what it means for your coverage

A small number of hospitals (6) report prices above $14,774, including Washington County Healthcare Authority, Inc at $26,487, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $8,178 versus $4,515 inpatient, so where a procedure happens often matters more than which hospital you pick. Setting drives much of the spread here: whether the hospital bills the stay as outpatient or inpatient changes the facility fee, which is why two similar hospitals can bill very differently for the same procedure.

On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.

Your situation Estimated out-of-pocket
Deductible not yet met ~$8,268
Deductible met - 20% coinsurance ~$1,654
Out-of-network provider $18,190+

Frequently asked questions: pacemaker surgery costs in Alabama

How much does a pacemaker surgery cost in Alabama?

The typical insurer-negotiated rate is $3,784, with most facilities between $2,116 and $7,728 (based on 41 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Alabama hospitals run $3,256–$11,802; outlier facilities above and below that range are left out. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get a pacemaker surgery in Alabama?

Based on declared prices, the lowest posted price in our Alabama data is HELEN KELLER HOSPITAL in Sheffield at about $3,256. By metro, Birmingham has the lowest median ($6,210).

Why is a pacemaker surgery so much cheaper at some Alabama hospitals?

Typical prices vary about 3.7× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Alabama, the median cash (self-pay) price is $8,050 versus a median negotiated rate of $10,285 - cash is the lower number at many hospitals. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for a pacemaker surgery in Alabama?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

Before you book

Other procedures in Alabama

Pacemaker Surgery, elsewhere

CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).

Other Procedure Costs in Alabama

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Emergency care

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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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