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

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

What does a pacemaker surgery cost in California?

The same pacemaker surgery in California might cost you $9,775 at one facility and $14,951 at another - the building you walk into drives the difference. The median cash price across 179 reporting hospitals is $13,377. These figures come straight from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.

Three low-priced facilities in California, from hospital price files

  • Northbay Medical Center · Fairfield, CA $4,630
  • DIGNITY HEALTH · Carmichael, CA $4,761
  • DIGNITY COMMUNITY CARE · Woodland, CA $4,761

All 179 facilities are listed below, free.

Where pacemaker surgery costs vary in California

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.

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

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Cheapest Pacemaker Surgery Providers in California

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

# Facility City Price vs median ($13,377)
1 Northbay Medical Center Fairfield, CA $4,630 $8,747 below
2 DIGNITY HEALTH Carmichael, CA $4,761 $8,616 below
3 DIGNITY COMMUNITY CARE Woodland, CA $4,761 $8,616 below
4 DIGNITY COMMUNITY CARE Sacramento, CA $5,004 $8,373 below
5 Martin Luther King, Jr Los Angeles MLKLA Healthcare Corporation Los Angeles, CA $5,104 $8,273 below
6 LOS ROBLES HOSPITAL AND MEDICAL CENTER Thousand Oaks, CA $5,116 $8,261 below
7 Cedars-Sinai Marina Hospital Marina Del Rey, CA $5,146 $8,231 below
8 RIVERSIDE COMMUNITY HOSPITAL Riverside, CA $5,205 $8,172 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

  • Northbay Medical Center is the lowest-cost option at $4,630 - $8,747 below the median posted price ($13,377), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $13,377, 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 California, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$10,678 to $10,678$10,678
With insurance (commercial, average)152$9,681 to $39,602$16,248
Without insurance (cash price)190$4,626 to $22,528$13,377
Anthem Blue Cross99$5,041 to $21,599$13,228
Aetna69$2,534 to $27,724$13,443
UnitedHealthcare51$7,516 to $31,625$15,277
Cigna41$4,253 to $17,638$7,629

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 California?

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 California?

Across 152 California hospitals, the negotiated rates commercial insurers pay for pacemaker surgery average $9,681 to $39,602 per hospital, with a median near $16,248. 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 California?

Cash (self-pay) prices for pacemaker surgery at 190 California hospitals range from $4,626 to $22,528, with a median of $13,377. 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 Anthem Blue Cross in California?

Anthem Blue Cross negotiated rates for pacemaker surgery at 99 California hospitals range from $5,041 to $21,599, with a median near $13,228. 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 Aetna in California?

Aetna negotiated rates for pacemaker surgery at 69 California hospitals range from $2,534 to $27,724, with a median near $13,443. 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 UnitedHealthcare in California?

UnitedHealthcare negotiated rates for pacemaker surgery at 51 California hospitals range from $7,516 to $31,625, with a median near $15,277. 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 Cigna in California?

Cigna negotiated rates for pacemaker surgery at 41 California hospitals range from $4,253 to $17,638, with a median near $7,629. 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
$665–$115,116
  • Facility fee $6–$113,124
  • Professional fee $659–$1,992

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$7,313–$30,805
  • Facility fee $6,654–$28,813
  • Professional fee $659–$1,992

Estimated from CMS fee schedules + commercial rate multipliers

California has the most competitive commercial hospital market in the country, with aggressive multi-system competition in every major metro driving meaningful price variation. Kaiser Permanente's integrated payer-provider model covers roughly 40% of the insured population in the state - if you're Kaiser-enrolled, the prices here largely don't apply. California's robust price transparency enforcement under SB 1204 means the data here is more complete than in most states.

Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →

Why prices vary - and what it means for your coverage

A small number of hospitals (11) report prices above $29,446, including Menifee Global Medical Center at $59,313, 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 $13,377 versus $20,202 inpatient (about 1.5× more), 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.

What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.

Your situation Estimated out-of-pocket
Deductible not yet met ~$13,377
Deductible met - 20% coinsurance ~$2,675
Out-of-network provider $29,429+

Frequently asked questions: pacemaker surgery costs in California

How much does a pacemaker surgery cost in California?

The typical insurer-negotiated rate is $5,406, with most facilities between $854 and $10,989 (based on 179 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of California hospitals run $4,626–$22,528; 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 California?

Based on declared prices, the lowest posted price in our California data is Northbay Medical Center in Fairfield at about $4,630. By metro, San Jose has the lowest median ($6,285).

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

Typical prices vary about 12.9× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In California, the median cash (self-pay) price is $13,377 versus a median negotiated rate of $16,248 - 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 California?

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 California

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 California

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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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