Pacemaker Surgery Cost in Delaware (2026): Average Prices & What You'll Pay
What does a pacemaker surgery cost in Delaware?
You could pay $12,346 or $28,047 for the same pacemaker surgery in Delaware - depending entirely on which facility you choose. The median cash price across 7 reporting hospitals is $13,701. 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 Delaware
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.
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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 Delaware
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($13,701) |
|---|---|---|---|---|
| 1 | ChristianaCare | Newark, DE | $10,730 | $2,971 below |
| 2 | TidalHealth Nanticoke | DE | $12,750 | $951 below |
| 3 | PAM Squared at Dover LLC | Dover, DE | $13,701 | $0 above |
| 4 | St. Francis Hospital Inc | Wilmington, DE | $22,847 | $9,146 above |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Before you book: three questions that change the price
- Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
- Can you give me the price in writing, with the billing codes it covers?
- 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
- ChristianaCare is the lowest-cost option at $10,730 - $2,971 below the median posted price ($13,701), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $13,701, 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.
| Coverage | Hospitals with a rate | Typical range | Median |
|---|---|---|---|
| Medicare (national rate) | — | $10,678 to $10,678 | $10,678 |
| With insurance (commercial, average) | 5 | $4,327 to $20,621 | $10,201 |
| Without insurance (cash price) | 7 | $9,589 to $50,046 | $13,701 |
| Highmark Blue Cross Blue Shield Delaware | 4 | $9,529 to $24,595 | $13,207 |
| Aetna | 4 | $4,670 to $25,430 | $15,015 |
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 Delaware?
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 Delaware?
Across 5 Delaware hospitals, the negotiated rates commercial insurers pay for pacemaker surgery average $4,327 to $20,621 per hospital, with a median near $10,201. 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 Delaware?
Cash (self-pay) prices for pacemaker surgery at 7 Delaware hospitals range from $9,589 to $50,046, with a median of $13,701. 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 Highmark Blue Cross Blue Shield Delaware?
Highmark Blue Cross Blue Shield Delaware negotiated rates for pacemaker surgery at 4 Delaware hospitals range from $9,529 to $24,595, with a median near $13,207. 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 Delaware?
Aetna negotiated rates for pacemaker surgery at 4 Delaware hospitals range from $4,670 to $25,430, with a median near $15,015. 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 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.
- Facility fee $7,878–$51,844
- Professional fee $659–$1,992
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $12,750–$22,847
- Professional fee $659–$1,992
Estimated from CMS fee schedules + commercial rate multipliers
ChristianaCare (formerly Christiana Care) is essentially a monopoly in northern Delaware and effectively the dominant system statewide. Low facility count means cash price variation is minimal, but commercial reimbursement rates are among the highest in the Mid-Atlantic region. Patients near the Pennsylvania or Maryland border often find meaningfully lower prices by crossing state lines.
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Why prices vary - and what it means for your coverage
Setting matters too: the median outpatient price is $13,701 versus $17,798 inpatient (about 1.3× 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.
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 | ~$13,701 |
| Deductible met - 20% coinsurance | ~$2,740 |
| Out-of-network provider | $30,142+ |
Frequently asked questions: pacemaker surgery costs in Delaware
How much does a pacemaker surgery cost in Delaware?
The typical insurer-negotiated rate is $1,564, with most facilities between $468 and $4,555 (based on 6 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Delaware hospitals run $9,589–$50,046; 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 Delaware?
Based on declared prices, the lowest posted price in our Delaware data is ChristianaCare in Newark at about $10,730. By metro, Wilmington has the lowest median ($37,346).
Why is a pacemaker surgery so much cheaper at some Delaware hospitals?
Typical prices vary about 9.7× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Delaware, the median cash (self-pay) price is $13,701 versus a median negotiated rate of $10,201 - about 1.3× higher. 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 Delaware?
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
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read your medical bill
- Deductible vs out-of-pocket max
- Already have a bill? Check it for errors
- How to read an EOB line by line
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CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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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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