Pacemaker Surgery Cost in Hawaii (2026): Average Prices & What You'll Pay
What does a pacemaker surgery cost in Hawaii?
Where you have a pacemaker surgery done in Hawaii swings the bill from $4,975 to $7,100 for identical care. The median cash price across 6 reporting hospitals is $5,447. The numbers are pulled directly from federally mandated hospital price transparency files. 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 Hawaii
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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Cheapest Pacemaker Surgery Providers in Hawaii
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($5,447) |
|---|---|---|---|---|
| 1 | The Queens Medical Center | Wahiawa, HI | $4,661 | $786 below |
| 2 | Maui Health System A Kaiser Foundation Hospitals LLC | Kula, HI | $5,447 | $0 above |
| 3 | KAISER FOUNDATION HOSPITAL - MOANALUA | Honolulu, HI | $8,202 | $2,755 above |
| 4 | WILCOX MEMORIAL HOSPITAL | HI | $10,256 | $4,809 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?
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Quick take
- The Queens Medical Center is the lowest-cost option at $4,661 - $786 below the median posted price ($5,447), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $5,447, 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) | 6 | $461 to $21,571 | $10,200 |
| Without insurance (cash price) | 9 | $4,390 to $10,256 | $5,447 |
| HMSA | 3 | $5,252 to $6,724 | $5,650 |
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 Hawaii?
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 Hawaii?
Across 6 Hawaii hospitals, the negotiated rates commercial insurers pay for pacemaker surgery average $461 to $21,571 per hospital, with a median near $10,200. 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 Hawaii?
Cash (self-pay) prices for pacemaker surgery at 9 Hawaii hospitals range from $4,390 to $10,256, with a median of $5,447. 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 HMSA in Hawaii?
HMSA negotiated rates for pacemaker surgery at 3 Hawaii hospitals range from $5,252 to $6,724, with a median near $5,650. 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 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 $3,306–$10,256
- Professional fee $659–$1,992
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $8,202–$8,202
- Professional fee $659–$1,992
Estimated from CMS fee schedules + commercial rate multipliers
Hawaii's island geography creates isolated health economies - each island is effectively its own market, and most specialized care on neighbor islands requires inter-island travel. Kaiser Permanente Hawaii and Hawaii Pacific Health cover most of the Oahu market. Transport and logistics costs embedded in hospital operating expenses push prices well above the mainland average for comparable services.
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Why prices vary - and what it means for your coverage
Setting matters too: the median outpatient price is $5,447 versus $8,202 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 | ~$5,447 |
| Deductible met - 20% coinsurance | ~$1,089 |
| Out-of-network provider | $11,983+ |
Frequently asked questions: pacemaker surgery costs in Hawaii
How much does a pacemaker surgery cost in Hawaii?
The typical insurer-negotiated rate is $547, with most facilities between $452 and $547 (based on 6 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Hawaii hospitals run $4,390–$10,256; 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 Hawaii?
Based on declared prices, the lowest posted price in our Hawaii data is The Queens Medical Center in Wahiawa at about $4,661.
Why is a pacemaker surgery so much cheaper at some Hawaii hospitals?
Typical prices vary about 1.2× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Hawaii, the median cash (self-pay) price is $5,447 versus a median negotiated rate of $10,200 - 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 Hawaii?
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
- How to read your medical bill
- How to stop medical bill problems before they start
- How to negotiate your medical bills
- Allowed amount vs negotiated rate: what your EOB is really saying
- Understanding your UnitedHealthcare EOB
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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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