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

What does a pacemaker surgery cost in Maryland?

You could pay $5,234 or $7,173 for the same pacemaker surgery in Maryland - depending entirely on which facility you choose. The median cash price across 2 reporting hospitals is $6,204. This data comes directly from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.

A low-priced facility in Maryland, from hospital price files

  • Holy Cross Hospital-Silver Spring · Silver Spring, MD $8,627

All 2 facilities are listed below, free.

Where pacemaker surgery costs vary in Maryland

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 Maryland

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

# Facility City Price vs median ($6,204)
1 Holy Cross Hospital-Silver Spring Silver Spring, MD $8,627 $2,423 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

  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

  • Ask for the cash price if your deductible isn't met - the median cash price here is $6,204, 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.

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

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 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
$4,439–$10,619
  • Facility fee $3,780–$8,627
  • Professional fee $659–$1,992

Estimated from CMS fee schedules + commercial rate multipliers

Maryland operates the nation's only all-payer hospital rate-setting system through the Health Services Cost Review Commission (HSCRC) - all payers, including Medicare, Medicaid, commercial, and self-pay, pay the same regulated rates at each facility. This makes Maryland's cash prices more meaningful than in other states, because the discounting common elsewhere is largely prohibited. Johns Hopkins Medicine and University of Maryland Medical System anchor the academic tier.

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Why prices vary - and what it means for your coverage

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.

None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.

Your situation Estimated out-of-pocket
Deductible not yet met ~$6,204
Deductible met - 20% coinsurance ~$1,241
Out-of-network provider $13,649+

Frequently asked questions: pacemaker surgery costs in Maryland

How much does a pacemaker surgery cost in Maryland?

The typical insurer-negotiated rate is $7,562, with most facilities between $3,107 and $12,043 (based on 2 hospitals reporting negotiated rates). Posted cash prices start at $8,627, with a median of $6,204; outlier facilities 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 Maryland?

Based on declared prices, the lowest posted price in our Maryland data is Holy Cross Hospital-Silver Spring in Silver Spring at about $8,627.

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

Typical prices vary about 3.9× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Maryland, the median cash (self-pay) price is $6,204 versus a median negotiated rate of $7,562 - 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 Maryland?

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 Maryland

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 Maryland

Heart and cardiac tests

Imaging and scans

Sleep and breathing tests

Scopes and screening

Bone, joint and pain

General surgery

Lab tests

Ear, nose and throat

Urology and women's health

Eye care

Infusions

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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