Pacemaker Surgery Cost in Tennessee (2026): Average Prices & What You'll Pay
What does a pacemaker surgery cost in Tennessee?
You could pay $3,439 or $6,246 for the same pacemaker surgery in Tennessee - depending entirely on which facility you choose. The median cash price across 61 reporting hospitals is $3,981. This data comes directly 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 Tennessee, from hospital price files
- TRISTAR HENDERSONVILLE MEDICAL CENTER · Portland, TN $3,114
- TRISTAR SUMMIT MEDICAL CENTER · Mt Juliet, TN $3,114
- TRISTAR HORIZON MEDICAL CENTER · Dickson, TN $3,114
All 61 facilities are listed below, free.
Where pacemaker surgery costs vary in Tennessee
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.
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 Tennessee
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($3,981) |
|---|---|---|---|---|
| 1 | TRISTAR HENDERSONVILLE MEDICAL CENTER | Portland, TN | $3,114 | $867 below |
| 2 | TRISTAR SUMMIT MEDICAL CENTER | Mt Juliet, TN | $3,114 | $867 below |
| 3 | TRISTAR HORIZON MEDICAL CENTER | Dickson, TN | $3,114 | $867 below |
| 4 | PARKRIDGE MEDICAL CENTER | Chattanooga, TN | $3,114 | $867 below |
| 5 | PARKRIDGE WEST HOSPITAL | Jasper, TN | $3,114 | $867 below |
| 6 | PARKRIDGE EAST HOSPITAL | East Ridge, TN | $3,114 | $867 below |
| 7 | TRISTAR CENTENNIAL MEDICAL CENTER | Nashville, TN | $3,114 | $867 below |
| 8 | TRISTAR STONECREST MEDICAL CENTER | Smyrna, TN | $3,114 | $867 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
- 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
- TRISTAR HENDERSONVILLE MEDICAL CENTER is the lowest-cost option at $3,114 - $867 below the median posted price ($3,981), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $3,981, 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) | 51 | $4,849 to $12,251 | $8,867 |
| Without insurance (cash price) | 65 | $3,114 to $16,136 | $3,981 |
| BlueCross BlueShield of Tennessee | 43 | $1,636 to $9,674 | $3,043 |
| Aetna | 44 | $3,661 to $14,312 | $13,623 |
| Cigna | 40 | $2,372 to $14,205 | $9,741 |
| UnitedHealthcare | 23 | $5,185 to $22,820 | $11,780 |
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 Tennessee?
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 Tennessee?
Across 51 Tennessee hospitals, the negotiated rates commercial insurers pay for pacemaker surgery average $4,849 to $12,251 per hospital, with a median near $8,867. 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 Tennessee?
Cash (self-pay) prices for pacemaker surgery at 65 Tennessee hospitals range from $3,114 to $16,136, with a median of $3,981. 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 BlueCross BlueShield of Tennessee?
BlueCross BlueShield of Tennessee negotiated rates for pacemaker surgery at 43 Tennessee hospitals range from $1,636 to $9,674, with a median near $3,043. 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 Tennessee?
Aetna negotiated rates for pacemaker surgery at 44 Tennessee hospitals range from $3,661 to $14,312, with a median near $13,623. 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 Tennessee?
Cigna negotiated rates for pacemaker surgery at 40 Tennessee hospitals range from $2,372 to $14,205, with a median near $9,741. 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 much does a pacemaker surgery cost with UnitedHealthcare in Tennessee?
UnitedHealthcare negotiated rates for pacemaker surgery at 23 Tennessee hospitals range from $5,185 to $22,820, with a median near $11,780. 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 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 $3,043–$47,355
- Professional fee $659–$1,992
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $3,415–$20,607
- Professional fee $659–$1,992
Estimated from CMS fee schedules + commercial rate multipliers
HCA Healthcare, headquartered in Nashville, has significant hospital presence in its home state, creating pricing patterns more aligned with for-profit hospital economics than nonprofit systems in comparable markets. Vanderbilt University Medical Center anchors the Nashville academic tier. Tennessee has not expanded Medicaid under the ACA, maintaining a high uninsured rate that influences facility pricing structures.
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 (10) report prices above $13,394, including Shelby County Health Care Corporation at $47,355, 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 $3,981 versus $3,981 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.
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 | ~$3,981 |
| Deductible met - 20% coinsurance | ~$796 |
| Out-of-network provider | $8,758+ |
Frequently asked questions: pacemaker surgery costs in Tennessee
How much does a pacemaker surgery cost in Tennessee?
The typical insurer-negotiated rate is $2,004, with most facilities between $719 and $2,430 (based on 61 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Tennessee hospitals run $3,114–$16,136; 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 Tennessee?
Based on declared prices, the lowest posted price in our Tennessee data is TRISTAR HENDERSONVILLE MEDICAL CENTER in Portland at about $3,114. By metro, Nashville has the lowest median ($3,114).
Why is a pacemaker surgery so much cheaper at some Tennessee hospitals?
Typical prices vary about 3.4× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Tennessee, the median cash (self-pay) price is $3,981 versus a median negotiated rate of $8,867 - 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 Tennessee?
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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