Pacemaker Surgery Cost in Texas (2026): Average Prices & What You'll Pay
What does a pacemaker surgery cost in Texas?
You could pay $5,322 or $10,448 for the same pacemaker surgery in Texas - depending entirely on which facility you choose. The median cash price across 222 reporting hospitals is $6,547. 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 Texas
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 Texas
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($6,547) |
|---|---|---|---|---|
| 1 | Memorial Hermann Specialty Hospital Kingwood L L C | Kingwood, TX | $3,565 | $2,982 below |
| 2 | Memorial Hermann Sugar Land Surgical Hospital, LLP | Sugar Land, TX | $3,565 | $2,982 below |
| 3 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER | Houston, TX | $3,658 | $2,889 below |
| 4 | ST. LUKE'S COMMUNITY HEALTH SERVICES | Spring, TX | $3,658 | $2,889 below |
| 5 | ST LUKE'S LAKESIDE HOSPITAL, LLC | The Woodlands, TX | $3,658 | $2,889 below |
| 6 | ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND | Sugar Land, TX | $3,658 | $2,889 below |
| 7 | St. Luke's Hospital at The Vintage | Houston, TX | $3,658 | $2,889 below |
| 8 | HCA HOUSTON HEALTHCARE TOMBALL | Houston, TX | $3,673 | $2,874 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
- Memorial Hermann Specialty Hospital Kingwood L L C is the lowest-cost option at $3,565 - $2,982 below the median posted price ($6,547), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $6,547, 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) | 195 | $6,756 to $16,012 | $11,610 |
| Without insurance (cash price) | 237 | $3,621 to $18,826 | $6,547 |
| Blue Cross and Blue Shield of Texas | 157 | $8,606 to $24,502 | $14,148 |
| Aetna | 163 | $2,708 to $18,008 | $7,905 |
| Cigna | 132 | $3,311 to $21,790 | $13,088 |
| Humana | 88 | $2,422 to $19,447 | $7,816 |
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 Texas?
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 Texas?
Across 195 Texas hospitals, the negotiated rates commercial insurers pay for pacemaker surgery average $6,756 to $16,012 per hospital, with a median near $11,610. 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 Texas?
Cash (self-pay) prices for pacemaker surgery at 237 Texas hospitals range from $3,621 to $18,826, with a median of $6,547. 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 Blue Cross and Blue Shield of Texas?
Blue Cross and Blue Shield of Texas negotiated rates for pacemaker surgery at 157 Texas hospitals range from $8,606 to $24,502, with a median near $14,148. 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 Texas?
Aetna negotiated rates for pacemaker surgery at 163 Texas hospitals range from $2,708 to $18,008, with a median near $7,905. 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 Texas?
Cigna negotiated rates for pacemaker surgery at 132 Texas hospitals range from $3,311 to $21,790, with a median near $13,088. 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 Humana in Texas?
Humana negotiated rates for pacemaker surgery at 88 Texas hospitals range from $2,422 to $19,447, with a median near $7,816. If a hospital is out of network for your Humana 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 $8–$53,356
- Professional fee $659–$1,992
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $8–$53,356
- Professional fee $659–$1,992
Estimated from CMS fee schedules + commercial rate multipliers
Texas is the largest commercial hospital market in the country by revenue. HCA, Tenet, and Community Health Systems are significant for-profit players across the state. Dallas-Fort Worth, Houston, and San Antonio have genuine multi-system competition that creates real price variation. Rural Texas - particularly West Texas and the Panhandle - has extensive critical access hospital coverage where pricing differs substantially from urban PPS hospitals.
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Why prices vary - and what it means for your coverage
A small number of hospitals (24) report prices above $18,816, including McAllen Hospitals, LP at $53,356, 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 $6,547 versus $8,630 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 | ~$6,547 |
| Deductible met - 20% coinsurance | ~$1,309 |
| Out-of-network provider | $14,403+ |
Frequently asked questions: pacemaker surgery costs in Texas
How much does a pacemaker surgery cost in Texas?
The typical insurer-negotiated rate is $2,403, with most facilities between $2,136 and $6,235 (based on 222 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Texas hospitals run $3,621–$18,826; 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 Texas?
Based on declared prices, the lowest posted price in our Texas data is Memorial Hermann Specialty Hospital Kingwood L L C in Kingwood at about $3,565. By metro, San Antonio has the lowest median ($4,954).
Why is a pacemaker surgery so much cheaper at some Texas hospitals?
Typical prices vary about 2.9× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Texas, the median cash (self-pay) price is $6,547 versus a median negotiated rate of $11,610 - 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 Texas?
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
- How to read a Medicare Summary Notice
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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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