Pacemaker Surgery Cost in Wisconsin (2026): Average Prices & What You'll Pay
What does a pacemaker surgery cost in Wisconsin?
The same pacemaker surgery in Wisconsin might cost you $6,793 at one facility and $11,139 at another - the building you walk into drives the difference. The median cash price across 78 reporting hospitals is $9,275. These figures come straight 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 Wisconsin
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
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Cheapest Pacemaker Surgery Providers in Wisconsin
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($9,275) |
|---|---|---|---|---|
| 1 | Tri-County Memorial Hospital Inc | Whitehall, WI | $3,455 | $5,820 below |
| 2 | Memorial Hospital of Boscobel | Boscobel, WI | $3,455 | $5,820 below |
| 3 | Moundview Memorial Hospital and Clinics, Inc. | Friendship, WI | $3,455 | $5,820 below |
| 4 | St Joseph’s Health Services Inc | Hillsboro, WI | $3,455 | $5,820 below |
| 5 | ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS | Green Bay, WI | $3,478 | $5,797 below |
| 6 | ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS | Green Bay, WI | $3,606 | $5,669 below |
| 7 | Mayo Clinic Health System | Bloomer, WI | $4,614 | $4,661 below |
| 8 | Columbia St. Mary's, Inc. | WI | $4,812 | $4,463 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
- Tri-County Memorial Hospital Inc is the lowest-cost option at $3,455 - $5,820 below the median posted price ($9,275), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $9,275, 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) | 60 | $5,075 to $18,124 | $13,511 |
| Without insurance (cash price) | 88 | $3,455 to $13,826 | $9,275 |
| Anthem Blue Cross and Blue Shield | 41 | $6,793 to $19,884 | $15,494 |
| UnitedHealthcare | 44 | $1,769 to $31,957 | $17,841 |
| Aetna | 23 | $11,139 to $13,367 | $11,139 |
| Humana | 6 | $1,758 to $32,180 | $3,341 |
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 Wisconsin?
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 Wisconsin?
Across 60 Wisconsin hospitals, the negotiated rates commercial insurers pay for pacemaker surgery average $5,075 to $18,124 per hospital, with a median near $13,511. 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 Wisconsin?
Cash (self-pay) prices for pacemaker surgery at 88 Wisconsin hospitals range from $3,455 to $13,826, with a median of $9,275. 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 Anthem Blue Cross and Blue Shield in Wisconsin?
Anthem Blue Cross and Blue Shield negotiated rates for pacemaker surgery at 41 Wisconsin hospitals range from $6,793 to $19,884, with a median near $15,494. 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 UnitedHealthcare in Wisconsin?
UnitedHealthcare negotiated rates for pacemaker surgery at 44 Wisconsin hospitals range from $1,769 to $31,957, with a median near $17,841. 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 much does a pacemaker surgery cost with Aetna in Wisconsin?
Aetna negotiated rates for pacemaker surgery at 23 Wisconsin hospitals range from $11,139 to $13,367, with a median near $11,139. 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 Humana in Wisconsin?
Humana negotiated rates for pacemaker surgery at 6 Wisconsin hospitals range from $1,758 to $32,180, with a median near $3,341. 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 $3,083–$48,848
- Professional fee $659–$1,992
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $4,812–$34,207
- Professional fee $659–$1,992
Estimated from CMS fee schedules + commercial rate multipliers
Advocate Aurora Health (formed in the Illinois-Wisconsin merger) and Ascension Wisconsin are the dominant systems in the Milwaukee market, while UW Health anchors the Madison market. Wisconsin's hospital market is moderately competitive in major metros but increasingly concentrated in rural areas. Prices tend to run near or slightly below the Midwest median.
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 (5) report prices above $19,648, including Froedtert Pleasant Prairie Hospital at $34,207, 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 $9,275 versus $8,468 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.
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 | ~$9,275 |
| Deductible met - 20% coinsurance | ~$1,855 |
| Out-of-network provider | $20,405+ |
Frequently asked questions: pacemaker surgery costs in Wisconsin
How much does a pacemaker surgery cost in Wisconsin?
The typical insurer-negotiated rate is $7,614, with most facilities between $3,164 and $10,174 (based on 78 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Wisconsin hospitals run $3,455–$13,826; 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 Wisconsin?
Based on declared prices, the lowest posted price in our Wisconsin data is Tri-County Memorial Hospital Inc in Whitehall at about $3,455. By metro, Sheboygan has the lowest median ($8,339).
Why is a pacemaker surgery so much cheaper at some Wisconsin hospitals?
Typical prices vary about 3.2× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Wisconsin, the median cash (self-pay) price is $9,275 versus a median negotiated rate of $13,511 - 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 Wisconsin?
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
- Deductible vs out-of-pocket max
- How to negotiate your medical bills
- EOB vs medical bill: complete guide
- 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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