Insertion of pacemaker and upper and lower heart chamber electrode
Medicare pricing data for 5,889 providers across 52 states
Prices vary significantly by location — from $446 in Iowa to $1,946 in Alaska. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Insertion of pacemaker and upper and lower heart chamber electrode (HCPCS code 33208) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $716.26, but hospitals typically charge $2,894 — a 4.0x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $716.26, your out-of-pocket cost would be approximately $143.25. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $568.96 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $1,946 | $13,250 | 8 | 254 | +171.7% |
| Arizona | $1,642 | $6,214 | 172 | 2,956 | +129.3% |
| Louisiana | $1,185 | $5,122 | 141 | 1,253 | +65.4% |
| Kansas | $1,035 | $6,830 | 71 | 1,433 | +44.5% |
| California | $1,019 | $3,670 | 678 | 7,668 | +42.3% |
| Texas | $966 | $5,215 | 550 | 7,819 | +34.9% |
| Oklahoma | $899 | $2,917 | 98 | 1,307 | +25.5% |
| Florida | $875 | $2,690 | 474 | 8,181 | +22.1% |
| Oregon | $855 | $2,503 | 65 | 1,038 | +19.4% |
| Nebraska | $854 | $3,286 | 36 | 863 | +19.2% |
| Nevada | $773 | $3,073 | 47 | 650 | +7.9% |
| Missouri | $772 | $2,695 | 137 | 1,927 | +7.8% |
| Illinois | $753 | $3,231 | 213 | 3,418 | +5.2% |
| Virginia | $657 | $1,719 | 129 | 3,080 | -8.3% |
| Minnesota | $634 | $3,192 | 77 | 1,477 | -11.5% |
| Mississippi | $615 | $3,111 | 64 | 1,161 | -14.1% |
| New Mexico | $601 | $2,421 | 24 | 337 | -16.1% |
| Colorado | $586 | $1,991 | 77 | 1,000 | -18.2% |
| New York | $570 | $2,675 | 254 | 4,144 | -20.4% |
| District of Columbia | $550 | $1,626 | 13 | 191 | -23.2% |
| New Jersey | $542 | $2,131 | 130 | 2,492 | -24.3% |
| Delaware | $540 | $1,323 | 20 | 413 | -24.6% |
| Maryland | $540 | $1,640 | 73 | 1,876 | -24.6% |
| Pennsylvania | $539 | $2,024 | 252 | 4,079 | -24.8% |
| Michigan | $528 | $1,508 | 184 | 2,443 | -26.3% |
| Massachusetts | $520 | $2,036 | 132 | 2,295 | -27.5% |
| Connecticut | $518 | $2,336 | 64 | 879 | -27.7% |
| Ohio | $506 | $1,823 | 204 | 3,010 | -29.3% |
| New Hampshire | $504 | $4,265 | 22 | 435 | -29.6% |
| Hawaii | $504 | $1,285 | 11 | 121 | -29.7% |
| Washington | $502 | $1,418 | 95 | 1,678 | -29.9% |
| Wyoming | $493 | $4,029 | 8 | 114 | -31.2% |
| Montana | $492 | $1,743 | 24 | 516 | -31.3% |
| Rhode Island | $492 | $1,377 | 13 | 222 | -31.4% |
| Georgia | $487 | $2,054 | 138 | 2,438 | -32.0% |
| West Virginia | $487 | $1,622 | 36 | 634 | -32.0% |
| North Carolina | $487 | $2,068 | 157 | 2,833 | -32.1% |
| Puerto Rico | $479 | $514 | 15 | 52 | -33.2% |
| Utah | $478 | $1,443 | 29 | 566 | -33.3% |
| Maine | $475 | $1,387 | 26 | 360 | -33.7% |
| Alabama | $473 | $1,789 | 96 | 1,409 | -34.0% |
| South Carolina | $471 | $2,123 | 98 | 2,120 | -34.2% |
| Kentucky | $471 | $1,475 | 92 | 1,078 | -34.3% |
| Arkansas | $470 | $1,403 | 78 | 1,395 | -34.3% |
| North Dakota | $470 | $2,557 | 21 | 295 | -34.3% |
| South Dakota | $470 | $1,448 | 10 | 335 | -34.4% |
| Tennessee | $462 | $1,545 | 142 | 2,452 | -35.5% |
| Vermont | $459 | $2,239 | 13 | 218 | -35.9% |
| Indiana | $454 | $1,899 | 135 | 2,200 | -36.5% |
| Idaho | $453 | $1,383 | 29 | 593 | -36.7% |
| Wisconsin | $452 | $5,155 | 112 | 1,360 | -36.8% |
| Iowa | $446 | $1,874 | 53 | 1,000 | -37.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber