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Pacemaker Implant, Upper And Lower Chambers

Hawaii rates for HCPCS 33208

Implants a permanent pacemaker, threading leads through a vein into both the upper and the lower chamber on the right side of the heart, with the battery unit placed under the skin below the collarbone. Pacing both chambers keeps them timed together the way the heart normally works. It treats a heartbeat that is too slow or that pauses.

Rates data updated July 2026.

How much does Pacemaker Implant, Upper And Lower Chambers cost?

$5,495

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $5,495 for this service. Most negotiated rates run $3,162 to $8,511.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $8,511 · 10th to 90th $2,818 to $8,511Professionalmedian $5,495 · 10th to 90th $603 to $9,333
$50$200$1K$5Kfacility $8,511professional $5,495

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$8,511.38
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$660.69
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$537.03
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$660.69
Typical High
$812.83
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$5,888.44
Typical High
$9,332.54

Where Hawaii sits

The same service costs 10.7 times more in California than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Hawaii· 3rd of 51

$5,495

CA $6,166MT $575

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.