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Pacemaker Implant, Upper And Lower Chambers

Washington 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?

$7,821

Typical total for the visit. In Washington, July 2026.

Insurers have agreed to pay about $7,821 for this procedure. That total is two separate charges: $741 to the doctor who performs it, and $7,079 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 10 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$741$575 to $1,288
Facility feeThe hospital or surgery center$7,079$1,096 to $24,547

How much rates vary

Facilitymedian $7,079 · 10th to 90th $692 to $34,674Professionalmedian $741 · 10th to 90th $490 to $2,138
$100$1K$10Kfacility $7,079professional $741

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
$660.69
Median
$7,079.46
Typical High
$28,183.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$691.83
Typical High
$2,137.96
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$33,113.11
Typical High
$58,884.37
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,023.29
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$18,197.01
Typical High
$18,197.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$954.99
Typical High
$1,513.56
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,258.93
Typical High
$47,863.01
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,148.15
Typical High
$16,218.10
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$977.24
Typical High
$1,023.29
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,047.13
Typical High
$1,479.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$31,622.78
Typical High
$57,543.99
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,000.00
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$32,359.37
Typical High
$60,255.96
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$1,348.96
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$602.56
Typical High
$912.01

Where Washington sits

The same service costs 32.2 times more in West Virginia than in Maine. 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.

Physician feeFacility fee

Washington· 33rd of 51

$7,821

$741 physician + $7,079 facility

WV $46,271ME $1,437

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.