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Surgical Removal Of Pacemaker On The Heart Surface

Hawaii rates for HCPCS 33237

Removal of a permanent pacemaker system whose wires are attached to the outer surface of the heart rather than threaded through a vein. The chest is opened surgically so the wires can be detached from the heart and taken out along with the pulse generator. It is done for infection, for a device that no longer works, or when the system is no longer needed.

Rates data updated July 2026.

How much does Surgical Removal Of Pacemaker On The Heart Surface cost?

$1,023

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $1,023 for this service. Most negotiated rates run $813 to $1,148.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $2,512 to $2,818Professionalmedian $1,023 · 10th to 90th $138 to $1,479
$50$100$200$500$1K$2Kfacility $2,818professional $1,023

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. Small sample; interpret with caution. 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
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,047.13
HMSA
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,258.93
Typical High
$1,513.56
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$977.24
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,071.52
Typical High
$1,318.26
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$1,023.29
Typical High
$1,479.11

Where Hawaii sits

The same service costs 7.8 times more in California than in West Virginia. 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· 46th of 51

$1,023

CA $7,244WV $933

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.