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Surgical Removal Of Pacemaker On The Heart Surface

Iowa 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?

$1,698

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $1,698 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $5,370 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,259$1,000 to $2,239
FacilityA hospital or hospital-owned outpatient department$5,370$2,042 to $6,918

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,259 to $8,128Professionalmedian $1,259 · 10th to 90th $832 to $4,786
$1K$2K$5K$10Kfacility $5,370professional $1,259

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
$1,258.93
Median
$6,456.54
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,258.93
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,995.26
Typical High
$2,290.87
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,258.93
Typical High
$3,235.94
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,187.76
Typical High
$7,943.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,698.24
Typical High
$2,951.21
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$3,019.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$2,570.40
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,548.82
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$5,623.41
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,380.38
Typical High
$2,691.53
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,737.80
Typical High
$2,041.74

Where Iowa 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.

Iowa· 11th of 51

$1,698

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.