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Surgical Removal Of Pacemaker On The Heart Surface

Missouri 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?

$2,884

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $2,884 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $7,079 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 6 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$1,047$933 to $1,380
FacilityA hospital or hospital-owned outpatient department$7,079$3,162 to $12,882

How much rates vary

Facilitymedian $7,079 · 10th to 90th $1,778 to $23,442Professionalmedian $1,047 · 10th to 90th $871 to $2,512
$1K$2K$5K$10K$20K$50Kfacility $7,079professional $1,047

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
$1,122.02
Median
$5,623.41
Typical High
$28,840.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,000.00
Typical High
$4,897.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$8,912.51
Typical High
$23,442.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,122.02
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$25,703.96
Typical High
$33,884.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,174.90
Typical High
$2,041.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,754.23
Typical High
$12,022.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,380.38
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,818.38
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,258.93
Typical High
$2,238.72

Where Missouri 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.

Missouri· 5th of 51

$2,884

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.