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Surgical Removal Of Pacemaker On The Heart Surface

North Carolina 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?

$1,318

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $1,660 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$1,259$912 to $1,778
FacilityA hospital or hospital-owned outpatient department$1,660$1,202 to $3,981

How much rates vary

Facilitymedian $1,660 · 10th to 90th $813 to $7,586Professionalmedian $1,259 · 10th to 90th $813 to $2,570
$1K$2K$5K$10Kfacility $1,660professional $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
$812.83
Median
$2,041.74
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$954.99
Typical High
$2,754.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,778.28
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,318.26
Typical High
$2,238.72
Medcost
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,230.27
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,148.15
Typical High
$2,089.30
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$5,128.61
Typical High
$5,128.61
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$8,912.51

Where North Carolina 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.

North Carolina· 25th of 51

$1,318

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.