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Open Chest Removal of Pacemaker Wires

Hawaii rates for HCPCS 33238

Removal of the permanent wires that run from a pacemaker to the heart, done by opening the chest to reach them directly. This route is used when the wires cannot be taken out by simpler means, for example because scar tissue has locked them in place. The battery unit itself is dealt with separately.

Rates data updated October 2026.

How much does Open Chest Removal of Pacemaker Wires cost?

$1,148

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $1,148 for this service. Most negotiated rates run $1,122 to $1,349.

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 $1,202 · 10th to 90th $1,148 to $2,818Professionalmedian $1,148 · 10th to 90th $30 to $1,514
$50$100$200$500$1K$2Kfacility $1,202professional $1,148

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,122.02
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
HMSA
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,445.44
Typical High
$1,659.59
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$645.65
Median
$724.44
Typical High
$831.76
HMSA
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$218.78
Median
$245.47
Typical High
$281.84
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,122.02
Typical High
$1,819.70
United
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$1,202.26
Typical High
$2,511.89
United
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,380.38
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$154.88
Typical High
$1,230.27

Where Hawaii sits

The same service costs 4.7 times more in Alaska than in Texas. 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· 39th of 51

$1,148

AK $3,802TX $813

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.