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Open Chest Removal of Pacemaker Wires

Montana 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?

$2,934

Typical total for the visit. In Montana, October 2026.

Insurers have agreed to pay about $2,934 for this procedure. That total is two separate charges: $1,349 to the doctor who performs it, and $1,585 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,349$977 to $1,514
Facility feeThe hospital or surgery center$1,585$1,413 to $1,622

How much rates vary

Facilitymedian $1,585 · 10th to 90th $1,000 to $1,820Professionalmedian $1,349 · 10th to 90th $79 to $1,698
$100$200$500$1K$2Kfacility $1,585professional $1,349

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,047.13
Typical High
$2,818.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$1,584.89
Typical High
$1,819.70
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,698.24
Providence
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,288.25
Typical High
$1,513.56
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$954.99
Typical High
$1,862.09
United
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,584.89
Typical High
$2,344.23

Where Montana sits

The same service costs 11.8 times more in Alabama than in Maryland. 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.

Physician feeFacility fee

Montana· 26th of 51

$2,934

$1,349 physician + $1,585 facility

AL $19,042MD $1,609

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.