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CostHelper > Health & Personal Care  > Medical Specialties & Departments > Pacemaker

Pacemaker Cost


How Much Does a Pacemaker Cost?

 
average costWith Health Insurance: 10%-20% Copayhigh costWithout Health Insurance: $19,000-$96,000+
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A pacemaker is a battery-operated device implanted or externally attached to the body to direct electrical impulses when needed to stimulate the heart to beat regularly and properly circulate blood. An implantable defibrillator[1] , a larger device with a pacemaker built in, is placed inside the body near the collar bone to monitor the heart rate and deliver a strong electrical shock restoring the heartbeat to normal if it has become too fast or too slow.

Typical costs:

  • For patients not covered by insurance, a pacemaker and heart-assist implant can cost $19,000-$96,000 or more, depending on the type of pacemaker, the location and length of the hospital stay. For example, the Healthcare Bluebook[2] estimates a total price of $19,651 for patients in the Columbus, OH, area, including placement of the pacemaker, surgery, anesthesia and a five-day hospital stay. HealthGrades.com[3] estimates an average list price of $28,348 for the implant and procedure for patients in the western United States. Wisconsin PricePoint[4] , a subsidiary of the Wisconsin Hospital Association that collects healthcare price data, estimates the average costs of a defibrillator and heart assist implant in that state are about $96,000.
  • Pacemakers may be covered by Medicare or private health insurance. For patients with Medicare, the Dartmouth-Hitchcock Medical Center in New Hampshire estimates an out-of-pocket cost[5] of $2,604, including deductibles and coinsurance. Patients with private insurance could expect to pay[6] about $4,400.
Related articles: Heart Stent, Heart Rate Monitor, Cholesterol Test, Medicare, Health Insurance

What should be included:
  • Placing a pacemaker is considered minor surgery, according to the National Heart Lung and Blood Institute[7] . First, a doctor will numb the area where the pacemaker will go, then threat the wires through veins and into the correct location. He or she will then place the device through a small cut in the chest or abdomen and sew up the cut. The institute estimates the entire surgery takes a few hours.
  • This Mayo Clinic illustration[8] shows an implantable defibrillator once placed in the body, while this drawing[9] shows a pacemaker's positioning.
Additional costs:
  • Prices for pacemaker surgery can vary significantly based on whether the procedure is performed on an inpatient or outpatient basis, according to Blue Cross Blue Shield of Tennessee[10] .
  • Extended hospital stays can add $20,000-$65,000 or more per day to the bill. Wisconsin PricePoint estimates the average daily hospital charge[11] in that state is $23,695, with an average hospital stay of about six days.
Discounts:
  • Some hospitals and orthopedic specialists offer discounts for uninsured/cash paying patients. For example, Washington Hospital Healthcare System[12] in California offers a 35% discount for uninsured patients as well as a financial assistance program for qualifying uninsured patients.
Shopping for a pacemaker:
  • The Pacemaker Club has a variety of resources for patients receiving a pacemaker, including discussion boards and tips for finding physicians throughout the country.
  • A pacemaker cannot make a failing heart continue to beat, and about 20% of people with pacemakers experience painful shocks in the final weeks of their lives. The Heart Rhythm Society has information on end-of-life preparations.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
 
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What People Are Paying - Recent Comments
Experience With a Pacemaker
Amount: $0.00
Posted by: JHUTTER in MISSOULA, MT.Posted: March 22nd, 2017 05:03AM
VERY ILL OVER THE LIFE OF THE IMPLANT- CHEST PAIN, EXHAUSTION, LOCALIZED PAIN AT THE SITE OF THE IMPLANT FROM BRA STRAPS, SAFETY BELTS, ETC. HAD TO HAVE THE UNIT REMOVED
Was this post helpful to you?   yes     no Report prohibited or spam
Pacemaker
Amount: $29,000.00
Posted by: a user in Columbus, MS.Posted: February 22nd, 2017 01:02PM
Cardiologist: Medical Center: BMH-GT
I know how much a pacemaker cost hospital. Why is Ins. charging
different amts to pts? Do hospitals charge more for people that
have better ins or can afford it?
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Pacemaker
Amount: $29,000.00
Posted by: a user in Columbus, MS.Posted: February 22nd, 2017 01:02PM
Cardiologist: Medical Center: BMH-GT
I know how much a pacemaker cost hospital. Why is Ins. charging
different amts to pts?
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looking for help to get a pacemaker
Amount: $0.00
Posted by: SoBrown in SAN DIEGO, CA.Posted: September 11th, 2012 01:09PM
Cardiologist: WilliamsMedical Center: Mercy/Scripps
I am a 51 yr old man, with a heart beating at only 10%. Heart disease runs in my family, my father,a sister, and my infant daughter all have passed on. My problem is because of my drug use, which I am slowly conquering, they will not consider me for a pacemaker...and I want to live...suggestions time is short....
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External Resources:
  1.  www.uihealthcare.com/topics/medicaldepartments/internalmedicine/pacemakersanddefib/inde...
  2.  www.healthcarebluebook.com/page_Results.aspx?id=47&dataset=MD
  3.  www.healthgrades.com/
  4.  www.wipricepoint.org/Basic_INP.aspx
  5.  patients.dartmouth-hitchcock.org/billing_questions/out_of_pocket_estimator_dhmc.html?&s...
  6.  patients.dartmouth-hitchcock.org/billing_questions/out_of_pocket_estimator_dhmc.html?&s...
  7.  www.nhlbi.nih.gov/health/health-topics/topics/pace/
  8.  www.mayoclinic.com/health/medical/IM03596
  9.  www.mayoclinic.com/health/medical/IM03530
  10.  www.bcbst.com/learn/treatment-options/pacemaker.shtm
  11.  www.wipricepoint.org/Basic_INP.aspx
  12.  www.whhs.com/about/washington-hospital-discount-policy-for-uninsured
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