Last updated: March 2026
How Much Does Pacemaker Implantation Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Single-Chamber Pacemaker | $20,000 – $50,000 | $3,000 – $10,000 |
| Dual-Chamber Pacemaker | $30,000 – $70,000 | $5,000 – $12,000 |
| Biventricular Pacemaker (CRT) | $40,000 – $100,000 | $8,000 – $15,000 |
| Leadless Pacemaker (Micra) | $35,000 – $80,000 | $6,000 – $14,000 |
CPT/ADA Code: 33208
What Affects the Cost
- Brand-name vs. generic availability
- Insurance formulary tier placement
- Pharmacy choice (retail vs. mail-order vs. Costco)
- Manufacturer savings cards and coupons
- Dosage and quantity prescribed
- Geographic location
Insurance Coverage
Typical coverage: Medically necessary — covered after deductible; device cost is significant portion
Most insurance plans use a tiered formulary: Tier 1 (generic) $0-$15 copay, Tier 2 (preferred brand) $25-$75, Tier 3 (non-preferred brand) $50-$150, Tier 4 (specialty) $100-$500+. Prior authorization may be required for certain medications. Step therapy may require trying cheaper alternatives first.
How to Save Money
- Always ask for generic when available — saves 50-90%
- Use GoodRx, RxSaver, or similar discount cards
- Costco pharmacy is open to non-members and often has lowest prices
- Mark Cuban's Cost Plus Drugs offers transparent low pricing
- Manufacturer patient assistance programs provide free medication to qualifying patients
- HSA/FSA funds can cover medication costs tax-free
Related Procedures & Costs
Frequently Asked Questions
Pacemaker implantation costs $20,000 to $100,000 without insurance. The device itself costs $5,000-$30,000 depending on the type.
Modern pacemaker batteries last 8-15 years. Battery replacement surgery is less complex than initial implantation.
Yes, pacemaker implantation is covered when medically necessary. It is one of the most common cardiac procedures.