Medicare Pacemaker Insertion Cost 2026 | Out-of-Pocket Estimator
Permanent pacemaker insertion (CPT 33206) is covered by Medicare. The HOPD facility fee includes the device cost. DRG 244 inpatient payment is $13,153 (w/o CC/MCC).
2026 Medicare Cost Summary — Pacemaker Insertion (CPT 33206)
Source: CMS 2026 MPFS, OPPS Final Rule, ASC Final Rule, IPPS. All amounts are national averages.
| Cost Component | Medicare-Approved Amount | Your Share (20%) |
|---|---|---|
| Surgeon Fee — Pacemaker Insertion (CPT 33206) | $402 | $80 |
| Hospital Outpatient (HOPD) Facility Fee | $10,678 | $2,136 |
| Ambulatory Surgery Center (ASC) Facility Fee | $7,284 | $1,457 |
| Inpatient Hospital (DRG 244) — Medicare Pays | $13,153 | $1,736 Part A deductible |
| Anesthesia (estimated) | $500–$900 | 20% of approved |
What Medicare Pays
Medicare pays 80% of the approved amount for Part B services after your $283 annual deductible. With no supplemental insurance, you owe the remaining 20% with no annual out-of-pocket cap. With Medigap Plan G, you pay only the $283 Part B deductible — everything else is covered. With Medigap Plan N, you pay the $283 deductible plus a $20 copay per visit.
About This Calculator
MediCostCalc uses 2026 CMS official fee schedules — the Medicare Physician Fee Schedule (MPFS), Outpatient Prospective Payment System (OPPS), Ambulatory Surgical Center (ASC) Final Rule, and Inpatient Prospective Payment System (IPPS) — to give you a personalized, line-item cost estimate. No sign-up required. All data is from official CMS sources.
Does Medicare Cover Pacemaker Surgery?
Yes. Medicare Part A covers permanent pacemaker insertion (CPT 33206) as an inpatient procedure when medically necessary — typically for bradycardia, heart block, or sick sinus syndrome. Because pacemaker implantation almost always requires an overnight stay for device testing and monitoring, it is billed under Part A (inpatient), not Part B.
Your cost under Part A: the $1,736 inpatient deductible covers days 1–60 with no daily copay. If your stay extends beyond 60 days (rare for uncomplicated pacemaker implants), a daily coinsurance applies.
How Much Does a Pacemaker Cost with Medicare?
The total cost of pacemaker surgery is high — the device itself often accounts for $10,000–$20,000 of the facility fee. Under Medicare's inpatient DRG system, the hospital receives a bundled payment of $13,153 (DRG 244) covering the entire stay: the device, implantation, monitoring, and recovery. You do not pay separately for the device.
| Cost Component | Amount |
|---|---|
| Medicare DRG 244 bundled payment to hospital | $13,153 |
| Your Part A inpatient deductible (days 1–60) | $1,736 |
| Surgeon fee (CPT 33206, Part B) | $581 → your 20% = $116 |
| With Medigap Plan G — total out-of-pocket | ~$399 (Part B deductible + surgeon copay) |
Without supplemental insurance, you owe the $1,736 Part A deductible plus the 20% surgeon copay (~$116) — approximately $1,852 total. Medigap Plan G reduces this dramatically to around $399.
Single-Chamber vs. Dual-Chamber vs. ICD: Does Medicare Cover All Types?
Medicare covers all medically indicated pacemaker types:
- Single-chamber pacemaker (CPT 33206/33207) — One lead, right ventricle or atrium
- Dual-chamber pacemaker (CPT 33208) — Two leads for coordinated pacing
- Implantable cardioverter-defibrillator (ICD, CPT 33249) — Paces and delivers shocks; higher facility cost (DRG 226/227)
- Leadless pacemaker (CPT 33274) — Micra device; covered by Medicare since 2016
The DRG payment and your deductible are the same regardless of device type for straightforward implants. Premium device features (MRI-compatible, remote monitoring) do not add to your Medicare cost share.