CPT 33206 Surgery - Cardiovascular

How Much Does Insert Heart Pm Atrial Cost?

Also known as: Insert heart pm atrial (CPT 33206)

Implantation of a single-chamber pacemaker to help regulate your heartbeat.

The total estimated cost of Insert Heart Pm Atrial (CPT 33206) is $1,351 to $2,533, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $402.

Total Estimated Cost of Care

$1,351 — $2,533

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$402
Hospital Facility Fee
$1,206
Anesthesia (est.)
$80
Important: The physician fee of $402 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$402
Physician component only — CMS PFS 2026

Patient Guide: Insert Heart Pm Atrial

What you need to know before your appointment

What to Expect

Under local anesthesia with sedation, a small device is implanted under your skin below the collarbone. A wire (lead) is threaded through a vein to your heart. The pacemaker sends electrical signals to keep your heart beating at a normal rate.

How Long Does It Take?

1-2 hours of surgery

Common Reasons Doctors Order This

Slow heartbeat (bradycardia), heart block, fainting from slow heart rhythm, sick sinus syndrome

How to Prepare

Fast after midnight. Stop blood thinners as directed. You will stay overnight for monitoring. Avoid raising your arm above your shoulder for several weeks after.

Procedures Commonly Done Together

These procedures are frequently performed alongside Insert heart pm atrial

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How to Reduce Your Cost for Insert heart pm atrial

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

6.96
Work RVU
3.45
Practice Expense RVU
1.63
Malpractice RVU
12.04
Total RVU

Payment = Total RVU (12.04) x CF ($33.40) = $402

Frequently Asked Questions

How much does Insert heart pm atrial cost?

The Medicare facility rate for Insert heart pm atrial is $402. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Insert heart pm atrial cost without insurance?

Without insurance, the cost of Insert heart pm atrial can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Insert heart pm atrial?

Most commercial health insurance plans and Medicare cover Insert heart pm atrial when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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