How Much Does Insrt Heart Pm Atrial & Vent Cost?
Also known as: Insrt heart pm atrial & vent (CPT 33208)
Implantation of a dual-chamber pacemaker with leads in both the upper and lower chambers of the heart.
The total estimated cost of Insrt Heart Pm Atrial & Vent (CPT 33208) is $1,532 to $2,872, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $456.
Total Estimated Cost of Care
This estimate includes hospital facility fees, anesthesia, and supplies .
Patient Guide: Insrt Heart Pm Atrial & Vent
What you need to know before your appointment
What to Expect
Under sedation, a pacemaker is implanted under your skin below the collarbone with two wires threaded to different chambers of your heart. This coordinates the timing of your heartbeat.
How Long Does It Take?
1-2.5 hours of surgery
Common Reasons Doctors Order This
Complete heart block, sick sinus syndrome, need for atrial and ventricular pacing coordination
How to Prepare
Fast after midnight. Stop blood thinners as directed. Overnight hospital stay. Avoid raising the arm on the implant side above shoulder height for 4-6 weeks.
Procedures Commonly Done Together
These procedures are frequently performed alongside Insrt heart pm atrial & vent
How to Reduce Your Cost for Insrt heart pm atrial & vent
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.
Payment = Total RVU (13.65) x CF ($33.40) = $456
Related Procedures
Similar procedures in the same category or body system
People Also Ask
Common questions people search for about this procedure
What's the average cost of a pacemaker?
How long can a 60 year old live with a pacemaker?
Does Medicare pay for pacemakers?
Is getting a pacemaker a major surgery?
Frequently Asked Questions
How much does Insrt heart pm atrial & vent cost?
The Medicare facility rate for Insrt heart pm atrial & vent is $456. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Insrt heart pm atrial & vent cost without insurance?
Without insurance, the cost of Insrt heart pm atrial & vent 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 Insrt heart pm atrial & vent?
Most commercial health insurance plans and Medicare cover Insrt heart pm atrial & vent 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.