Surgery and procedures CPT 33208 Outpatient

Pacemaker implant cost in Charlotte, NC

In Charlotte-Concord-Gastonia, NC-SC, 14 hospitals list a cash price for pacemaker implant (dual chamber): from $4,949.64 to $47,960.00, with a median of $7,889.00. The lowest listed price is at Iredell Memorial Hospital — $2,939.36 less than the median here. Across North Carolina, the median is $7,889.00 at 35 hospitals.

  • The median here, $7,889.00, is 44% below the US median of $14,000.00.
  • 3 of 14 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 14 facilities across 11 cities for code 33208, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 11, 2026; the hospital files themselves were last updated between Dec 31, 2025 and Nov 4, 2026.

Lowest$4,949.64Iredell Memorial Hospital
Median$7,889.00half of hospitals charge less
Highest$47,960.00in this market
Difference9.7×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Charlotte-Concord-Gastonia, NC-SC.

median
Lowest $4,949.64Highest $47,960.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Iredell Memorial Hospital lowest Statesville, NC · (704) 878-5661 Insert or Replace Permanent Pacemaker with TV Leads-Atrial and V File of Dec 31, 2025 · source file $4,949.64 $18,332.00 $4,199.86–$36,664.00 73%
Atrium Health Mercy, a facility of Carolinas Medical Center Charlotte, NC HC INSERT/REPLACE PERM PACEMAKER ATRIAL/VENTRICULAR File of Oct 29, 2026 · source file $7,889.00 $15,778.00 $1,695.94–$14,515.76 50%
Atrium Health Lincoln Lincolnton, NC · (980) 212-2000 HC INSERT/REPLACE PERM PACEMAKER ATRIAL/VENTRICULAR File of Oct 29, 2026 · source file $7,889.00 $15,778.00 $1,715.07–$14,989.10 50%
Carolinas Medical Center-Northeast Concord, NC · (704) 783-3000 HC INSERT/REPLACE PERM PACEMAKER ATRIAL/VENTRICULAR File of Nov 4, 2026 · source file $7,889.00 $15,778.00 $1,872.85–$14,989.10 50%
Atrium Health Anson Wadesboro, NC · (704) 694-5131 HC INSERT/REPLACE PERM PACEMAKER ATRIAL/VENTRICULAR File of Oct 28, 2026 · source file $7,889.00 $15,778.00 $2,238.90–$14,989.10 50%
Atrium Health Pineville Charlotte, NC · (704) 379-5000 HC INSERT/REPLACE PERM PACEMAKER ATRIAL/VENTRICULAR File of Oct 29, 2026 · source file $7,889.00 $15,778.00 $1,550.98–$14,515.76 50%
Atrium Health Union Monroe, NC · (704) 283-3100 HC INSERT/REPLACE PERM PACEMAKER ATRIAL/VENTRICULAR File of Oct 29, 2026 · source file $7,889.00 $15,778.00 $1,992.76–$14,989.10 50%
Carolinas Medical Center Charlotte, NC · (704) 355-2000 HC INSERT/REPLACE PERM PACEMAKER ATRIAL/VENTRICULAR+1 more line at this price File of Oct 29, 2026 · source file $7,889.00 $15,778.00 $1,695.94–$14,200.20 50%
Atrium Health University City Charlotte, NC · (704) 548-6000 HC INSERT/REPLACE PERM PACEMAKER ATRIAL/VENTRICULAR File of Oct 29, 2026 · source file $7,889.00 $15,778.00 $1,539.93–$15,304.66 50%
Duke Health Lake Norman Hospital Mooresville, NC · (704) 660-4000 HC INS/RPLC PCMKR ATRIAL & VENT+2 more lines at this price File of Apr 1, 2026 · source file $16,291.53 $60,339.00 $5,297.76–$39,220.35 73%
MUSC Lancaster Medical Center Lancaster, SC · (803) 286-1481 HB INS/RPL PERM PACER ATRIAL&VENT File of Apr 1, 2026 · source file $20,706.50 $41,413.00 — 50%
Gaston Memorial Hospital Mount Holly, NC · (704) 834-4891 HCHG PLC/REPL PERM PM LEAD(S) A/V File of May 11, 2026 · source file $47,960.00 $47,960.00 $1,504.22–$45,562.00 —
Gaston Memorial Hospital Belmont, NC · (704) 834-4891 HCHG PLC/REPL PERM PM LEAD(S) A/V File of May 11, 2026 · source file $47,960.00 $47,960.00 $1,504.22–$45,562.00 —
CaroMont Regional Medical Center - Gastonia Gastonia, NC · (704) 834-4891 HCHG PLC/REPL PERM PM LEAD(S) A/V File of May 11, 2026 · source file $47,960.00 $47,960.00 $1,504.22–$45,562.00 —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Outpatient: lowest $4,949.64, median $7,889.00, highest $47,960.00 — a 9.7× difference within the same market.

As an inpatient, the same code is billed by 13 facilities here, median $7,889.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 10 of 13 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What pacemaker implant is, what the price covers and why prices differ: Pacemaker implant explained.