Pacemaker implant cost in Houston, TX
In Houston-Pasadena-The Woodlands, TX, 32 hospitals list a cash price for pacemaker implant (dual chamber): from $4,933.53 to $85,513.56, with a median of $11,094.50. The lowest listed price is at The Community Hospital of Brazosport — $6,160.97 less than the median here. Across Texas, the median is $18,985.80 at 199 hospitals.
- The median here, $11,094.50, is 21% below the US median of $14,000.00.
- Houston, TX has the lowest median of 4 metro areas in Texas with at least 10 hospitals pricing this code.
- 11 of 32 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 32 facilities across 15 cities for code 33208, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 1, 2026; the hospital files themselves were last updated between Feb 28, 2026 and Sep 1, 2026.
Lowest$4,933.53The Community Hospital of Brazosport
Median$11,094.50half of hospitals charge less
Highest$85,513.56in this market
Difference17.3×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 Houston-Pasadena-The Woodlands, TX.
median
Lowest $4,933.53Highest $85,513.56
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| The Community Hospital of Brazosport lowest Lake Jackson, TX · (979) 297-4411 PERM. PACER - DUAL CHAMBER File of Feb 28, 2026 · source file | $4,933.53 | $14,095.80 | $652.26–$27,399.84 | 65% |
| St Luke's Patients Medical Center Pasadena, TX · (281) 487-0700 INSERT DUAL PPM & LEADS File of Feb 28, 2026 · source file | $5,896.10 | $16,846.00 | $2,403.00–$20,126.81 | 65% |
| HCA Houston Healthcare Northwest Houston, TX · (281) 440-1000 INS PACEMAKER ATR/VENT+1 more line at this price File of Sep 1, 2026 · source file | $8,313.46 | $8,313.46 | $498.81–$41,580.00 | — |
| The Methodist Hospital Houston, TX · (713) 790-2221 HC PACEMAKER INSERT/RPLC AV SEQUE File of Apr 1, 2026 · source file | $9,938.50 | $19,877.00 | — | 50% |
| Hsa St. Joseph Houston, TX · (713) 757-1000 INSRT HEART PM ATRIAL & VENT File of Sep 1, 2026 · source file | $10,324.35 | $50,445.90 | $9,963.00–$14,699.47 | 80% |
| Harris Health Taub Loop Houston, TX · (713) 873-2000 ECHG INVASIVE CARD INS/REPL PERM PACEMAKER; AV+1 more line at this price File of Mar 24, 2026 · source file | $10,568.71 | $22,344.00 | $3,100.00–$17,875.20 | 53% |
| Harris Health Houston, TX · (713) 873-2000 ECHG INVASIVE CARD INS/REPL PERM PACEMAKER; AV+1 more line at this price File of Mar 24, 2026 · source file | $10,568.71 | $22,344.00 | $3,100.00–$17,875.20 | 53% |
| St Luke's Sugar Land Hospital Sugar Land, TX · (281) 637-7000 HC INSERT PM W/ATRL&VENT LEAD File of Feb 28, 2026 · source file | $10,759.35 | $30,741.00 | $2,403.00–$34,067.41 | 65% |
| St Luke's Lakeside Hospital The Woodlands, TX · (936) 266-4055 HC INSERT PM W/ATRL&VENT LEAD File of Feb 28, 2026 · source file | $10,759.35 | $30,741.00 | $2,403.00–$34,067.41 | 65% |
| St Luke's the Woodlands Hospital The Woodlands, TX · (936) 266-4050 HC INSERT PM W/ATRL&VENT LEAD File of Feb 28, 2026 · source file | $10,759.35 | $30,741.00 | $2,403.00–$34,067.41 | 65% |
| St. Lukes Hospital at the Vintage Houston, TX · (832) 534-5000 HC INSERT PM W/ATRL&VENT LEAD File of Feb 28, 2026 · source file | $10,759.35 | $30,741.00 | $2,403.00–$34,067.41 | 65% |
| CHI St. Luke's Health Springwood Village Spring, TX · (936) 266-4050 HC INSERT PM W/ATRL&VENT LEAD File of Feb 28, 2026 · source file | $10,759.35 | $30,741.00 | $2,403.00–$34,067.41 | 65% |
| CHI St. Luke's Health Baylor College of Medicine Medical Center Houston, TX · (832) 355-1000 HC INSERT PM W/ATRL&VENT LEAD File of Feb 28, 2026 · source file | $10,759.35 | $30,741.00 | $2,404.80–$34,067.41 | 65% |
| Methodist West Houston Hospital Houston, TX · (832) 522-1000 HC PACEMAKER INSERT/RPLC AV SEQUE File of Apr 1, 2026 · source file | $11,094.50 | $22,189.00 | — | 50% |
| Houston Methodist Continuing Care Hospital Katy, TX HC PACEMAKER INSERT/RPLC AV SEQUE File of Apr 1, 2026 · source file | $11,094.50 | $22,189.00 | — | 50% |
| Houston Methodist The Woodlands Hospital The Woodlands, TX · (936) 270-2000 HC PACEMAKER INSERT/RPLC AV SEQUE File of Apr 1, 2026 · source file | $11,094.50 | $22,189.00 | — | 50% |
| Houston Methodist Baytown Hospital Baytown, TX · (281) 420-8600 HC PACEMAKER INSERT/RPLC AV SEQUE File of Apr 1, 2026 · source file | $11,094.50 | $22,189.00 | — | 50% |
| Houston Methodist Cypress Hospital Cypress, TX · (346) 618-1506 HC PACEMAKER INSERT/RPLC AV SEQUE File of Apr 1, 2026 · source file | $11,094.50 | $22,189.00 | — | 50% |
| Methodist Willowbrook Hospital Houston, TX · (281) 477-1000 HC PACEMAKER INSERT/RPLC AV SEQUE File of Apr 1, 2026 · source file | $11,094.50 | $22,189.00 | — | 50% |
| Methodist Sugar Land Hospital Sugar Land, TX · (281) 274-8000 HC PACEMAKER INSERT/RPLC AV SEQUE File of Apr 1, 2026 · source file | $11,094.50 | $22,189.00 | — | 50% |
| Houston Methodist Clear Lake Hospital Nassau Bay, TX · (281) 333-5503 HC PACEMAKER INSERT/RPLC AV SEQUE File of Apr 1, 2026 · source file | $11,094.50 | $22,189.00 | — | 50% |
| Texas Children's Hospital Houston, TX · (832) 824-1000 TC PM INSERTION NEW/REPLACEMENT W/ ATRIAL & VT LEAD+2 more lines at this price File of Mar 5, 2026 · source file | $15,454.22 | $23,066.00 | $6,227.82–$21,912.70 | 33% |
| HCA Houston Healthcare Conroe Conroe, TX · (936) 539-1111 INS PACEMAKER ATR/VENT+1 more line at this price File of Sep 1, 2026 · source file | $18,642.20 | $18,642.20 | $300.00–$40,000.00 | — |
| HCA Houston Healthcare Kingwood Humble, TX · (281) 359-7500 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular +2 more lines at this price File of Sep 1, 2026 · source file | $23,251.00 | $23,251.00 | $300.00–$41,580.00 | — |
| HCA Houston Healthcare North Cypress Houston, TX · (281) 359-7500 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular +1 more line at this price File of Sep 1, 2026 · source file | $23,251.00 | $23,251.00 | $1,395.06–$41,580.00 | — |
| HCA Houston Healthcare West Houston, TX · (281) 588-8080 INS PACEMAKER ATR/VENT+1 more line at this price File of Sep 1, 2026 · source file | $45,316.00 | $45,316.00 | $300.00–$41,580.00 | — |
| HCA Houston Healthcare Southeast Pasadena, TX · (713) 359-1000 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular +1 more line at this price File of Sep 1, 2026 · source file | $53,985.39 | $53,985.39 | $300.00–$48,586.85 | — |
| HCA Houston Healthcare Medical Center Houston, TX · (713) 527-5019 INS PACEMAKER ATR/VENT+1 more line at this price File of Sep 1, 2026 · source file | $60,031.13 | $60,031.13 | $3,601.87–$51,026.46 | — |
| HCA Houston Healthcare Clear Lake Alvin, TX · (281) 332-2511 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular +2 more lines at this price File of Sep 1, 2026 · source file | $70,290.96 | $70,290.96 | $300.00–$63,261.86 | — |
| HCA Houston Mainland Texas City, TX · (281) 332-2511 INS PACEMAKER ATR/VENT+1 more line at this price File of Sep 1, 2026 · source file | $70,290.96 | $70,290.96 | $300.00–$63,261.86 | — |
| HCA Houston Healthcare Tomball Houston, TX · (281) 351-7500 INS PACEMAKER ATR/VENT+1 more line at this price File of Sep 1, 2026 · source file | $77,281.88 | $77,281.88 | $3,673.00–$65,689.60 | — |
| HCA Houston Healthcare Pearland Houston, TX · (713) 770-7000 INS PACEMAKER ATR/VENT+1 more line at this price File of Sep 1, 2026 · source file | $85,513.56 | $85,513.56 | $3,673.00–$72,686.53 | — |
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 $4,933.53, median $11,094.50, highest $85,513.56 — a 17.3× difference within the same market.
As an inpatient, the same code is billed by 20 facilities here, median $10,759.35. 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 13 of 23 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.
19 rows held back from this comparison
They are priced below $1 or below a tenth of the national median for code 33208 ($12,406.36). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.
| Hospital | Cash price | File |
|---|---|---|
| Memorial Hermann Memorial City Medical Center Houston, TXHC PPM INS/REPL GEN/LEADS DUAL | $384.96 | file |
| Memorial Hermann Greater Heights Hospital Houston, TXHC PPM INS/REPL GEN/LEADS DUAL | $384.96 | file |
| Memorial Hermann Sugar Land Hospital Sugar Land, TXHC PPM INS/REPL GEN/LEADS DUAL | $384.96 | file |
| Memorial Hermann Southeast Hospital Houston, TXHC PPM INS/REPL GEN/LEADS DUAL | $384.96 | file |
| Memorial Hermann Northeast Hospital Humble, TXHC PPM INS/REPL GEN/LEADS DUAL | $384.96 | file |
| Memorial Hermann Pearland Hospital Pearland, TXHC PPM INS/REPL GEN/LEADS DUAL | $384.96 | file |
| Tirr Memorial Hermann Houston, TXHC PPM INS/REPL GEN/LEADS DUAL | $384.96 | file |
| Memorial Hermann Katy Hospital Katy, TXHC PPM INS/REPL GEN/LEADS DUAL | $384.96 | file |
| Memorial Hermann The Woodlands Medical Center The Woodlands, TXHC PPM INS/REPL GEN/LEADS DUAL | $384.96 | file |
| Memorial Hermann Rehabilitation Hospital Katy Katy, TXHC PPM INS/REPL GEN/LEADS DUAL | $384.96 | file |
| Memorial Hermann Southwest Hospital Houston, TXHC PPM INS/REPL GEN/LEADS DUAL | $384.96 | file |
| Memorial Hermann Cypress Hospital Cypress, TXHC PPM INS/REPL GEN/LEADS DUAL | $481.76 | file |
| Children's Memorial Hermann Hospital Houston, TXHC PPM INS/REPL GEN/LEADS DUAL | $481.76 | file |
| Memorial Hermann-Texas Medical Center Houston, TXHC PPM INS/REPL GEN/LEADS DUAL | $481.76 | file |
| Memorial Hermann Rockets Orthopedic Hospital Bellaire, TXHC PPM INS/REPL GEN/LEADS DUAL | $481.76 | file |
| Memorial Hermann Imaging Center (Cypress) Cypress, TXHC PPM INS/REPL GEN/LEADS DUAL | $481.76 | file |
| Memorial Hermann Imaging Center (Upper Kirby) Houston, TXHC PPM INS/REPL GEN/LEADS DUAL | $481.76 | file |
| Memorial Hermann Imaging Center (Bellaire) Bellaire, TXHC PPM INS/REPL GEN/LEADS DUAL | $481.76 | file |
| Memorial Hermann Imaging Center (Texas Medical Center) Houston, TXHC PPM INS/REPL GEN/LEADS DUAL | $481.76 | file |
File Link to the hospital's own price file.