Pacemaker implant cost in Nashville, TN — inpatient
In Nashville-Davidson--Murfreesboro--Franklin, TN, 2 hospitals list a cash price for pacemaker implant (dual chamber) as an inpatient: from $1,271.70 to $8,722.62, with a median of $4,997.16. The lowest listed price is at Vanderbilt University Medical Center — $3,725.46 less than the median here. Across Tennessee, the median is $5,107.53 at 32 hospitals.
Cash prices at 2 facilities across 2 cities for code 33208, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Oct 1, 2025 and Oct 1, 2025.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Nashville-Davidson--Murfreesboro--Franklin, TN.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Vanderbilt University Medical Center lowest Nashville, TN · (615) 322-3454 INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT | $1,271.70 | $2,355.00 | $321.75–$2,355.00 | 46% | Oct 1, 2025 source file |
| Vanderbilt Wilson County Hospital Lebanon, TN · (615) 444-2250 HC INS NEW/ REPL PERM PACEMKR A/V | $8,722.62 | $30,078.00 | $1,107.00–$24,062.40 | 71% | Oct 1, 2025 source file |
| Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 HC INS NEW/ REPL PERM PACEMKR A/V | $16,242.12 | $30,078.00 | $4,834.00–$24,062.40 | 46% | Oct 1, 2025 source file |
Inpatient: lowest $1,271.70, median $4,997.16, highest $8,722.62 — a 6.9× difference within the same market.
As an outpatient, the same code is billed by 4 facilities here, median $5,107.53 — that is the price to compare if you are not being admitted.
Cash or insurance?
At 2 of 2 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 it is
This procedure implants a pacemaker with leads in two heart chambers.
What the price covers
The hospital price usually covers the operating room, recovery and supplies. The surgeon and anesthesia usually bill separately.
1 row held back from this comparison
It is priced below $1 or below a tenth of the national median for code 33208 ($12,384.25). 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.
| Vanderbilt Wilson County Hospital Lebanon, TNINS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT | $682.95 | file |