Pacemaker implant cost in San Antonio, TX
In San Antonio-New Braunfels, TX, 2 hospitals list a cash price for pacemaker implant (dual chamber): from $3,393.72 to $4,633.25, with a median of $4,013.49. The lowest listed price is at Santa Rosa Hospital - Westover Hills — $619.77 less than the median here. Across Texas, the median is $18,985.80 at 81 hospitals.
Cash prices at 2 facilities for code 33208, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 24, 2026; the hospital files themselves were last updated between Oct 14, 2025 and Jan 13, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in San Antonio-New Braunfels, TX.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Santa Rosa Hospital - Westover Hills lowest San Antonio, TX HC 33208 INSJ/RPLCMT PRM PM W/TRANSVNS ELTRD ATR&VENTR | $3,393.72 | $10,284.00 | $585.99–$23,314.00 | 67% | Jan 13, 2026 source file |
| University Health System San Antonio, TX · (210) 358-2000 HC INSERT/REPLACE PGEN W/LEADS;A/V | $4,633.25 | $18,533.00 | $1,062.00–$46,332.50 | 75% | Oct 14, 2025 source file |
Outpatient: lowest $3,393.72, median $4,013.49, highest $4,633.25 — a 1.4× difference within the same market.
As an inpatient, the same code is billed by 1 facility here, median $4,633.25. 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 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.