Pacemaker implant cost in Washington
In Washington, 30 hospitals publish a cash price for pacemaker implant (dual chamber): from $1,485.90 to $42,846.70, with a median of $10,456.32. The lowest price is at Astria Toppenish Hospital (Toppenish). The highest price is 28.8× the lowest.
- The median here, $10,456.32, is 25% below the US median of $14,000.00.
- Washington ranks 12th of 45 states by median, cheapest first.
- 1 of 30 hospitals list a cash price equal to their full list price, with no self-pay discount.
Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.
Outpatient cash prices, one line per hospital — its lowest listed price for code 33208. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 11, 2026. See them on a map
Lowest$1,485.90Astria Toppenish Hospital
Median$10,456.32half of hospitals charge less
Highest$42,846.70in Washington
Lowest saves$8,970.42vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Astria Toppenish Hospital lowest Toppenish · Yakima, WA 33208 Insert permanent pacemaker w/ transvenous el | $1,485.90 | $2,286.00 | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC INSERTION PERM AV PACER | $7,392.48 | $15,401.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC INSERTION PERM AV PACER | $7,392.48 | $15,401.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC INSERTION PERM AV PACER | $7,392.48 | $15,401.00 | Apr 1, 2026 source file |
| Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA HC PACER INS/REP-PERM TV-A/V | $7,681.40 | $26,634.51 | Sep 30, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC INSERTION PERM AV PACER | $8,015.70 | $11,451.00 | Apr 1, 2026 source file |
| St Anthony Hospital Gig Harbor · Seattle-Tacoma-Bellevue, WA HC PACER INS/REP-PERM TV-A/V | $8,099.56 | $26,634.51 | Sep 30, 2026 source file |
| Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA HC PACER INS/REP-PERM TV-A/V | $8,107.55 | $26,634.51 | Sep 30, 2026 source file |
| St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA HC PACER INS/REP-PERM TV-A/V | $8,190.12 | $26,634.51 | Sep 30, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC INSERTION PERM AV PACER | $8,383.20 | $11,976.00 | Apr 1, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA INSRT/REPL PRMNT PACEMKR W TRNSVNOUS ELEC,ART AND VENTRCLR | $8,634.30 | $16,930.00 | Jan 1, 2026 source file |
| St Joseph Medical Center Tacoma · Seattle-Tacoma-Bellevue, WA HC PACER INS/REP-PERM TV-A/V | $8,728.13 | $26,634.51 | Sep 30, 2026 source file |
| Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc Ppi Gen & Dual Leads | $8,841.00 | $17,682.00 | Apr 1, 2026 source file |
| St Elizabeth Hospital Enumclaw · Seattle-Tacoma-Bellevue, WA HC PACER INS/REP-PERM TV-A/V | $9,780.20 | $26,634.51 | Sep 30, 2026 source file |
| Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC INSERTION PERM AV PACER | $10,298.40 | $14,712.00 | Apr 1, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC INSERTION PERM AV PACER | $10,614.24 | $20,412.00 | Apr 1, 2026 source file |
| St. Michael Medical Center Silverdale · Bremerton-Silverdale-Port Orchard, WA HC PACER INS/REP-PERM TV-A/V | $12,373.78 | $28,036.33 | Feb 28, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent | $13,071.10 | $18,673.00 | Mar 12, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC INSERTION PERM AV PACER | $13,599.85 | $24,727.00 | Jan 1, 2025 source file |
| Legacy Salmon Creek Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA HC CD INSERT PERMANENT PACEMAKER ATRIAL & VENTRICULAR | $13,686.40 | $21,056.00 | Apr 1, 2026 source file |
| Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC INSERTION PERM AV PACER | $14,870.96 | $28,598.00 | Apr 1, 2026 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Insrt Heart Pacemaker Atrial & Vent | $14,931.00 | $16,590.00 | Aug 10, 2026 source file |
| Kaiser Permanente Central Hospital Seattle · Seattle-Tacoma-Bellevue, WA HB INSERT PACEMAKER AV SEQUENTIAL | $17,582.40 | $21,978.00 | Apr 1, 2026 source file |
| Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA INSERT NEW/REPL PERMAN PACEMAK Dual | $18,019.41 | $31,613.00 | Apr 1, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC PACING LEAD PLACEMENT | $22,272.80 | $27,841.00 | Mar 26, 2026 source file |
| Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC INSERTION PERM AV PACER | $23,840.60 | $34,058.00 | Apr 1, 2026 source file |
| PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA INSERTION OF PACEMAKER AND UPPER AND LOWER HEART CHAMBER ELECTRODE | $26,622.70 | $40,958.00 | Mar 21, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA INSERTION OF PACEMAKER AND UPPER AND LOWER HEART CHAMBER ELECTRODE | $27,352.65 | $42,081.00 | Mar 20, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Perm Pacemaker-Atrial&Vent | $31,704.00 | $31,704.00 | Mar 31, 2026 source file |
| PeaceHealth St John Medical Center Longview · Longview-Kelso, WA INSERTION OF PACEMAKER AND UPPER AND LOWER HEART CHAMBER ELECTRODE | $42,846.70 | $65,918.00 | Mar 21, 2026 source file |
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
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
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.
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Seattle-Tacoma-Bellevue, WA | 15 | $7,392.48 | $8,634.30 |
| Kennewick-Richland, WA | 3 | $13,599.85 | $18,019.41 |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $13,686.40 | $20,519.52 |
| Spokane-Spokane Valley, WA | 2 | $8,015.70 | $8,199.45 |
| Bellingham, WA | 1 | $26,622.70 | $26,622.70 |
| Bremerton-Silverdale-Port Orchard, WA | 1 | $12,373.78 | $12,373.78 |
| Longview-Kelso, WA | 1 | $42,846.70 | $42,846.70 |
| Mount Vernon-Anacortes, WA | 1 | $22,272.80 | $22,272.80 |
| Olympia-Lacey-Tumwater, WA | 1 | $14,870.96 | $14,870.96 |
| Walla Walla, WA | 1 | $10,298.40 | $10,298.40 |
| Wenatchee-East Wenatchee, WA | 1 | $14,931.00 | $14,931.00 |
| Yakima, WA | 1 | $1,485.90 | $1,485.90 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What pacemaker implant is, what the price covers and why prices differ: Pacemaker implant explained.
Pacemaker implant (dual chamber) in other states
- Alabama$12,601.89
- Alaska$18,360.30, 4 hospitals
- Arizona$14,777.24
- Arkansas$8,560.00
- California$18,764.81
- Colorado$20,980.38
- Connecticut$20,477.00
- Delaware$29,550.04
- District of Columbia$17,215.87, 2 hospitals
- Florida$19,801.65
- Georgia$10,432.00
- Hawaii$6,666.10
- Idaho$12,726.00
- Illinois$11,544.40
- Indiana$12,064.20
- Iowa$18,246.90
- Kansas$11,042.57
- Kentucky$18,457.09
- Louisiana$10,580.38
- Maine$9,729.04
- Maryland$4,865.41, 2 hospitals
- Massachusetts$15,791.78
- Michigan$16,327.00
- Minnesota$13,144.54
- Mississippi$8,836.00
- Missouri$16,526.06
- Montana$19,609.60
- Nebraska$11,399.73
- Nevada$11,368.00
- New Hampshire$5,595.88
- New Jersey$11,588.68
- New Mexico$13,951.66
- New York$12,384.25
- North Carolina$7,889.00
- North Dakota$17,945.43
- Ohio$15,592.13
- Oklahoma$9,123.04
- Oregon$16,000.00
- Pennsylvania$12,721.50
- Puerto Rico$14,000.00, 1 hospital
- Rhode Island$21,549.00
- South Carolina$14,536.95
- South Dakota$28,425.60
- Tennessee$5,181.58
- Texas$18,985.80
- Utah$7,636.09, 1 hospital
- Vermont$24,863.00, 1 hospital
- Virginia$11,684.50
- West Virginia$5,299.00
- Wisconsin$6,340.10
- Wyoming$9,200.00, 3 hospitals
Median cash price across the state's hospitals.