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Pacemaker Generator Placed With Existing Leads

Iowa rates for HCPCS 33213

Implants the pacemaker's battery-and-computer unit, the small sealed case that sits under the skin below the collarbone, and connects it to pacing wires already running to the heart. The wires are not placed during this operation; only the unit is implanted and hooked up. It is most often done when an existing pacemaker's battery is nearing the end of its life.

Rates data updated October 2026.

How much does Pacemaker Generator Placed With Existing Leads cost?

$8,327

Typical total for the visit. In Iowa, October 2026.

Insurers have agreed to pay about $8,327 for this procedure. That total is two separate charges: $741 to the doctor who performs it, and $7,586 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$741$537 to $891
Facility feeThe hospital or surgery center$7,586$2,291 to $15,136

How much rates vary

Facilitymedian $7,586 · 10th to 90th $813 to $24,547Professionalmedian $741 · 10th to 90th $380 to $1,047
$500$1K$2K$5K$10K$20Kfacility $7,586professional $741

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$4,265.80
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$537.03
Typical High
$537.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$13,182.57
Typical High
$16,218.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$831.76
Typical High
$933.25
Hally Health
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$549.54
Typical High
$1,071.52
Medica
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$6,025.60
Typical High
$26,302.68
Medica
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$812.83
Typical High
$1,819.70
Midlands
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$831.76
Typical High
$912.01
Midlands
Setting
Facility
Modifier
None
Typical Low
$9,549.93
Median
$12,882.50
Typical High
$16,218.10
Midlands
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$676.08
Typical High
$1,047.13
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$588.84
Typical High
$758.58
United
Setting
Facility
Modifier
None
Typical Low
$2,630.27
Median
$10,471.29
Typical High
$28,183.83
United
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$645.65
Typical High
$1,047.13
Wellmark
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$630.96
Typical High
$741.31

Where Iowa sits

The same service costs 22.3 times more in Oklahoma than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Iowa· 26th of 51

$8,327

$741 physician + $7,586 facility

OK $22,356MT $1,003

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.