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Pacemaker Upgrade To A Two-Wire System

Washington, DC rates for HCPCS 33214

An existing single-wire pacemaker is converted to a two-wire system so the upper and lower chambers of the heart beat in a coordinated way. The old pulse generator is removed, the existing wire is tested, a new wire is placed in the other chamber, and a new generator is connected. It is done through the original pocket under the skin below the collarbone.

Rates data updated July 2026.

How much does Pacemaker Upgrade To A Two-Wire System cost?

$7,762

Typical facility fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $7,762 for this service. Most negotiated rates run $2,138 to $9,772.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,762 · 10th to 90th $603 to $10,233Professionalmedian $977 · 10th to 90th $977 to $1,072
$1K$2K$5K$10K$20K$50Kfacility $7,762professional $977

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$7,244.36
Typical High
$10,232.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$41,686.94
Typical High
$54,954.09

Where Washington, DC sits

The same service costs 89.1 times more in West Virginia than in North Dakota. 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.

Washington, DC· 17th of 50

$7,762

WV $44,668ND $501

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.