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Pacemaker Upgrade To A Two-Wire System

Maryland 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?

$562

Typical facility fee. In Maryland, July 2026.

Insurers have agreed to pay about $562 for this service. Most negotiated rates run $468 to $851.

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 $7,943 · 10th to 90th $5,888 to $21,380Professionalmedian $513 · 10th to 90th $447 to $933
$500$1K$2K$5K$10K$20Kfacility $7,943professional $513

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$512.86
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$21,379.62

Where Maryland 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.

Maryland· 49th of 50

$562

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.