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New Pacemaker Unit For Existing Multiple Wires

Virginia rates for HCPCS 33221

A new pacemaker pulse generator — the battery and circuitry unit — is connected to pacing wires that are already in place inside the heart, where several wires are present. It sits in a pocket under the skin below the collarbone, and the existing wires are tested before being reconnected. Several wires are the arrangement used when both lower chambers are paced together.

Rates data updated July 2026.

How much does New Pacemaker Unit For Existing Multiple Wires cost?

$5,248

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $5,248 for this service. Most negotiated rates run $759 to $12,303.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,248 · 10th to 90th $417 to $32,359Professionalmedian $363 · 10th to 90th $302 to $832
$500$1K$2K$5K$10K$20K$50Kfacility $5,248professional $363

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
$630.96
Median
$5,248.07
Typical High
$15,135.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$52,480.75
Typical High
$54,954.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$363.08
Typical High
$446.68
Medcost
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Medcost
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$501.19
Typical High
$758.58
Sentara
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$30,199.52
United
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$28,840.32
Typical High
$61,659.50

Where Virginia sits

The same service costs 107.2 times more in Maine than in West Virginia. 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.

Virginia· 23rd of 50

$5,248

ME $39,811WV $372

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.