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Pacemaker Generator Replacement, Single Lead

Alaska rates for HCPCS 33227

Replaces the pacemaker's pulse generator, the small battery-powered unit that sits under the skin near the collarbone, when its battery is running down. The old unit is taken out through the original scar and a new one is connected to the wire already running to the heart. This version covers a system that uses one wire.

Rates data updated October 2026.

How much does Pacemaker Generator Replacement, Single Lead cost?

$17,198

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

Insurers have agreed to pay about $17,198 for this procedure. That total is two separate charges: $1,349 to the doctor who performs it, and $15,849 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,349$891 to $1,349
Facility feeThe hospital or surgery center$15,849$10,000 to $17,783

How much rates vary

Facilitymedian $15,849 · 10th to 90th $2,630 to $23,988Professionalmedian $1,349 · 10th to 90th $417 to $2,042
$100$500$2K$10K$50Kfacility $15,849professional $1,349

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,862.09
Median
$10,964.78
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$1,862.09
Typical High
$14,125.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$10,000.00
Median
$16,595.87
Typical High
$50,118.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$524.81
Typical High
$1,122.02
Moda Health
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$1,862.09
Typical High
$2,630.27
Moda Health
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$1,122.02
Typical High
$2,630.27
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$11,481.54
Median
$17,782.79
Typical High
$23,988.33
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Providence
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$15,848.93
Typical High
$50,118.72
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$467.74
Typical High
$1,122.02
United
Setting
Facility
Modifier
None
Typical Low
$6,606.93
Median
$15,135.61
Typical High
$16,595.87
United
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$891.25
Typical High
$2,041.74

Where Alaska sits

The same service costs 21.5 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

Alaska· 2nd of 51

$17,198

$1,349 physician + $15,849 facility

OK $21,837MT $1,015

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.