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Pacemaker Generator Replacement, Single Lead

California 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 July 2026.

How much does Pacemaker Generator Replacement, Single Lead cost?

$6,166

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $6,166 for this service. Most negotiated rates run $3,981 to $9,120.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,310 · 10th to 90th $3,388 to $14,454Professionalmedian $355 · 10th to 90th $275 to $776
$100$500$2K$10Kfacility $6,310professional $355

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$7,244.36
Typical High
$20,892.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$6,025.60
Typical High
$13,803.84
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$4,466.84
Typical High
$10,964.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$12,022.64
Typical High
$25,703.96
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$331.13
Typical High
$8,912.51
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$363.08
Typical High
$776.25
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$36,307.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$426.58
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$16,982.44
Typical High
$38,904.51

Where California sits

The same service costs 93.3 times more in Indiana 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.

California· 23rd of 50

$6,166

IN $33,113ND $355

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.