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Pacemaker Generator Replacement, Single Lead

Washington, DC 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?

$447

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $447 for this service. Most negotiated rates run $355 to $2,884.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,495 · 10th to 90th $851 to $48,978Professionalmedian $427 · 10th to 90th $316 to $3,236
$500$1K$2K$5K$10K$20K$50Kfacility $5,495professional $427

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
$426.58
Median
$3,090.30
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$426.58
Typical High
$426.58
CareFirst
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$354.81
Typical High
$6,456.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$426.58
Typical High
$891.25
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$691.83
Typical High
$758.58
United
Setting
Facility
Modifier
None
Typical Low
$5,888.44
Median
$10,000.00
Typical High
$50,118.72
United
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$501.19
Typical High
$1,047.13

Where Washington, DC sits

The same service costs 21.4 times more in Oklahoma than in New York. 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· 46th of 51

$447

OK $7,762NY $363

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.