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Pacemaker Generator Replacement, Single Lead

Delaware 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?

$5,903

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

Insurers have agreed to pay about $5,903 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $5,495 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$407$389 to $447
Facility feeThe hospital or surgery center$5,495$3,467 to $8,710

How much rates vary

Facilitymedian $5,495 · 10th to 90th $708 to $12,882Professionalmedian $407 · 10th to 90th $347 to $891
$200$500$1K$2K$5K$10Kfacility $5,495professional $407

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
$407.38
Median
$4,897.79
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$407.38
Typical High
$912.01
Cigna
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$8,128.31
Typical High
$12,882.50
Cigna
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$389.05
Typical High
$1,047.13
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$17,378.01
United
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$5,128.61
Typical High
$10,000.00
United
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$398.11
Typical High
$794.33

Where Delaware 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

Delaware· 38th of 51

$5,903

$407 physician + $5,495 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.