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Pacemaker Generator Replacement, Single Lead

Hawaii 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?

$407

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $407 for this service. Most negotiated rates run $407 to $447.

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 $4,467 · 10th to 90th $1,778 to $17,378Professionalmedian $407 · 10th to 90th $295 to $490
$100$200$500$1K$2K$5K$10Kfacility $4,467professional $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
$1,778.28
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$407.38
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$354.81
Typical High
$575.44
United
Setting
Facility
Modifier
None
Typical Low
$3,467.37
Median
$3,981.07
Typical High
$17,378.01
United
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$489.78
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$446.68
Typical High
$3,548.13

Where Hawaii 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.

Hawaii· 49th of 51

$407

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.