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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 July 2026.

How much does Pacemaker Generator Replacement, Single Lead cost?

$2,818

Typical facility fee. In Hawaii, July 2026.

Insurers have agreed to pay about $2,818 for this service. Most negotiated rates run $355 to $4,467.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,467 · 10th to 90th $1,778 to $4,467Professionalmedian $355 · 10th to 90th $324 to $417
$500$1K$2K$5Kfacility $4,467professional $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. 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
Global
Typical Low
$1,778.28
Median
$4,466.84
Typical High
$4,466.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$354.81
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37

Where Hawaii 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.

Hawaii· 37th of 50

$2,818

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.