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Pacemaker Generator Replacement, Single Lead

Iowa 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?

$8,685

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

Insurers have agreed to pay about $8,685 for this procedure. That total is two separate charges: $741 to the doctor who performs it, and $7,943 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$741$513 to $912
Facility feeThe hospital or surgery center$7,943$2,692 to $12,882

How much rates vary

Facilitymedian $7,943 · 10th to 90th $776 to $19,498Professionalmedian $741 · 10th to 90th $363 to $1,072
$500$1K$2K$5K$10K$20Kfacility $7,943professional $741

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$4,265.80
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$537.03
Typical High
$537.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$9,332.54
Median
$11,220.18
Typical High
$14,454.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$831.76
Typical High
$933.25
Hally Health
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$426.58
Typical High
$870.96
Medica
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$6,456.54
Typical High
$20,417.38
Medica
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$776.25
Typical High
$1,348.96
Midlands
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$831.76
Typical High
$933.25
Midlands
Setting
Facility
Modifier
None
Typical Low
$8,709.64
Median
$11,220.18
Typical High
$14,454.40
Midlands
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$1,047.13
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$588.84
Typical High
$741.31
United
Setting
Facility
Modifier
None
Typical Low
$2,630.27
Median
$10,471.29
Typical High
$23,442.29
United
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$630.96
Typical High
$1,071.52
Wellmark
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$630.96
Typical High
$741.31

Where Iowa 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

Iowa· 19th of 51

$8,685

$741 physician + $7,943 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.