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Pacemaker Generator Replacement, Single Lead

Maine 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?

$3,510

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

Insurers have agreed to pay about $3,510 for this procedure. That total is two separate charges: $490 to the doctor who performs it, and $3,020 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$490$437 to $550
Facility feeThe hospital or surgery center$3,020$2,884 to $8,710

How much rates vary

Facilitymedian $3,020 · 10th to 90th $708 to $16,596Professionalmedian $490 · 10th to 90th $347 to $631
$500$1K$2K$5K$10Kfacility $3,020professional $490

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
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$588.84
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$478.63
Typical High
$630.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$8,709.64
Typical High
$12,882.50
Cigna
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$457.09
Typical High
$741.31
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$3,019.95
Typical High
$17,378.01
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$489.78
Typical High
$588.84
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$512.86
Typical High
$588.84
United
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$3,019.95
Typical High
$17,378.01
United
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$501.19
Typical High
$660.69

Where Maine 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

Maine· 44th of 51

$3,510

$490 physician + $3,020 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.