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Pacemaker Generator Replacement, Single Lead

Missouri 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?

$6,026

Typical facility fee. In Missouri, July 2026.

Insurers have agreed to pay about $6,026 for this service. Most negotiated rates run $3,162 to $10,471.

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 $6,026 · 10th to 90th $1,778 to $18,621
$500$1K$2K$5K$10K$20K$50Kfacility $6,026

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$4,265.80
Typical High
$28,840.32
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$7,762.47
Typical High
$16,218.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$27,542.29
Typical High
$33,884.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$4,786.30
Typical High
$31,622.78
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$6,309.57
Typical High
$17,782.79

Where Missouri 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.

Missouri· 24th of 50

$6,026

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.