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Pacemaker Generator Replacement, Single Lead

North Dakota 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?

$4,612

Typical total for the visit. In North Dakota, October 2026.

Insurers have agreed to pay about $4,612 for this procedure. That total is two separate charges: $631 to the doctor who performs it, and $3,981 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$631$537 to $724
Facility feeThe hospital or surgery center$3,981$331 to $7,943

How much rates vary

Facilitymedian $3,981 · 10th to 90th $331 to $8,511Professionalmedian $631 · 10th to 90th $355 to $813
$500$1K$2K$5K$10Kfacility $3,981professional $631

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
$331.13
Median
$331.13
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$416.87
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$660.69
Typical High
$812.83
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$630.96
Median
$794.33
Typical High
$977.24
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$371.54
Median
$467.74
Typical High
$575.44
BCBS North Dakota
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$53.70
Median
$66.07
Typical High
$81.28
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$398.11
Median
$501.19
Typical High
$616.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$630.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$691.83
Typical High
$977.24
Medica
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$3,981.07
Typical High
$12,022.64
Medica
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$616.60
Typical High
$724.44
United
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$7,943.28
Typical High
$12,302.69
United
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$616.60
Typical High
$741.31

Where North Dakota 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

North Dakota· 43rd of 51

$4,612

$631 physician + $3,981 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.