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Pacemaker Generator Replacement, Single Lead

New Hampshire 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?

$10,480

Typical total for the visit. In New Hampshire, October 2026.

Insurers have agreed to pay about $10,480 for this procedure. That total is two separate charges: $708 to the doctor who performs it, and $9,772 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$708$550 to $977
Facility feeThe hospital or surgery center$9,772$3,311 to $16,218

How much rates vary

Facilitymedian $9,772 · 10th to 90th $2,884 to $39,811Professionalmedian $708 · 10th to 90th $372 to $1,349
$500$1K$2K$5K$10K$20Kfacility $9,772professional $708

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
$2,398.83
Median
$2,754.23
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$371.54
Typical High
$371.54
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$35,481.34
Median
$39,810.72
Typical High
$39,810.72
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$707.95
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$12,302.69
Typical High
$15,488.17
Cigna
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$724.44
Typical High
$1,000.00
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$2,884.03
Median
$4,168.69
Typical High
$14,125.38
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$645.65
Typical High
$1,905.46
United
Setting
Facility
Modifier
None
Typical Low
$2,884.03
Median
$5,754.40
Typical High
$14,791.08
United
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$588.84
Typical High
$1,288.25
Well Sense
Setting
Facility
Modifier
None
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61

Where New Hampshire 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

New Hampshire· 11th of 51

$10,480

$708 physician + $9,772 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.