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Pacemaker Generator Replacement, Single Lead

Oregon 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?

$1,337

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

Insurers have agreed to pay about $1,337 for this procedure. That total is two separate charges: $676 to the doctor who performs it, and $661 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$676$479 to $871
Facility feeThe hospital or surgery center$661$603 to $7,943

How much rates vary

Facilitymedian $661 · 10th to 90th $468 to $16,596Professionalmedian $676 · 10th to 90th $309 to $1,000
$100$500$2K$10Kfacility $661professional $676

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
$5,128.61
Median
$9,549.93
Typical High
$17,378.01
Aetna
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$489.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$12,022.64
Typical High
$16,595.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$691.83
Typical High
$933.25
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$691.83
Typical High
$776.25
Moda Health
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$6,918.31
Typical High
$17,378.01
Moda Health
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$501.19
Typical High
$1,071.52
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$645.65
Typical High
$676.08
Providence
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$11,220.18
Typical High
$15,488.17
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$645.65
Typical High
$977.24
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$22,908.68
Median
$29,512.09
Typical High
$35,481.34
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$691.83
Typical High
$1,071.52
United
Setting
Facility
Modifier
None
Typical Low
$2,951.21
Median
$7,413.10
Typical High
$33,884.42
United
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$812.83
Typical High
$1,148.15

Where Oregon 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

Oregon· 50th of 51

$1,337

$676 physician + $661 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.