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Pacemaker Generator Replacement, Single Lead

Rhode Island 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?

$6,070

Typical total for the visit. In Rhode Island, October 2026.

Insurers have agreed to pay about $6,070 for this procedure. That total is two separate charges: $447 to the doctor who performs it, and $5,623 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$447$380 to $537
Facility feeThe hospital or surgery center$5,623$2,399 to $9,120

How much rates vary

Facilitymedian $5,623 · 10th to 90th $1,202 to $18,197Professionalmedian $447 · 10th to 90th $339 to $708
$500$1K$2K$5K$10K$20Kfacility $5,623professional $447

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
$2,398.83
Median
$3,235.94
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$426.58
Typical High
$426.58
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$446.68
Typical High
$707.95
BCBS Rhode Island
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$223.87
Median
$316.23
Typical High
$588.84
BCBS Rhode Island
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$18.62
Median
$26.30
Typical High
$50.12
BCBS Rhode Island
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$23.99
Median
$33.88
Typical High
$64.57
Cigna
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$8,317.64
Typical High
$12,022.64
Cigna
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$380.19
Typical High
$794.33
United
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$5,623.41
Typical High
$21,379.62
United
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$489.78
Typical High
$602.56

Where Rhode Island 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

Rhode Island· 36th of 51

$6,070

$447 physician + $5,623 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.