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Pacemaker Generator Replacement, Single Lead

South 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?

$4,657

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

Insurers have agreed to pay about $4,657 for this procedure. That total is two separate charges: $676 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$676$525 to $813
Facility feeThe hospital or surgery center$3,981$550 to $6,607

How much rates vary

Facilitymedian $3,981 · 10th to 90th $468 to $9,550Professionalmedian $676 · 10th to 90th $355 to $912
$500$1K$2K$5K$10Kfacility $3,981professional $676

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
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$363.08
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$8,709.64
Typical High
$9,549.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$758.58
Typical High
$933.25
Medica
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$891.25
Typical High
$4,786.30
Medica
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$676.08
Typical High
$912.01
Midlands
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Midlands
Setting
Facility
Modifier
None
Typical Low
$8,709.64
Median
$9,549.93
Typical High
$10,471.29
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$562.34
Typical High
$645.65
United
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$4,786.30
United
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$707.95
Typical High
$912.01
Wellmark
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$776.25
Typical High
$776.25

Where South 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

South Dakota· 42nd of 51

$4,657

$676 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.