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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 July 2026.

How much does Pacemaker Generator Replacement, Single Lead cost?

$603

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $603 for this service. Most negotiated rates run $537 to $646.

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.

How much rates vary

Facilitymedian $891 · 10th to 90th $331 to $6,607Professionalmedian $603 · 10th to 90th $457 to $724
$500$1K$2K$5K$10Kfacility $891professional $603

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$331.13
Median
$3,548.13
Typical High
$4,365.16
Avera
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$645.65
Typical High
$13,803.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$549.54
Typical High
$912.01
Midlands
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$758.58
Typical High
$758.58
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$588.84
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$16,982.44

Where South Dakota sits

The same service costs 93.3 times more in Indiana than in North Dakota. 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.

South Dakota· 46th of 50

$603

IN $33,113ND $355

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.