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Pacemaker Generator Replacement, Single Lead

Utah 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?

$8,433

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

Insurers have agreed to pay about $8,433 for this procedure. That total is two separate charges: $490 to the doctor who performs it, and $7,943 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$490$380 to $525
Facility feeThe hospital or surgery center$7,943$4,169 to $15,488

How much rates vary

Facilitymedian $7,943 · 10th to 90th $490 to $24,547Professionalmedian $490 · 10th to 90th $251 to $759
$200$500$1K$2K$5K$10K$20Kfacility $7,943professional $490

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
$489.78
Median
$4,570.88
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$489.78
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
None
Typical Low
$7,244.36
Median
$7,585.78
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$478.63
Typical High
$616.60
Molina
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$295.12
Typical High
$1,023.29
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$13,803.84
Median
$16,982.44
Typical High
$24,547.09
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$489.78
Typical High
$741.31
Select Health
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Select Health
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$512.86
Typical High
$851.14
United
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$11,481.54
Typical High
$30,902.95
United
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$457.09
Typical High
$724.44

Where Utah 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

Utah· 20th of 51

$8,433

$490 physician + $7,943 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.