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Pacemaker Generator Replacement, Single Lead

Virginia 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?

$5,129

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $5,129 for this service. Most negotiated rates run $724 to $10,000.

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 $5,129 · 10th to 90th $389 to $32,359Professionalmedian $347 · 10th to 90th $288 to $794
$500$1K$2K$5K$10K$20K$50Kfacility $5,129professional $347

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
$588.84
Median
$5,128.61
Typical High
$10,232.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$52,480.75
Typical High
$54,954.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$346.74
Typical High
$426.58
Medcost
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Medcost
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$467.74
Typical High
$724.44
Sentara
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$30,199.52
United
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$26,302.68
Typical High
$61,659.50

Where Virginia 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.

Virginia· 25th of 50

$5,129

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.