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Pacemaker Generator Replacement, Single Lead

Washington 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?

$6,310

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $6,310 for this service. Most negotiated rates run $759 to $17,783.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,310 · 10th to 90th $501 to $28,840
$500$1K$2K$5K$10K$20K$50Kfacility $6,310

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$3,388.44
Typical High
$18,620.87
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$26,302.68
Typical High
$46,773.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$15,135.61
Typical High
$15,135.61
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$831.76
Typical High
$36,307.81
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$645.65
Typical High
$676.08
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$25,118.86
Typical High
$45,708.82
United
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$25,703.96
Typical High
$46,773.51

Where Washington 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.

Washington· 19th of 50

$6,310

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.