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Pacemaker Generator Replacement, Single Lead

West 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 October 2026.

How much does Pacemaker Generator Replacement, Single Lead cost?

$1,891

Typical total for the visit. In West Virginia, October 2026.

Insurers have agreed to pay about $1,891 for this procedure. That total is two separate charges: $479 to the doctor who performs it, and $1,413 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$479$347 to $933
Facility feeThe hospital or surgery center$1,413$380 to $9,772

How much rates vary

Facilitymedian $1,413 · 10th to 90th $380 to $22,909Professionalmedian $479 · 10th to 90th $302 to $1,023
$100$1K$10Kfacility $1,413professional $479

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
$380.19
Median
$380.19
Typical High
$33,884.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$371.54
Typical High
$380.19
CareSource
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$524.81
Typical High
$17,378.01
Cigna
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$549.54
Typical High
$1,548.82
United
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$8,511.38
Typical High
$22,908.68
United
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$457.09
Typical High
$933.25

Where West Virginia 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

West Virginia· 49th of 51

$1,891

$479 physician + $1,413 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.