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Pacemaker Generator Replacement, Single Lead

Wyoming 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?

$9,991

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

Insurers have agreed to pay about $9,991 for this procedure. That total is two separate charges: $871 to the doctor who performs it, and $9,120 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$871$776 to $1,047
Facility feeThe hospital or surgery center$9,120$9,120 to $15,488

How much rates vary

Facilitymedian $9,120 · 10th to 90th $8,511 to $18,197Professionalmedian $871 · 10th to 90th $562 to $1,047
$500$1K$2K$5K$10K$20Kfacility $9,120professional $871

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
$338.84
Median
$338.84
Typical High
$338.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$9,120.11
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$870.96
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$9,332.54
Median
$15,488.17
Typical High
$21,877.62
Cigna
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$562.34
Typical High
$794.33
United
Setting
Facility
Modifier
None
Typical Low
$6,760.83
Median
$8,511.38
Typical High
$26,915.35
United
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$645.65
Typical High
$1,318.26

Where Wyoming 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

Wyoming· 14th of 51

$9,991

$871 physician + $9,120 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.