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Pacemaker Unit Replacement, Multi-Wire System

California rates for HCPCS 33229

Takes out the pacemaker's battery-and-electronics box from its pocket under the skin and connects a new one to the wires already running to the heart. This version covers systems that use more than two wires. It is most often done when the battery in the old unit is running down.

Rates data updated July 2026.

How much does Pacemaker Unit Replacement, Multi-Wire System cost?

$6,166

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $6,166 for this service. Most negotiated rates run $3,981 to $9,333.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,310 · 10th to 90th $3,311 to $14,791Professionalmedian $389 · 10th to 90th $302 to $871
$100.0$1.0K$10.0K$100.0Kfacility $6,310professional $389

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
$2,951.21
Median
$7,244.36
Typical High
$20,892.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$6,025.60
Typical High
$13,803.84
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$4,466.84
Typical High
$11,481.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$12,302.69
Typical High
$25,703.96
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$363.08
Typical High
$18,620.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$398.11
Typical High
$870.96
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$75,857.76
Providence
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$467.74
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$17,378.01
Typical High
$39,810.72

Where California sits

The same service costs 102.3 times more in Maine than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $6,166 · 22nd of 50
ME $39,811ND $389

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.