HRHospitalRates.comCompare prices

Procedure price report · Insertion, revision, replacement, removal of cardiac pacemaker or cardioverter/defibrillator

Implant or replacement of cardiac contractility system

CPT 0408Tthe billing code this page is about

Placement or replacement of a complete cardiac contractility modulation device, including the pulse generator and the leads placed in the heart.

Hospitals typically charge $37,202 cash for this outpatient procedure — the median across 413 hospitals that filed a usable cash price; the average of the middle 60% is $35,065. Most fall between $15,903 and $59,144 (20th–80th percentile).

Hospitals
413
States
39
Filings dated
Dec 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 413 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$9,582$16,583$37,202$55,494$75,863

The most expensive tenth of hospitals charges at least 7.9× what the cheapest tenth charges ($9,582 vs $75,863).

How the prices are spread

$4,858 – $6,616: 20 hospitals$4,858$6,616 – $9,010: 2 hospitals$9,010 – $12,270: 26 hospitals$9,010$12,270 – $16,710: 40 hospitals$16,710 – $22,757: 48 hospitals$16,710$22,757 – $30,992: 20 hospitals$30,992 – $42,206: 74 hospitals$30,992$42,206 – $57,479: 72 hospitals$57,479 – $78,277: 58 hospitals$57,479$78,277 – $106,603: 18 hospitals$78,277median $37,202price bands are equal on a log scale
Hospitals per price band (378 of 413 — the bands cover the 5th to 95th percentile)
FromToHospitals
$4,858$6,61620
$6,616$9,0102
$9,010$12,27026
$12,270$16,71040
$16,710$22,75748
$22,757$30,99220
$30,992$42,20674
$42,206$57,47972
$57,479$78,27758
$78,277$106,60318

Against Medicare

Medicare pays (OPPS 2026, national rate)$32,069
Median cash price$37,202
Cash as a multiple of Medicare1.16×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $37,202.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 9 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $39,719 across 10 hospitalsMN$39,719Illinois: median $60,390 across 21 hospitalsIL$60,390Wisconsin: no hospital in the corpus filed a usable priceWIMichigan: median $19,514 across 23 hospitalsMI$19,514New York: median $44,181 across 11 hospitalsNY$44,181Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 8 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $2,228 across 14 hospitalsIA$2,228Indiana: median $4,514 across 16 hospitalsIN$4,514Ohio: median $40,592 across 21 hospitalsOH$40,592Pennsylvania: median $37,803 across 25 hospitalsPA$37,803New Jersey: median $42,782 across 17 hospitalsNJ$42,782Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $32,951 across 13 hospitalsCA$32,951Utah: no hospital in the corpus filed a usable priceUTColorado: 8 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $69,173 across 10 hospitalsMO$69,173Kentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 6 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 7 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 5 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $55,494 across 17 hospitalsNC$55,494South Carolina: median $39,372 across 12 hospitalsSC$39,372Oklahoma: 5 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: median $15,998 across 22 hospitalsGA$15,998Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $47,326 across 60 hospitalsTX$47,326Florida: median $57,253 across 29 hospitalsFL$57,253
Cash price by state, most expensive first. National median $37,202. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Missouri MO10$69,173+86%$36,342 – $75,778
Illinois IL21$60,390+62%$31,940 – $103,785
Florida FL29$57,253+54%$43,393 – $75,978
North Carolina NC17$55,494+49%$6,306 – $55,494
Texas TX60$47,326+27%$14,252 – $58,692
New York NY11$44,181+19%$32,069 – $65,121
New Jersey NJ17$42,782+15%$37,202 – $100,722
Ohio OH21$40,592+9%$36,804 – $42,164
Minnesota MN10$39,719+7%$10,699 – $39,719
South Carolina SC12$39,372+6%$33,021 – $58,386
Pennsylvania PA25$37,803+2%$24,941 – $75,545
California CA13$32,951−11%$21,407 – $48,067
Michigan MI23$19,514−48%$15,903 – $22,809
Georgia GA22$15,998−57%$14,543 – $53,570
Indiana IN16$4,514−88%$4,110 – $19,145
Iowa IA14$2,228−94%$2,228 – $65,332
Washington WA9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
Colorado CO8not enough hospitals filed a usable price
Oregon OR8not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Oklahoma OK5not enough hospitals filed a usable price
Tennessee TN5not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $37,202.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care387$37,598$15,912 – $59,144
Children’s1fewer than 20 hospitals
Critical access22$15,903$5,554 – $59,144
Ownership
For-profit60$45,283$21,407 – $104,030
Government35$42,164$15,998 – $55,494
Non-profit315$34,504$14,252 – $58,386
System affiliation
Part of a system385$37,085$15,895 – $59,144
Independent28$42,059$26,097 – $68,938

Cash price vs list price

Median list price (chargemaster)$65,243
Median cash price$37,202
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

303 hospitals filed a usable inpatient cash price for this code. The median is $36,804 and the average of the middle 60% is $33,714; most fall between $15,998 and $55,494.

Cash price percentiles, inpatient, across 303 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$9,582$18,375$36,804$52,243$69,173

The most expensive tenth of hospitals charges at least 7.2× what the cheapest tenth charges ($9,582 vs $69,173).

Of the 323 hospitals that filed this code inpatient, 303 gave a usable cash price; 6 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 14 a list price only.

How complete is this

413 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 447 hospitals that filed this code at all gave us
Usable cash price — counted413
Cash price carrying a plausibility flag — shown on the compare tool, excluded here16
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded18
Hospitals that filed this code447

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Insertion, revision, replacement, removal of cardiac pacemaker or cardioverter/defibrillator family.

Hospitals file this code under descriptions such as Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Implant or replacement of cardiac contractility system (CPT 0408T) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-0408t-implant-or-replacement-of-cardiac-contractility-system