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

Removal and replacement of contractility pulse generator

CPT 0414Tthe billing code this page is about

Taking out the battery-and-circuit unit of a cardiac contractility modulation system and putting in a new one during the same session.

Hospitals typically charge $19,979 cash for this outpatient procedure — the median across 192 hospitals that filed a usable cash price; the average of the middle 60% is $21,865. Most fall between $9,736 and $45,763 (20th–80th percentile).

Hospitals
192
States
24
Filings dated
Oct 2025 – 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 192 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
$8,213$10,981$19,979$42,940$57,046

The most expensive tenth of hospitals charges at least 6.9× what the cheapest tenth charges ($8,213 vs $57,046).

How the prices are spread

$4,140 – $5,533: 3 hospitals$4,140$5,533 – $7,395: 3 hospitals$7,395 – $9,883: 30 hospitals$7,395$9,883 – $13,208: 9 hospitals$13,208 – $17,653: 34 hospitals$13,208$17,653 – $23,592: 22 hospitals$23,592 – $31,530: 19 hospitals$23,592$31,530 – $42,139: 14 hospitals$42,139 – $56,318: 28 hospitals$42,139$56,318 – $75,268: 12 hospitals$56,318median $19,979price bands are equal on a log scale
Hospitals per price band (174 of 192 — the bands cover the 5th to 95th percentile)
FromToHospitals
$4,140$5,5333
$5,533$7,3953
$7,395$9,88330
$9,883$13,2089
$13,208$17,65334
$17,653$23,59222
$23,592$31,53019
$31,530$42,13914
$42,139$56,31828
$56,318$75,26812

Against Medicare

Medicare pays (OPPS 2026, national rate)$22,725
Median cash price$19,979
Cash as a multiple of Medicare0.88×

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 $19,979.

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: no hospital in the corpus filed a usable priceWAIdaho: no hospital in the corpus filed a usable priceIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: no hospital in the corpus filed a usable priceMNIllinois: no hospital in the corpus filed a usable priceILWisconsin: no hospital in the corpus filed a usable priceWIMichigan: median $15,903 across 16 hospitalsMI$15,903New York: median $26,403 across 10 hospitalsNY$26,403Massachusetts: no hospital in the corpus filed a usable priceMAOregon: no hospital in the corpus filed a usable priceORNevada: no hospital in the corpus filed a usable priceNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: no hospital in the corpus filed a usable priceIAIndiana: median $4,110 across 12 hospitalsIN$4,110Ohio: 4 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $26,280 across 18 hospitalsPA$26,280New Jersey: 3 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 1 hospital filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 1 hospital filed a usable price — fewer than 10, so no figureNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: no hospital in the corpus filed a usable priceKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 2 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $54,503 across 10 hospitalsNC$54,503South Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: 4 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: median $14,927 across 22 hospitalsGA$14,927Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $9,736 across 33 hospitalsTX$9,736Florida: median $43,393 across 19 hospitalsFL$43,393
Cash price by state, most expensive first. National median $19,979. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
North Carolina NC10$54,503+173%$54,503 – $54,503
Florida FL19$43,393+117%$43,393 – $75,268
New York NY10$26,403+32%$15,922 – $46,658
Pennsylvania PA18$26,280+32%$25,102 – $75,545
Michigan MI16$15,903−20%$14,029 – $15,903
Georgia GA22$14,927−25%$14,927 – $38,110
Texas TX33$9,736−51%$8,213 – $10,981
Indiana IN12$4,110−79%$3,618 – $5,554
South Carolina SC8not enough hospitals filed a usable price
West Virginia WV8not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Ohio OH4not enough hospitals filed a usable price
Oklahoma OK4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
New Jersey NJ3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Tennessee TN2not enough hospitals filed a usable price
California CA1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
Nebraska NE1not enough hospitals filed a usable price
Wyoming WY1not 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 $19,979.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care178$22,585$9,736 – $46,658
Critical access14fewer than 20 hospitals
Ownership
For-profit29$16,868$9,736 – $43,393
Government19fewer than 20 hospitals
Non-profit144$18,802$9,736 – $43,393
System affiliation
Part of a system179$18,608$9,736 – $43,393
Independent13fewer than 20 hospitals

Cash price vs list price

Median list price (chargemaster)$46,658
Median cash price$19,979
Cash as a share of list, median hospital50%

At the typical hospital, asking for the cash price cuts the list price by about 50%. 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

138 hospitals filed a usable inpatient cash price for this code. The median is $22,585 and the average of the middle 60% is $24,601; most fall between $10,981 and $46,658.

Cash price percentiles, inpatient, across 138 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
$9,736$13,892$22,585$43,393$56,765

The most expensive tenth of hospitals charges at least 5.8× what the cheapest tenth charges ($9,736 vs $56,765).

Of the 151 hospitals that filed this code inpatient, 138 gave a usable cash price; 7 carried a plausibility flag, 2 filed a number their own filing marks as not a price, 0 gave an estimate, and 4 a list price only.

How complete is this

192 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 212 hospitals that filed this code at all gave us
Usable cash price — counted192
Cash price carrying a plausibility flag — shown on the compare tool, excluded here9
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded9
Hospitals that filed this code212

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 Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only.

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, “Removal and replacement of contractility pulse generator (CPT 0414T) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-0414t-removal-and-replacement-of-contractility-pulse-generator