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

Relocation of skin pocket for heart device generator

CPT 0416Tthe billing code this page is about

Surgery to move the pocket under the skin that holds the pulse generator of a cardiac contractility modulation system.

Hospitals typically charge $3,027 cash for this outpatient procedure — the median across 209 hospitals that filed a usable cash price; the average of the middle 60% is $3,095. Most fall between $1,330 and $4,317 (20th–80th percentile).

Hospitals
209
States
25
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 209 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
$1,067$1,677$3,027$4,175$6,165

The most expensive tenth of hospitals charges at least 5.8× what the cheapest tenth charges ($1,067 vs $6,165).

How the prices are spread

$1,067 – $1,293: 31 hospitals$1,067$1,293 – $1,567: 6 hospitals$1,567 – $1,899: 9 hospitals$1,567$1,899 – $2,302: 10 hospitals$2,302 – $2,790: 22 hospitals$2,302$2,790 – $3,382: 23 hospitals$3,382 – $4,099: 36 hospitals$3,382$4,099 – $4,968: 23 hospitals$4,968 – $6,022: 17 hospitals$4,968$6,022 – $7,299: 12 hospitals$6,022median $3,027price bands are equal on a log scale
Hospitals per price band (189 of 209 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,067$1,29331
$1,293$1,5676
$1,567$1,8999
$1,899$2,30210
$2,302$2,79022
$2,790$3,38223
$3,382$4,09936
$4,099$4,96823
$4,968$6,02217
$6,022$7,29912

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,108
Median cash price$3,027
Cash as a multiple of Medicare1.44×

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 $3,027.

Alaska: no hospital in the corpus filed a usable priceAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 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 $1,184 across 17 hospitalsMI$1,184New York: median $2,449 across 10 hospitalsNY$2,449Massachusetts: 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 $3,901 across 12 hospitalsIN$3,901Ohio: median $4,175 across 13 hospitalsOH$4,175Pennsylvania: median $2,766 across 18 hospitalsPA$2,766New 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: 3 hospitals 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: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital 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: 1 hospital 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: 1 hospital filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $4,248 across 10 hospitalsNC$4,248South 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: 5 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 $1,067 across 21 hospitalsGA$1,067Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $3,792 across 40 hospitalsTX$3,792Florida: median $5,603 across 19 hospitalsFL$5,603
Cash price by state, most expensive first. National median $3,027. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL19$5,603+85%$2,816 – $7,392
North Carolina NC10$4,248+40%$4,248 – $4,248
Ohio OH13$4,175+38%$1,330 – $4,175
Indiana IN12$3,901+29%$3,434 – $5,272
Texas TX40$3,792+25%$3,027 – $3,960
Pennsylvania PA18$2,766−9%$2,438 – $5,624
New York NY10$2,449−19%$1,185 – $3,625
Michigan MI17$1,184−61%$1,144 – $1,184
Georgia GA21$1,067−65%$1,067 – $6,165
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 LA5not enough hospitals filed a usable price
Oklahoma OK4not enough hospitals filed a usable price
California CA3not enough hospitals filed a usable price
New Jersey NJ3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Nebraska NE1not enough hospitals filed a usable price
Tennessee TN1not 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 $3,027.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care193$3,027$1,330 – $4,248
Children’s1fewer than 20 hospitals
Critical access15fewer than 20 hospitals
Ownership
For-profit32$2,977$1,144 – $4,175
Government20$4,248$2,344 – $4,248
Non-profit157$2,816$1,185 – $4,425
System affiliation
Part of a system195$3,027$1,185 – $4,248
Independent14fewer than 20 hospitals

Cash price vs list price

Median list price (chargemaster)$5,566
Median cash price$3,027
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

155 hospitals filed a usable inpatient cash price for this code. The median is $3,140 and the average of the middle 60% is $3,174; most fall between $1,330 and $4,248.

Cash price percentiles, inpatient, across 155 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
$1,067$1,677$3,140$4,248$5,630

The most expensive tenth of hospitals charges at least 5.3× what the cheapest tenth charges ($1,067 vs $5,630).

Of the 165 hospitals that filed this code inpatient, 155 gave a usable cash price; 5 carried a plausibility flag, 2 filed a number their own filing marks as not a price, 0 gave an estimate, and 3 a list price only.

How complete is this

209 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 227 hospitals that filed this code at all gave us
Usable cash price — counted209
Cash price carrying a plausibility flag — shown on the compare tool, excluded here7
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 code227

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 Reloc Skin Pocket Cardiac Modulj Pulse Generator.

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, “Relocation of skin pocket for heart device generator (CPT 0416T) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-0416t-relocation-of-skin-pocket-for-heart-device-generator