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

Removal of a breastbone defibrillator generator only

CPT 0580Tthe billing code this page is about

Taking out the battery-and-circuit unit of an implanted defibrillator that uses a lead under the sternum, leaving the lead in place.

Hospitals typically charge $3,274 cash for this outpatient procedure — the median across 226 hospitals that filed a usable cash price; the average of the middle 60% is $3,687. Most fall between $2,165 and $6,517 (20th–80th percentile).

Hospitals
226
States
32
Filings dated
Sep 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 226 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
$1,776$2,245$3,274$5,727$9,022

The most expensive tenth of hospitals charges at least 5.1× what the cheapest tenth charges ($1,776 vs $9,022).

How the prices are spread

$1,621 – $1,950: 33 hospitals$1,621$1,950 – $2,347: 23 hospitals$2,347 – $2,824: 34 hospitals$2,347$2,824 – $3,398: 13 hospitals$3,398 – $4,088: 14 hospitals$3,398$4,088 – $4,919: 30 hospitals$4,919 – $5,919: 13 hospitals$4,919$5,919 – $7,122: 13 hospitals$7,122 – $8,570: 15 hospitals$7,122$8,570 – $10,312: 18 hospitals$8,570median $3,274price bands are equal on a log scale
Hospitals per price band (206 of 226 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,621$1,95033
$1,950$2,34723
$2,347$2,82434
$2,824$3,39813
$3,398$4,08814
$4,088$4,91930
$4,919$5,91913
$5,919$7,12213
$7,122$8,57015
$8,570$10,31218

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,818
Median cash price$3,274
Cash as a multiple of Medicare0.86×

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 $3,274.

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: median $4,640 across 18 hospitalsWA$4,640Idaho: no hospital in the corpus filed a usable priceIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 6 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 1 hospital filed a usable price — fewer than 10, so no figureWIMichigan: 7 hospitals filed a usable price — fewer than 10, so no figureMINew York: 9 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 4 hospitals filed a usable price — fewer than 10, so no figureORNevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: 1 hospital filed a usable price — fewer than 10, so no figureIAIndiana: median $2,040 across 17 hospitalsIN$2,040Ohio: 5 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: 5 hospitals filed a usable price — fewer than 10, so no figurePANew 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: median $2,761 across 40 hospitalsCA$2,761Utah: 4 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 2 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: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 9 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: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: 4 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 1 hospital 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 $2,245 across 11 hospitalsGA$2,245Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $4,323 across 28 hospitalsTX$4,323Florida: median $6,517 across 19 hospitalsFL$6,517
Cash price by state, most expensive first. National median $3,274. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL19$6,517+99%$1,815 – $10,312
Washington WA18$4,640+42%$3,008 – $8,221
Texas TX28$4,323+32%$1,621 – $8,183
California CA40$2,761−16%$1,810 – $2,761
Georgia GA11$2,245−31%$2,245 – $2,245
Indiana IN17$2,040−38%$1,676 – $2,804
New York NY9not enough hospitals filed a usable price
Virginia VA9not enough hospitals filed a usable price
Michigan MI7not enough hospitals filed a usable price
North Carolina NC7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Illinois IL6not enough hospitals filed a usable price
Ohio OH5not enough hospitals filed a usable price
Pennsylvania PA5not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
Oklahoma OK4not enough hospitals filed a usable price
Oregon OR4not enough hospitals filed a usable price
Utah UT4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
New Jersey NJ3not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Iowa IA1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
Nebraska NE1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Wisconsin WI1not 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 $3,274.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care207$3,610$2,165 – $6,517
Children’s3fewer than 20 hospitals
Critical access16fewer than 20 hospitals
Ownership
For-profit22$4,323$2,245 – $10,782
Government15fewer than 20 hospitals
Non-profit189$3,253$2,165 – $6,716
System affiliation
Part of a system213$3,082$1,840 – $6,517
Independent13fewer than 20 hospitals

Cash price vs list price

Median list price (chargemaster)$7,484
Median cash price$3,274
Cash as a share of list, median hospital52%

At the typical hospital, asking for the cash price cuts the list price by about 48%. 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

190 hospitals filed a usable inpatient cash price for this code. The median is $3,083 and the average of the middle 60% is $3,674; most fall between $2,165 and $6,517.

Cash price percentiles, inpatient, across 190 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
$1,776$2,245$3,083$5,258$8,585

The most expensive tenth of hospitals charges at least 4.8× what the cheapest tenth charges ($1,776 vs $8,585).

Of the 208 hospitals that filed this code inpatient, 190 gave a usable cash price; 9 carried a plausibility flag, 2 filed a number their own filing marks as not a price, 0 gave an estimate, and 7 a list price only.

How complete is this

226 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 246 hospitals that filed this code at all gave us
Usable cash price — counted226
Cash price carrying a plausibility flag — shown on the compare tool, excluded here13
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 — excluded5
Hospitals that filed this code246

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 Substernal Impltbl Dfb Pulse 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 of a breastbone defibrillator generator only (CPT 0580T) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-0580t-removal-of-a-breastbone-defibrillator-generator-only