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

Replacement of a breastbone defibrillator generator

CPT 0614Tthe billing code this page is about

Removal of the battery-and-circuit unit of an implanted defibrillator that uses a lead under the sternum and insertion of a new one, with the lead left in place.

Hospitals typically charge $18,880 cash for this outpatient procedure — the median across 209 hospitals that filed a usable cash price; the average of the middle 60% is $21,843. Most fall between $13,251 and $40,403 (20th–80th percentile).

Hospitals
209
States
29
Filings dated
Sep 2025 – Aug 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
$9,730$13,475$18,880$28,186$48,484

The most expensive tenth of hospitals charges at least 5.0× what the cheapest tenth charges ($9,730 vs $48,484).

How the prices are spread

$8,489 – $10,355: 18 hospitals$8,489$10,355 – $12,630: 13 hospitals$12,630 – $15,406: 20 hospitals$12,630$15,406 – $18,792: 42 hospitals$18,792 – $22,922: 10 hospitals$18,792$22,922 – $27,960: 42 hospitals$27,960 – $34,105: 9 hospitals$27,960$34,105 – $41,601: 7 hospitals$41,601 – $50,744: 26 hospitals$41,601$50,744 – $61,896: 6 hospitals$50,744median $18,880price bands are equal on a log scale
Hospitals per price band (193 of 209 — the bands cover the 5th to 95th percentile)
FromToHospitals
$8,489$10,35518
$10,355$12,63013
$12,630$15,40620
$15,406$18,79242
$18,792$22,92210
$22,922$27,96042
$27,960$34,1059
$34,105$41,6017
$41,601$50,74426
$50,744$61,8966

Against Medicare

Medicare pays (OPPS 2026, national rate)$22,725
Median cash price$18,880
Cash as a multiple of Medicare0.83×

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 $18,880.

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 $49,150 across 17 hospitalsWA$49,150Idaho: no hospital in the corpus filed a usable priceIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 8 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 8 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 4 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 6 hospitals filed a usable price — fewer than 10, so no figureMINew York: 6 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: no hospital in the corpus filed a usable priceORNevada: no hospital in the corpus filed a usable priceNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: 2 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: median $15,717 across 19 hospitalsIN$15,717Ohio: 3 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: 6 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: 1 hospital 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 $16,016 across 22 hospitalsCA$16,016Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals 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: 4 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: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 3 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: 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 $13,475 across 11 hospitalsGA$13,475Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $26,950 across 37 hospitalsTX$26,950Florida: median $44,379 across 19 hospitalsFL$44,379
Cash price by state, most expensive first. National median $18,880. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Washington WA17$49,150+160%$5,565 – $49,647
Florida FL19$44,379+135%$9,997 – $61,896
Texas TX37$26,950+43%$26,950 – $26,950
California CA22$16,016−15%$16,016 – $16,016
Indiana IN19$15,717−17%$12,065 – $17,791
Georgia GA11$13,475−29%$13,475 – $13,475
Illinois IL8not enough hospitals filed a usable price
Minnesota MN8not enough hospitals filed a usable price
Michigan MI6not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
New York NY6not enough hospitals filed a usable price
Pennsylvania PA6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Oklahoma OK4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Wisconsin WI4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Ohio OH3not enough hospitals filed a usable price
Iowa IA2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Jersey NJ1not 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 $18,880.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care190$19,576$13,475 – $40,403
Children’s3fewer than 20 hospitals
Critical access16fewer than 20 hospitals
Ownership
For-profit19fewer than 20 hospitals
Government15fewer than 20 hospitals
Non-profit175$17,836$13,251 – $34,316
System affiliation
Part of a system200$17,836$12,133 – $34,316
Independent9fewer than 20 hospitals

Cash price vs list price

Median list price (chargemaster)$44,916
Median cash price$18,880
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

179 hospitals filed a usable inpatient cash price for this code. The median is $21,223 and the average of the middle 60% is $22,141; most fall between $13,475 and $40,403.

Cash price percentiles, inpatient, across 179 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
$9,730$15,380$21,223$32,946$49,647

The most expensive tenth of hospitals charges at least 5.1× what the cheapest tenth charges ($9,730 vs $49,647).

Of the 192 hospitals that filed this code inpatient, 179 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 6 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 225 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 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 — excluded5
Hospitals that filed this code225

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&Rplcmt Substernal Impltbl Defibrillator Pg.

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, “Replacement of a breastbone defibrillator generator (CPT 0614T) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-0614t-replacement-of-a-breastbone-defibrillator-generator