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

Catheter insertion of leadless pacemaker in right atrium

CPT 0823Tthe billing code this page is about

Placement of a permanent single-chamber wireless pacemaker into the right atrium of the heart, threaded in through a catheter in a blood vessel.

Hospitals typically charge $22,563 cash for this outpatient procedure — the median across 523 hospitals that filed a usable cash price; the average of the middle 60% is $24,440. Most fall between $11,493 and $40,547 (20th–80th percentile).

Hospitals
523
States
43
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 523 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
$5,146$12,936$22,563$37,926$53,780

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($5,146 vs $53,780).

How the prices are spread

$3,950 – $5,243: 31 hospitals$3,950$5,243 – $6,959: 13 hospitals$6,959 – $9,237: 24 hospitals$6,959$9,237 – $12,261: 38 hospitals$12,261 – $16,274: 37 hospitals$12,261$16,274 – $21,600: 92 hospitals$21,600 – $28,671: 52 hospitals$21,600$28,671 – $38,056: 87 hospitals$38,056 – $50,512: 62 hospitals$38,056$50,512 – $67,046: 38 hospitals$50,512median $22,563price bands are equal on a log scale
Hospitals per price band (474 of 523 — the bands cover the 5th to 95th percentile)
FromToHospitals
$3,950$5,24331
$5,243$6,95913
$6,959$9,23724
$9,237$12,26138
$12,261$16,27437
$16,274$21,60092
$21,600$28,67152
$28,671$38,05687
$38,056$50,51262
$50,512$67,04638

Against Medicare

Medicare pays (OPPS 2026, national rate)$19,679
Median cash price$22,563
Cash as a multiple of Medicare1.15×

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 $22,563.

Alaska: no hospital in the corpus filed a usable priceAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 1 hospital filed a usable price — fewer than 10, so no figureNHWashington: median $28,018 across 20 hospitalsWA$28,018Idaho: 4 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $20,545 across 11 hospitalsMN$20,545Illinois: median $39,481 across 18 hospitalsIL$39,481Wisconsin: 8 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $25,949 across 12 hospitalsMI$25,949New York: median $19,208 across 10 hospitalsNY$19,208Massachusetts: median $17,666 across 11 hospitalsMA$17,666Oregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,114 across 14 hospitalsIA$1,114Indiana: median $7,067 across 21 hospitalsIN$7,067Ohio: median $22,590 across 20 hospitalsOH$22,590Pennsylvania: median $57,127 across 20 hospitalsPA$57,127New Jersey: median $6,181 across 19 hospitalsNJ$6,181Connecticut: 7 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $21,117 across 59 hospitalsCA$21,117Utah: 5 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $17,495 across 18 hospitalsCO$17,495Nebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $22,702 across 14 hospitalsMO$22,702Kentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $18,023 across 14 hospitalsVA$18,023Maryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 8 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $4,025 across 13 hospitalsTN$4,025North Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $45,795 across 11 hospitalsSC$45,795Oklahoma: 6 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $12,205 across 25 hospitalsGA$12,205Hawaii: no hospital in the corpus filed a usable priceHITexas: median $30,934 across 76 hospitalsTX$30,934Florida: median $51,758 across 21 hospitalsFL$51,758
Cash price by state, most expensive first. National median $22,563. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Pennsylvania PA20$57,127+153%$17,004 – $102,351
Florida FL21$51,758+129%$37,926 – $53,780
South Carolina SC11$45,795+103%$26,462 – $45,795
Illinois IL18$39,481+75%$17,845 – $39,481
Texas TX76$30,934+37%$17,546 – $54,557
Washington WA20$28,018+24%$8,521 – $42,707
Michigan MI12$25,949+15%$19,007 – $38,142
Missouri MO14$22,702+1%$16,575 – $50,635
Ohio OH20$22,5900%$8,728 – $22,590
California CA59$21,117−6%$17,935 – $34,434
Minnesota MN11$20,545−9%$20,545 – $32,841
New York NY10$19,208−15%$3,642 – $22,863
Virginia VA14$18,023−20%$4,025 – $25,373
Massachusetts MA11$17,666−22%$9,953 – $45,722
Colorado CO18$17,495−22%$11,832 – $29,230
Georgia GA25$12,205−46%$11,624 – $32,408
Indiana IN21$7,067−69%$4,969 – $12,936
New Jersey NJ19$6,181−73%$5,134 – $25,448
Tennessee TN13$4,025−82%$3,950 – $4,025
Iowa IA14$1,114−95%$1,114 – $1,422
Arizona AZ8not enough hospitals filed a usable price
Louisiana LA8not enough hospitals filed a usable price
Wisconsin WI8not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
North Carolina NC7not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Oklahoma OK6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Utah UT5not enough hospitals filed a usable price
Idaho ID4not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Hampshire NH1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Vermont VT1not 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 $22,563.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care483$21,677$11,832 – $39,481
Children’s10fewer than 20 hospitals
Critical access27$30,934$4,997 – $51,933
Ownership
For-profit67$30,934$14,830 – $56,192
Government33$18,377$8,951 – $35,580
Non-profit420$21,452$10,870 – $38,882
System affiliation
Part of a system485$21,452$10,641 – $39,481
Independent38$29,518$16,247 – $49,142

Cash price vs list price

Median list price (chargemaster)$43,763
Median cash price$22,563
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

397 hospitals filed a usable inpatient cash price for this code. The median is $21,452 and the average of the middle 60% is $23,734; most fall between $11,984 and $37,943.

Cash price percentiles, inpatient, across 397 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
$6,144$13,225$21,452$34,847$51,933

The most expensive tenth of hospitals charges at least 8.5× what the cheapest tenth charges ($6,144 vs $51,933).

Of the 422 hospitals that filed this code inpatient, 397 gave a usable cash price; 15 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 10 a list price only.

How complete is this

523 of the 3,956 hospitals with a price file in our corpus (13%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 564 hospitals that filed this code at all gave us
Usable cash price — counted523
Cash price carrying a plausibility flag — shown on the compare tool, excluded here25
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded14
Hospitals that filed this code564

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 Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial.

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, “Catheter insertion of leadless pacemaker in right atrium (CPT 0823T) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-0823t-catheter-insertion-of-leadless-pacemaker-in-right-atrium