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

Replacement of heart-boosting defibrillator generator

CPT 0923Tthe billing code this page is about

Taking out the existing battery-and-circuit unit of a cardiac contractility modulation defibrillator system and putting in a new one, with the leads left in place.

Hospitals typically charge $15,989 cash for this outpatient procedure — the median across 168 hospitals that filed a usable cash price; the average of the middle 60% is $20,369. Most fall between $10,019 and $49,494 (20th–80th percentile).

Hospitals
168
States
26
Filings dated
Jun 2025 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 168 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
$2,703$10,890$15,989$32,126$71,924

The most expensive tenth of hospitals charges at least 27× what the cheapest tenth charges ($2,703 vs $71,924).

How the prices are spread

$2,595 – $3,709: 10 hospitals$2,595$3,709 – $5,300: 0 hospitals$5,300 – $7,576: 11 hospitals$5,300$7,576 – $10,827: 13 hospitals$10,827 – $15,475: 41 hospitals$10,827$15,475 – $22,117: 20 hospitals$22,117 – $31,610: 23 hospitals$22,117$31,610 – $45,178: 3 hospitals$45,178 – $64,570: 19 hospitals$45,178$64,570 – $92,286: 13 hospitals$64,570median $15,989price bands are equal on a log scale
Hospitals per price band (153 of 168 — the bands cover the 5th to 95th percentile)
FromToHospitals
$2,595$3,70910
$3,709$5,3000
$5,300$7,57611
$7,576$10,82713
$10,827$15,47541
$15,475$22,11720
$22,117$31,61023
$31,610$45,1783
$45,178$64,57019
$64,570$92,28613

Against Medicare

Medicare pays (OPPS 2026, national rate)$22,725
Median cash price$15,989
Cash as a multiple of Medicare0.70×

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 $15,989.

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: median $73,700 across 10 hospitalsIL$73,700Wisconsin: 1 hospital filed a usable price — fewer than 10, so no figureWIMichigan: 8 hospitals filed a usable price — fewer than 10, so no figureMINew York: 3 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 3 hospitals filed a usable price — fewer than 10, so no figureORNevada: 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: 1 hospital filed a usable price — fewer than 10, so no figureIAIndiana: 8 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $27,313 across 18 hospitalsOH$27,313Pennsylvania: 9 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: 8 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 $13,843 across 22 hospitalsCA$13,843Utah: no hospital in the corpus filed a usable priceUTColorado: no hospital in the corpus filed a usable priceCONebraska: median $15,989 across 10 hospitalsNE$15,989Missouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 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: no hospital in the corpus filed a usable priceAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 1 hospital filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $2,595 across 10 hospitalsNC$2,595South Carolina: no hospital in the corpus filed a usable priceSCOklahoma: 2 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: no hospital in the corpus filed a usable priceLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $10,890 across 13 hospitalsTX$10,890Florida: median $61,862 across 12 hospitalsFL$61,862
Cash price by state, most expensive first. National median $15,989. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Illinois IL10$73,700+361%$10,019 – $73,700
Florida FL12$61,862+287%$49,494 – $61,862
Ohio OH18$27,313+71%$6,429 – $27,313
Nebraska NE10$15,9890%$15,712 – $19,169
California CA22$13,843−13%$13,843 – $13,843
Texas TX13$10,890−32%$6,496 – $19,640
North Carolina NC10$2,595−84%$2,595 – $2,595
Missouri MO9not enough hospitals filed a usable price
Pennsylvania PA9not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Indiana IN8not enough hospitals filed a usable price
Michigan MI8not enough hospitals filed a usable price
New Jersey NJ8not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
New York NY3not enough hospitals filed a usable price
Oregon OR3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Oklahoma OK2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Iowa IA1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Tennessee TN1not 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 $15,989.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care157$15,989$10,019 – $49,494
Children’s1fewer than 20 hospitals
Critical access9fewer than 20 hospitals
Ownership
For-profit9fewer than 20 hospitals
Government21$13,468$2,595 – $49,494
Non-profit137$15,989$10,370 – $49,606
System affiliation
Part of a system162$15,454$9,849 – $49,494
Independent6fewer than 20 hospitals

Cash price vs list price

Median list price (chargemaster)$36,417
Median cash price$15,989
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

148 hospitals filed a usable inpatient cash price for this code. The median is $15,712 and the average of the middle 60% is $19,618; most fall between $10,019 and $49,606.

Cash price percentiles, inpatient, across 148 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
$6,429$10,943$15,712$29,461$70,706

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($6,429 vs $70,706).

Of the 155 hospitals that filed this code inpatient, 148 gave a usable cash price; 5 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 2 a list price only.

How complete is this

168 of the 3,956 hospitals with a price file in our corpus (4%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 178 hospitals that filed this code at all gave us
Usable cash price — counted168
Cash price carrying a plausibility flag — shown on the compare tool, excluded here8
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded2
Hospitals that filed this code178

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 23, 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 PR Rmvl&Rplcmt Permanent Ccm-D 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, “Replacement of heart-boosting defibrillator generator (CPT 0923T) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-0923t-replacement-of-heart-boosting-defibrillator-generator