HRHospitalRates.comCompare prices

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

In-person programming check of heart-boosting defibrillator

CPT 0926Tthe billing code this page is about

A face-to-face session in which the settings of an implanted cardiac contractility modulation defibrillator system are tested and adjusted, with a report.

Hospitals typically charge $53 cash for this outpatient procedure — the median across 146 hospitals that filed a usable cash price; the average of the middle 60% is $150. Most fall between $43 and $398 (20th–80th percentile).

Hospitals
146
States
23
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 146 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
$21$43$53$249$398

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($21 vs $398).

How the prices are spread

$6 – $10: 2 hospitals$6$10 – $16: 0 hospitals$16 – $25: 11 hospitals$16$25 – $41: 8 hospitals$41 – $66: 55 hospitals$41$66 – $105: 8 hospitals$105 – $169: 4 hospitals$105$169 – $272: 16 hospitals$272 – $436: 23 hospitals$272$436 – $700: 6 hospitals$436median $53price bands are equal on a log scale
Hospitals per price band (133 of 146 — the bands cover the 5th to 95th percentile)
FromToHospitals
$6$102
$10$160
$16$2511
$25$418
$41$6655
$66$1058
$105$1694
$169$27216
$272$43623
$436$7006

Against Medicare

Medicare pays (OPPS 2026, national rate)$38
Median cash price$53
Cash as a multiple of Medicare1.40×

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 $53.

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: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: no hospital in the corpus filed a usable priceMNIllinois: 1 hospital filed a usable price — fewer than 10, so no figureILWisconsin: no hospital in the corpus filed a usable priceWIMichigan: no hospital in the corpus filed a usable priceMINew York: 3 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: 2 hospitals 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: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $44 across 17 hospitalsOH$44Pennsylvania: 8 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 $398 across 19 hospitalsCA$398Utah: no hospital in the corpus filed a usable priceUTColorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $5 across 10 hospitalsNE$5Missouri: 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: 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: 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: no hospital in the corpus filed a usable priceNCSouth 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 $43 across 40 hospitalsTX$43Florida: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $53. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA19$398+645%$398 – $398
Ohio OH17$44−18%$36 – $44
Texas TX40$43−20%$43 – $700
Nebraska NE10$5−91%$5 – $6
Georgia GA8not enough hospitals filed a usable price
Pennsylvania PA8not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
New Jersey NJ3not 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
Massachusetts MA2not enough hospitals filed a usable price
Oklahoma OK2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Iowa IA1not enough hospitals filed a usable price
Illinois IL1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Tennessee TN1not 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 $53.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care134$50$42 – $398
Children’s1fewer than 20 hospitals
Critical access10fewer than 20 hospitals
Ownership
For-profit14fewer than 20 hospitals
Government12fewer than 20 hospitals
Non-profit119$50$36 – $398
System affiliation
Part of a system142$46$42 – $398
Independent4fewer than 20 hospitals

Cash price vs list price

Median list price (chargemaster)$83
Median cash price$53
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

132 hospitals filed a usable inpatient cash price for this code. The median is $53 and the average of the middle 60% is $155; most fall between $43 and $398.

Cash price percentiles, inpatient, across 132 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
$20$43$53$314$398

The most expensive tenth of hospitals charges at least 20× what the cheapest tenth charges ($20 vs $398).

Of the 134 hospitals that filed this code inpatient, 132 gave a usable cash price; 0 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

146 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 149 hospitals that filed this code at all gave us
Usable cash price — counted146
Cash price carrying a plausibility flag — shown on the compare tool, excluded here1
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 code149

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 PRGRMG DEV EVAL CCM-D IP.

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, “In-person programming check of heart-boosting defibrillator (CPT 0926T) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-0926t-in-person-programming-check-of-heart-boosting-defibrillator