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Procedure price report

Implantable heart defibrillator, dual chamber

HCPCS C1721the billing code this page is about

Covers the supply of a dual-chamber implantable defibrillator device that monitors the heart and delivers a shock for dangerous rhythms; the implant procedure is billed separately.

Hospitals typically charge $16,708 cash for this outpatient procedure — the median across 168 hospitals that filed a usable cash price; the average of the middle 60% is $17,461. Most fall between $10,710 and $25,557 (20th–80th percentile).

Hospitals
168
States
36
Filings dated
Jun 2024 – 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
$6,900$12,401$16,708$21,600$37,202

The most expensive tenth of hospitals charges at least 5.4× what the cheapest tenth charges ($6,900 vs $37,202).

How the prices are spread

$4,951 – $6,143: 13 hospitals$4,951$6,143 – $7,621: 4 hospitals$7,621 – $9,455: 7 hospitals$7,621$9,455 – $11,731: 11 hospitals$11,731 – $14,554: 18 hospitals$11,731$14,554 – $18,057: 32 hospitals$18,057 – $22,402: 40 hospitals$18,057$22,402 – $27,794: 12 hospitals$27,794 – $34,483: 6 hospitals$27,794$34,483 – $42,782: 15 hospitals$34,483median $16,708price bands are equal on a log scale
Hospitals per price band (158 of 168 — the bands cover the 5th to 95th percentile)
FromToHospitals
$4,951$6,14313
$6,143$7,6214
$7,621$9,4557
$9,455$11,73111
$11,731$14,55418
$14,554$18,05732
$18,057$22,40240
$22,402$27,79412
$27,794$34,4836
$34,483$42,78215

By state

The median cash price in each state, against the national median of $16,708.

Alaska: no hospital in the corpus filed a usable priceAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: no hospital in the corpus filed a usable priceILWisconsin: no hospital in the corpus filed a usable priceWIMichigan: 1 hospital filed a usable price — fewer than 10, so no figureMINew York: 2 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: 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: no hospital in the corpus filed a usable priceIAIndiana: median $13,620 across 19 hospitalsIN$13,620Ohio: 5 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: 3 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: 6 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: 3 hospitals filed a usable price — fewer than 10, so no figureCAUtah: median $16,451 across 22 hospitalsUT$16,451Colorado: no hospital in the corpus filed a usable priceCONebraska: no hospital in the corpus filed a usable priceNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 6 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: no hospital in the corpus filed a usable priceKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: 2 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $18,151 across 33 hospitalsTX$18,151Florida: median $4,951 across 16 hospitalsFL$4,951
Cash price by state, most expensive first. National median $16,708. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Texas TX33$18,151+9%$16,708 – $18,151
Utah UT22$16,451−2%$16,451 – $20,516
Indiana IN19$13,620−18%$10,916 – $19,454
Florida FL16$4,951−70%$4,951 – $13,310
Tennessee TN8not enough hospitals filed a usable price
New Jersey NJ6not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
Ohio OH5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
California CA3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Pennsylvania PA3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
New York NY2not enough hospitals filed a usable price
Oklahoma OK2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
South Carolina SC2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Michigan MI1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Washington WA1not 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 $16,708.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care145$18,151$10,486 – $25,760
Children’s4fewer than 20 hospitals
Critical access19fewer than 20 hospitals
Ownership
For-profit32$18,151$12,401 – $37,538
Government18fewer than 20 hospitals
Non-profit118$16,708$10,754 – $21,096
System affiliation
Part of a system146$16,708$12,401 – $25,088
Independent22$17,810$7,033 – $29,085

Cash price vs list price

Median list price (chargemaster)$29,684
Median cash price$16,708
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

120 hospitals filed a usable inpatient cash price for this code. The median is $16,708 and the average of the middle 60% is $16,459; most fall between $8,444 and $20,516.

Cash price percentiles, inpatient, across 120 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
$4,951$10,535$16,708$20,516$25,088

The most expensive tenth of hospitals charges at least 5.1× what the cheapest tenth charges ($4,951 vs $25,088).

Of the 136 hospitals that filed this code inpatient, 120 gave a usable cash price; 6 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

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 191 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 here9
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 — excluded14
Hospitals that filed this code191

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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.

Hospitals file this code under descriptions such as DEFIB COBALT XT VR MRI SURESCAN D4.

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, “Implantable heart defibrillator, dual chamber (CPT C1721) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-c1721-implantable-heart-defibrillator-dual-chamber