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Moving The Pocket Of A Heart Device Generator

Pennsylvania rates for HCPCS 0416T

The pocket of skin and tissue holding an implanted cardiac contractility modulation generator is opened and the generator is moved to a new pocket. This is done when the original site causes trouble, such as pain, thinning skin over the device, or a wound problem. The leads stay in place and are reconnected in the new position.

Rates data updated October 2026.

How much does Moving The Pocket Of A Heart Device Generator cost?

$631

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $1,230 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$380$309 to $562
FacilityA hospital or hospital-owned outpatient department$1,230$676 to $2,455

How much rates vary

Facilitymedian $1,230 · 10th to 90th $490 to $5,012Professionalmedian $380 · 10th to 90th $295 to $832
$500$1K$2K$5Kfacility $1,230professional $380

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$3,235.94
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$346.74
Typical High
$489.78
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$147.91
Median
$173.78
Typical High
$186.21
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$58.88
Median
$69.18
Typical High
$75.86
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$218.78
Median
$263.03
Typical High
$281.84
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$44.67
Median
$52.48
Typical High
$56.23
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$29.51
Median
$34.67
Typical High
$38.02
Cigna
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$1,148.15
Typical High
$2,290.87
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Geisinger
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,380.38
Typical High
$2,398.83
Geisinger
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$2,818.38
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$346.74
Typical High
$478.63
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$147.91
Median
$173.78
Typical High
$173.78
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$58.88
Median
$69.18
Typical High
$69.18
Martin's Point
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$218.78
Median
$263.03
Typical High
$263.03
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$44.67
Median
$52.48
Typical High
$52.48
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$29.51
Median
$34.67
Typical High
$34.67
United
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$724.44
Typical High
$3,890.45
United
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$562.34
Typical High
$912.01

Where Pennsylvania sits

The same service costs 8.1 times more in Texas than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 41st of 51

$631

TX $2,291NY $282

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.