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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 July 2026.

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

$794

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $794 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $3,890 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$380$316 to $479
FacilityA hospital or hospital-owned outpatient department$3,890$2,188 to $5,370

How much rates vary

Facilitymedian $3,890 · 10th to 90th $955 to $8,318Professionalmedian $380 · 10th to 90th $295 to $603
$500$1K$2K$5K$10Kfacility $3,890professional $380

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,890.45
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$346.74
Typical High
$512.86
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,235.94
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$407.38
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,818.38
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$954.99

Where Pennsylvania sits

The same service costs 21.9 times more in California than in North Dakota. 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· 21st of 51

$794

CA $6,457ND $295

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.